As the role of robot-assisted surgery in urology is growing, the development of structured and validated training programs is one of the main topics to be taken into consideration by the urologic community. Well-organised educational curricula, as well as proficiency-based credentialing processes are needed for today, and are of importance for the future of young urologists. Patient safety and better surgical outcomes depend on it. We sincerely hope this ERUS robotic curriculum will help all institutions and societies involved in robotic education to endorse these types of programmes. This initiative is fully endorsed by the EAU Executive, ESU, EUSP and ERUS.
The objective of the ERUS Robotic Curriculum is to validate the ability of a structured fellowship to allow a surgeon to perform a robot-assisted prostatectomy independently and effectively. The curriculum includes theoretical sessions, skills training (dry and wet laboratories),
real-case observation in a training center, bedside assistance, and mentored training at the console. Participants at the recognised host-centres. go through the developed curriculum in a staged manner (modular training), guided by a local mentor.
The flow chart of the study is reported below. The theoretical training includes the eBRUS and da Vinci surgical community online theoretical training. Practical experience is gained with virtual Skill SimulatorTM, dry & wet labs, including an intensive week of lab training at a selected training centre. A dual console enables mentors to teach the fellows during live procedure trainings. Throughout the curriculum the procedure is taught in a step-by-step manner (modular training). An assessment of the technical skills on simulator and dry lab is performed on days 1, 28, 35 and 180.
The mentors perform a final evaluation of the technical skills (GEARS). Non-technical skills were assessed by Non-Technical Skills for Surgeons (NOTSS) System and the Revised Non-technical skills (NOTECHS) scale. Specific training on non-technical skills is delivered during the sessions.
At the end of the fellowship, the fellows have to perform a case of radical prostatectomy independently. The full procedure is recorded and assessed by two blinded independent international experts. After effective completion of this curriculum, surgeons will be certified ERUS Robotic Fellows.