[Development and implementation of a structured training program in robotic surgery : The first step is always the hardest].

backgroundRobot-assisted surgery has become increasingly important in Germany in recent years. In addition to urology, it is becoming standard in visceral surgery and gynaecology. In many centres, robotic surgery appears to be competing with the training of young surgeons, as experienced surgeons have often been trained in robotics with the support of industry. The continuous expansion of robot-assisted surgery requires an increasing implementation in medical training. Here we present a structured training concept for learning robotic surgery for advanced residents and young surgical specialists. MATERIALS AND

methodsA structured training program was developed with the aim of teaching robotic surgery to advanced residents. Candidates undergo training units that build on each other during ongoing operations. Supplemented by predefined theoretical teaching content and video training, the trainees develop a basic understanding of the surgical method. The modular nature of the program allows participants to learn from each other.

resultsBy establishing a structured training concept, it is possible to introduce advanced residents to robotic surgery. The planned completion of various training steps not only increases the team's acceptance of the surgical method, but also develops a fundamental understanding of the strengths and challenges of robotic surgery. Overall, the strong standardization of the training increases the clinic's level of competence in robotic surgery.

conclusionsThe increasing spread of robotic surgery necessitates an expansion in the training of surgical residents. By establishing a structured training curriculum, it is possible to introduce advanced residents to robotics.