, Brian P. Jacob2 and Linda Schultz3
(1)
Department of Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
(2)
Department of Surgery, Icahn School of Medicine at Mount, Sinai, NY, USA
(3)
Society of American Gastrointestinal and Endoscopic Surgeons, Boston, MA, USA
Adopted from Jones DB, Stefanidis D, Korndorffer JR, Dimick JB, Jacob BP, Schultz L, Scott DJ, SAGES University Masters Program: a structured curriculum for deliberate, lifelong learning. Surg Endoscopy, 2017, in press.
The SAGES Masters Program organizes educational materials along clinical pathways into discrete blocks of content which could be accessed by a surgeon attending the SAGES annual meeting or by logging into the online SAGES University (Fig. 1.1) [1]. The SAGES Masters program currently has eight pathways including: Acute Care, Biliary, Bariatrics, Colon, Foregut, Hernia, Flexible Endoscopy, and Robotic Surgery (Fig. 1.2). Each pathway is divided into three levels of targeted performance: Competency, Proficiency, and Mastery (Fig. 1.3). The levels originate from the Dreyfus model of skill acquisition [2], which has five stages: novice, advanced beginner, competency, proficiency, and expertise. The SAGES MASTERS Program is based on the three more advanced stages of skill acquisition : competency, proficiency, and expertise. Competency is defined as what a graduating general surgery chief resident or MIS fellow should be able to achieve; Proficiency is what a surgeon approximately 3 years out from training should be able to accomplish; and Mastery is what more experienced surgeons should be able to accomplish after seven or more years in practice. Mastery is applicable to SAGES surgeons seeking in-depth knowledge in a pathway, including the following: Areas of controversy, outcomes, best practice, and ability to mentor colleagues. Over time, with the utilization of coaching and participation in SAGES courses, this level should be obtainable by the majority of SAGES members. This edition of the SAGES Manual—Robotic Surgery aligns with the current version of the new SAGES University MASTERS Program Robotic Surgery pathway (Table 1.1).
Fig. 1.1
MASTERS Program logo
Fig. 1.2
MASTER Program clinical pathways
Fig. 1.3
MASTERS Program progression
Table 1.1
Robotic curriculum
Curriculum elements | Competency |
---|---|
Anchoring procedure—Competency | 2 |
CORE LECTURE | 1 |
CORE MCE 70% | 1 |
Annual meeting content | 8 |
Guidelines | 1 |
SA CME hours | 6 |
Sentinel articles | 2 |
Social media | 2 |
Hands-on robotic proficiency verification | 12 |
Credits | 35 |
Curriculum elements | Proficiency |
Anchoring procedure—Proficiency | 2 |
CORE LECTURE | 1 |
CORE MCE 70% | 1 |
Annual meeting content | 5 |
FUSE | 12 |
Outcomes database enrollment | 2 |
SA CME hours (ASMBS electives, SAGES or SAGES-endorsed) | 3 |
Sentinel articles | 2 |
Social media | 2 |
Credits | 30 |
Curriculum elements | Mastery |
Anchoring procedure—Mastery | 2 |
CORE LECTURE | 1 |
CORE MCE 70% | 1 |
Annual meeting content | 3 |
Fundamentals of surgical coaching | 4 |
Outcomes database reporting | 2 |
SA CME credits (ASMBS electives, SAGES or SAGES-endorsed) | 5 |
Sentinel articles | 2 |
Serving as video assessment reviewer and providing feedback (FSC) | 4 |
Social media | 6 |
Credits | 30 |
Robotic Surgery Curriculum
The Robotic Curriculum is a little different from the other SAGES Masters Program pathways. To complete the robotic pathway, a robotic surgeon should complete requirements in the corresponding pathway. For example, for successful completion of the Robotic Competency Curriculum for Hernia, the learner should be able to demonstrate a robotic ventral hernia for competency, a robotic inguinal hernia for proficiency, and a robotic complex abdominal wall reconstruction or a recurrent hernia repair to accomplish mastery. This recognizes the importance of understanding disease and also unique technical expertise of mastering the robot technology.