Introduction / technology / robotic skills simulator | 1. Introduction to robotic HPB surgery 2. Learning the technology of the robotic platform 3. Improving robotic skills by simulation | 1a. Lecture 1b. Video 2a. Online modules 2b. Hands-on course 3. Robotic skills simulator | 1a. Trocar placement in robotic HPB surgery 1b. Video of a robotic PPPD 2a. Energy devices in robotic surgery 2b. Spatial considerations in robotic surgery 3. Mastering the 10 simulated robotic skills | 1a. MCQ 1b. EMQ 2a. On line dV certificate 2b. dv Training centre certificate 3. MIMIC ratings |
Dry skills laboratory | 1. Perform docking 2. Perform simple tasks (modified simulation skills) 3. Perform customized tasks | 1. Demonstration 2. Perform in dry laboratory 3. Perform in dry laboratory | 1. Xi platform docking differences 2. Modified simulation skills 3. Dry laboratory construction of robotic PJ | 1. Tutor / self assess 2. Video analysis 3. CUSUM learning curve |
Biliary 1 | 1. Follow up of patients after robotic biliary surgery 2. Perform simple robotic biliary operations | 1a. Shadow office hours 1b. PBL 2a. Assist in OR 2b. Perform in OR 3c. Simulation laboratory | 1a. Follow-up robotic CCY 1b. Planning of a proposed robotic CCY 2a. Bedside in a robotic CCY 2b. Console in a robotic CCY 3c. Dry laboratory robotic HJ | 1a. Mock patients / orals 1b. EMQ 2a. Tutor / self assess 2b. Video analysis 3c. CUSUM learning curve |
Biliary 2 | 1. Follow-up of patients after complicated robotic biliary surgery 2. Perform complex robotic biliary operations | 1a. Shadow office hours 1b. PBL 2a. Assist in OR, bedside 2b. Perform in OR, console | 1a. Follow-up complicated biliary patients 1b. Planning of a redo biliary procedure 2a. Console in a robotic HJ, < 50% 2b. Console in a robotic HJ, > 50% | 1a. Mock patients / orals 1b. EMQ 2a. Tutor / self assess 2b. Video analysis |
Pancreas 1 | 1. Follow-up of patients after robotic pancreas surgery 2. Perform simple robotic pancreas operations | 1a. Shadow office hours 1b. PBL 2a. Assist in OR 2b. Perform in OR 2c. Simulation laboratory | 1a. Follow-up robotic débridement patients 1b. Planning of a robotic débridement 2a. Bedside in a robotic débridement 2b. Console in a robotic débridement 2c. Dry laboratory construction of robotic PJ | 1a. Mock patients / orals 1b. EMQ 1a. Tutor / self assess 2b. Video analysis 3c. CUSUM learning curve |
Pancreas 2 | 1. Follow-up of patients after complicated robotic pancreas surgery 2. Perform complex robotic pancreas operations | 1a. Shadow office hours 1b. PBL 2a. Assist in OR, bedside 2b. Perform in OR, console | 1a. Follow-up complicated PPPD patients 1b. Planning of a redo robotic débridement 2a. Console in a robotic PPPD, < 50% 2b. Console in a robotic PPPD, > 50% | 1a. Mock patients / orals 1b. EMQ 2a. Tutor / self assess 2b. Video analysis |
Liver 1 | 1. Follow-up of patients after robotic liver surgery 2. Perform simple robotic hepatic operations | 1a. Shadow office hours 1b. PBL 2a. Assist in OR 2b. Perform in OR 2c. Simulation laboratory | 1a. Follow-up robotic LL rsxn patients 1b. Planning of a proposed robotic rsxn 2a. Bedside in a robotic LL rsxn 2b. Console in a robotic LL rsxn 2c. Dry laboratory robotic rsxn of an actual 3D-printed liver | 1a. Mock patients / orals 1b. EMQ 2a. Tutor / Self assess 2b. Video analysis 2c. CUSUM learning curve |
Liver 2 | 1. Follow-up of patients after complicated robotic liver surgery 2. Perform complex robotic hepatic operations | 1a. Shadow office hours 1b. PBL 2a. Assist in OR, bedside 2b. Perform in OR, console | 1a. Follow-up complicated rsxn patients 1b. Planning of a redo rsxn 2a. Console in a robotic R rsxn, < 50% 2b. Console in a robotic R rsxn, > 50% | 1a. Mock patients / orals 1b. EMQ 2a. Tutor / self assess 2b. Video analysis |
