Ten-year update on the European Association of Urology Robotic Section (ERUS) fellowship training for robot-assisted radical prostatectomy.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Paciotti Marco, Wagner Christian, Frego Nicola, Beatrici Edoardo, Mottaran Angelo, Bravi Carlo Andrea, Piramide Federico, Lores Maria Peraire, Sarchi Luca, Piro Adele, Farinha Rui, Sorce Gabriele, Balestrazzi Eleonora, Nocera Luigi, Ruvolo Claudia Collà, Rebuffo Silvia, Liakos Nikolaos, Dell'Oglio Paolo, Wenzel Mike, Moschovas Marcio Covas, Turri Filippo, Di Maida Fabrizio, Lambert Edward, Wurnschimmel Christoph, De Groote Ruben, van Cleynenbreugel Ben, Larcher Alessandro, Andras Iulia, Buffi Nicolò Maria, van der Poel Henk G, Breda Alberto, Mottrie Alexandre, Gallagher Anthony G, ERUS Working Group on Education and Junior ERUS/YAU Working Group on Robot‐assisted Surgery
Аннотация
SUBJECTS AND METHODS: Data were obtained from institutional records and a trainee survey. The primary outcome was fellowship completion (i.e., Certificate of Excellence achievement). Secondary outcomes included reasons for non-completion and satisfaction. Completion rates were analysed annually, with trends assessed using the Cochran-Armitage test and log-linear regression for the Estimated Annual Percentage Change (EAPC). Comparisons before and after introduction of a procedural diary (2023) and between pandemic and non-pandemic years used Fisher's Exact Test.
RESULTS: Among 126 fellows, a total of 42 (33%) completed the fellowship by achieving the Certificate of Excellence. The trainee survey achieved a response rate of 77%, supporting the representativeness of the collected data. The main barriers to fellowship completion included limited console access (49%), insufficient programme duration (20%), logistical difficulties (20%) and COVID-19-related disruptions (11%). Despite these limitations, overall satisfaction with the fellowship was high (83%), with particularly strong approval of the ORSI hands-on training week (100%). Completion rates demonstrated a progressive increase over time, rising from 20% in 2018 to 52% in 2023. The Cochran-Armitage test confirmed a statistically significant upward trend in completion rates over the study period (p < 0.001), while log-linear regression analysis showed a numerical but non-significant EAPC of 13% (95% CI -0.6 to 28.6). Although 2023 represented the highest observed completion rate, this peak was not significantly different from previous years (OR 2.63, 95% CI 0.91-7.63).
CONCLUSIONS: The RARP ERUS Fellowship remains a benchmark in robotic training, but unsatisfactory completion rates highlight the need for improvement. Recent reforms, including the procedural diary, show promise and warrant expansion.