Robotic-assisted minimally invasive esophagectomy (RAMIE) for esophageal cancer training curriculum-a worldwide Delphi consensus study

Hans F Fuchs; Justin W Collins; Benjamin Babic; Christopher DuCoin; Ozanan R Meireles; Peter P Grimminger; Matthew Read; Abbas Abbas; Rubens Sallum; Beat P Müller-Stich; Daniel Perez; Matthias Biebl; Jan-Hendrik Egberts; Richard van Hillegersberg; Christiane J Bruns

doi:10.1093/dote/doab055

Robotic-assisted minimally invasive esophagectomy (RAMIE) for esophageal cancer training curriculum-a worldwide Delphi consensus study

Hans F Fuchs, Justin W Collins, Benjamin Babic, Christopher DuCoin, Ozanan R Meireles, Peter P Grimminger, Matthew Read, Abbas Abbas, Rubens Sallum, Beat P Müller-Stich, Daniel Perez, Matthias Biebl, Jan-Hendrik Egberts, Richard van Hillegersberg, Christiane J Bruns

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Structured training protocols can safely improve skills prior initiating complex surgical procedures such as robotic-assisted minimally invasive esophagectomy (RAMIE). As no consensus on a training curriculum for RAMIE has been established so far it is our aim to define a protocol for RAMIE with the Delphi consensus methodology.

METHODS: Fourteen worldwide RAMIE experts were defined and were enrolled in this Delphi consensus project. An expert panel was created and three Delphi rounds were performed starting December 2019. Items required for RAMIE included, but were not limited to, virtual reality simulation, wet-lab training, proctoring, and continued monitoring and education. After rating performed by the experts, consensus was defined when a Cronbach alpha of ≥0.80 was reached. If ≥80% of the committee reached a consensus an item was seen as fundamental.

RESULTS: All Delphi rounds were completed by 12-14 (86-100%) participants. After three rounds analyzing our 49-item questionnaire, 40 items reached consensus for a training curriculum of RAMIE.

CONCLUSION: The core principles for RAMIE training were defined. This curriculum may lead to a wider adoption of RAMIE and a reduction in time to reach proficiency.

Original language	English
Article number	doab055
Pages (from-to)	1-24
Journal	Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus
Volume	35
Issue number	6
Early online date	11 Aug 2021
DOIs	https://doi.org/10.1093/dote/doab055
Publication status	Published - 15 Jun 2022

Keywords

Delphi methodology
consensus
expert
robotic-Assisted minimally invasive esophagectomy (RAMIE)
training program

Access to Document

10.1093/dote/doab055

Cite this

Fuchs, H. F., Collins, J. W., Babic, B., DuCoin, C., Meireles, O. R., Grimminger, P. P., Read, M., Abbas, A., Sallum, R., Müller-Stich, B. P., Perez, D., Biebl, M., Egberts, J.-H., van Hillegersberg, R., & Bruns, C. J. (2022). Robotic-assisted minimally invasive esophagectomy (RAMIE) for esophageal cancer training curriculum-a worldwide Delphi consensus study. Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus, 35(6), 1-24. Article doab055. https://doi.org/10.1093/dote/doab055

@article{c73762d4e9694916a80bf38d1c0ce79a,

title = "Robotic-assisted minimally invasive esophagectomy (RAMIE) for esophageal cancer training curriculum-a worldwide Delphi consensus study",

abstract = "BACKGROUND: Structured training protocols can safely improve skills prior initiating complex surgical procedures such as robotic-assisted minimally invasive esophagectomy (RAMIE). As no consensus on a training curriculum for RAMIE has been established so far it is our aim to define a protocol for RAMIE with the Delphi consensus methodology.METHODS: Fourteen worldwide RAMIE experts were defined and were enrolled in this Delphi consensus project. An expert panel was created and three Delphi rounds were performed starting December 2019. Items required for RAMIE included, but were not limited to, virtual reality simulation, wet-lab training, proctoring, and continued monitoring and education. After rating performed by the experts, consensus was defined when a Cronbach alpha of ≥0.80 was reached. If ≥80% of the committee reached a consensus an item was seen as fundamental.RESULTS: All Delphi rounds were completed by 12-14 (86-100%) participants. After three rounds analyzing our 49-item questionnaire, 40 items reached consensus for a training curriculum of RAMIE.CONCLUSION: The core principles for RAMIE training were defined. This curriculum may lead to a wider adoption of RAMIE and a reduction in time to reach proficiency.",

keywords = "Delphi methodology, consensus, expert, robotic-Assisted minimally invasive esophagectomy (RAMIE), training program",

author = "Fuchs, {Hans F} and Collins, {Justin W} and Benjamin Babic and Christopher DuCoin and Meireles, {Ozanan R} and Grimminger, {Peter P} and Matthew Read and Abbas Abbas and Rubens Sallum and M{\"u}ller-Stich, {Beat P} and Daniel Perez and Matthias Biebl and Jan-Hendrik Egberts and {van Hillegersberg}, Richard and Bruns, {Christiane J}",