Biliary 3 | 1. Follow-up of patients after complicated robotic biliary surgery 2. Perform complex robotic biliary operations | 1a. Shadow office hours 1b. PBL 2a. Assist in OR, bedside 2b. Perform in OR, console | 1a. Follow-up complicated biliary patients 1b. Planning of a redo biliary procedure 2a. Console in a robotic HJ, < 50% 2b. Console in a robotic HJ, > 50% | 1a. Mock patients / orals 1b. EMQ 2a. Tutor / self assess 2b. Video analysis |
Pancreas 3 | 1. Follow-up of patients after complicated robotic pancreas surgery 2. Perform complex robotic pancreas operations | 1a. Shadow office hours 1b. PBL 2a. Assist in OR, bedside 2b. Perform in OR, console | 1a. Follow-up complicated PPPD patients 1b. Planning of a redo robotic débridement 2a. Console in a robotic PPPD, < 50% 2b. Console in a robotic PPPD, > 50% | 1a. Mock patients / orals 1b. EMQ 2a. Tutor / self assess 2b. Video analysis |
HPB robotic surgery clinical research | 1. Describe current status of robotic HPB surgery clinical research 2. Explain how and why to choose a subject for robotic HPB surgery clinical research 3. Explain clinical research ethics 4. Describe methods of clinical research results dissemination 5. Design and conduct a clinical research project | 1. Lecture 2. Tutorial podcast 3a. PBL 3b. Reflective journal 4. Lecture 5. Write a retrospective / prospective cohort analysis | 1. Designing ergonomic triangles for trocar placement in robotic HPB surgery 2. How to address a clinical question with an evidence-based answer in the robotic HPB surgery era 3a. Data manipulation in robotic HPB surgery 3b. Inner thoughts of a clinical researcher 4. What to present in a scientific poster in the robotic HPB era 5. Oncologic outcomes after robotic PPPD | 1. MCQ 2. Portfolio of 2 pojects 3a. EMQ 3b. Self / tutor assess 4. Prepare 4 abstracts 5. Clinical research projects × 2 |
HPB robotic surgery educational research | 1. Describe current status of robotic HPB surgery educational research 2. Explain how to choose a subject for educational research in robotic HPB surgery 3. Explain educational research in robotic HPB surgery goals 4. Design and conduct an educational research project in HPB surgery | 1. Lecture 2. Tutorial podcast 3a. PBL 3b. Reflective journal 4. Conduct experiment | 1. Simulation training in robotic HPB surgery 2. Performing educational research that matters; improving residents’ learning in robotic HPB surgery 3a. 3-D printing in robotic HPB surgery 3b. Inner thoughts of a trainee in robotic HPB surgery 4. Video vs CUSUM analysis in construction of a robotic PJ | 1. MCQ 2. Portfolio of 1 project 3a. EMQ 3b. Self / tutor assess 5. Basic research project ×1 |
HPB robotic surgery authorship | 1. Explain how to structure a scientific communication for robotic HPB surgery 2. Explain what to present on a scientific communication for robotic HPB surgery 3. Explain the ethics of scientific authorship in the era of robotic HPB surgery 4. Participate in a greater authorship project | 1. Tutorial podcast 2. Tutorial podcast 3. Lecture 4. Write a chapter | 1. Types of medical manuscript relevant to robotic HPB 2. Video editing of robotic HPB surgical procedures 3. The plague of selective reporting in robotic HPB surgery 4. Technical pearls for a robotic PPPD | 1. Mock project 2. Prepare 2 videos 3. MCQ 4. Participate in the writing of the CMC Atlas of MI HPB surgery × 2 chapters |