year = "2022",

month = jun,

day = "15",

doi = "10.1093/dote/doab055",

language = "English",

volume = "35",

pages = "1--24",

journal = "Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus",

issn = "1120-8694",

publisher = "Wiley-Blackwell",

number = "6",

}

Fuchs, HF, Collins, JW, Babic, B, DuCoin, C, Meireles, OR, Grimminger, PP, Read, M, Abbas, A, Sallum, R, Müller-Stich, BP, Perez, D, Biebl, M, Egberts, J-H, van Hillegersberg, R & Bruns, CJ 2022, 'Robotic-assisted minimally invasive esophagectomy (RAMIE) for esophageal cancer training curriculum-a worldwide Delphi consensus study', Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus, vol. 35, no. 6, doab055, pp. 1-24. https://doi.org/10.1093/dote/doab055

Robotic-assisted minimally invasive esophagectomy (RAMIE) for esophageal cancer training curriculum-a worldwide Delphi consensus study. / Fuchs, Hans F; Collins, Justin W; Babic, Benjamin et al.
In: Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus, Vol. 35, No. 6, doab055, 15.06.2022, p. 1-24.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Robotic-assisted minimally invasive esophagectomy (RAMIE) for esophageal cancer training curriculum-a worldwide Delphi consensus study

AU - Fuchs, Hans F

AU - Collins, Justin W

AU - Babic, Benjamin

AU - DuCoin, Christopher

AU - Meireles, Ozanan R

AU - Grimminger, Peter P

AU - Read, Matthew

AU - Abbas, Abbas

AU - Sallum, Rubens

AU - Müller-Stich, Beat P

AU - Perez, Daniel

AU - Biebl, Matthias

AU - Egberts, Jan-Hendrik

AU - van Hillegersberg, Richard

AU - Bruns, Christiane J

PY - 2022/6/15

Y1 - 2022/6/15

N2 - BACKGROUND: Structured training protocols can safely improve skills prior initiating complex surgical procedures such as robotic-assisted minimally invasive esophagectomy (RAMIE). As no consensus on a training curriculum for RAMIE has been established so far it is our aim to define a protocol for RAMIE with the Delphi consensus methodology.METHODS: Fourteen worldwide RAMIE experts were defined and were enrolled in this Delphi consensus project. An expert panel was created and three Delphi rounds were performed starting December 2019. Items required for RAMIE included, but were not limited to, virtual reality simulation, wet-lab training, proctoring, and continued monitoring and education. After rating performed by the experts, consensus was defined when a Cronbach alpha of ≥0.80 was reached. If ≥80% of the committee reached a consensus an item was seen as fundamental.RESULTS: All Delphi rounds were completed by 12-14 (86-100%) participants. After three rounds analyzing our 49-item questionnaire, 40 items reached consensus for a training curriculum of RAMIE.CONCLUSION: The core principles for RAMIE training were defined. This curriculum may lead to a wider adoption of RAMIE and a reduction in time to reach proficiency.

AB - BACKGROUND: Structured training protocols can safely improve skills prior initiating complex surgical procedures such as robotic-assisted minimally invasive esophagectomy (RAMIE). As no consensus on a training curriculum for RAMIE has been established so far it is our aim to define a protocol for RAMIE with the Delphi consensus methodology.METHODS: Fourteen worldwide RAMIE experts were defined and were enrolled in this Delphi consensus project. An expert panel was created and three Delphi rounds were performed starting December 2019. Items required for RAMIE included, but were not limited to, virtual reality simulation, wet-lab training, proctoring, and continued monitoring and education. After rating performed by the experts, consensus was defined when a Cronbach alpha of ≥0.80 was reached. If ≥80% of the committee reached a consensus an item was seen as fundamental.RESULTS: All Delphi rounds were completed by 12-14 (86-100%) participants. After three rounds analyzing our 49-item questionnaire, 40 items reached consensus for a training curriculum of RAMIE.CONCLUSION: The core principles for RAMIE training were defined. This curriculum may lead to a wider adoption of RAMIE and a reduction in time to reach proficiency.

KW - Delphi methodology

KW - consensus

KW - expert

KW - robotic-Assisted minimally invasive esophagectomy (RAMIE)

KW - training program

UR - http://www.scopus.com/inward/record.url?scp=85117726813&partnerID=8YFLogxK

U2 - 10.1093/dote/doab055

DO - 10.1093/dote/doab055

M3 - Article

C2 - 34382061

SN - 1120-8694

VL - 35

SP - 1

EP - 24

JO - Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

JF - Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus

IS - 6

M1 - doab055

ER -

Fuchs HF, Collins JW, Babic B, DuCoin C, Meireles OR, Grimminger PP et al. Robotic-assisted minimally invasive esophagectomy (RAMIE) for esophageal cancer training curriculum-a worldwide Delphi consensus study. Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus. 2022 Jun 15;35(6):1-24. doab055. Epub 2021 Aug 11. doi: 10.1093/dote/doab055

Robotic-assisted minimally invasive esophagectomy (RAMIE) for esophageal cancer training curriculum-a worldwide Delphi consensus study

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this