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Microsoft Forms - Free tool to create online surveys, forms, polls, and quizzes

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Use Microsoft Forms to easily create online surveys, forms, quizzes and questionnaires. AI powered, free survey tool from Microsoft.

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Surgical First Assistant (SFA) vs Advanced SFA

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Surgical First Assistant (SFA) vs Advanced SFA

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See tables differentiating scopes of practice.
Position statement is from consortium and guides Fitness to Practice Panels.

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See page 10:
'All surgeons, surgical trainees and surgical care practitioners (SCPs) should undergo first assistant training. It is anticipated that surgeons and surgical trainees should assist during the initial phase of their training, either as first assistants before moving on to become the console surgeon, or assisting other colleagues in advanced robotic procedures. SCPs will likely have a dominant role as bedside assistants in most robotic cases, and will need to acquire full competency as first assistants as part of their essential training. Such skills include robotic system positioning (including docking and undocking depending on the robotic system being used), instrument insertion, camera arm navigation and maintenance, irrigation/suction and use of additional laparoscopic instruments as required (e.g. for tissue retraction or exposure).'

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Robot-assisted surgery

Outcomes
• Demonstrate the minimum theoretical, clinical and technical skills to be able to work within robot-assisted surgery team in the context of the relevant specialty

Theoretical skills (principles of and required level of knowledge)
Refer to specialty’s theoretical knowledge in addition to the following:
• Principles of robot-assisted surgery in the specialty
• Principles of relevant robotic operations
• Indications and contraindications for robotic surgery
• Principles of the robotic components: » surgeon console » vision cart » patient cart
• Evidence of successful completion of the robotic medical company’s training modules, online and hands on (if applicable)
• Manage postoperative complications of robot-assisted surgery
• Roles and responsibilities as robotic bedside assistance
• Understand anaesthetic management and requirements for patients undergoing robot-assisted surgery
• Knowledge of World Health Organization surgical safety checklist specific to robot-assisted surgery

Clinical skills (principles of and required level of knowledge) DOPs
Refer to specialty’s clinical knowledge required in addition to the following:
• Correct patient positioning for variety of operations
• Demonstrate correct and safe port placement, and knowledge of port placement philosophy
• Robotic docking and de-docking
• Correct positioning of robotic set-up joints and clearance from limbs
• Use of insufflation and desufflation devices
• Minimally invasive camera holding
• Energy devices used compatible with robotic system
• Assist in achieving haemostasis (application of clips and diathermy)
• Assist in removal of specimen
• Wound closure (deep and superficial) Technical skills (principles of and required level of knowledge)
• Set-up of robotic components in operating theatre
• Troubleshooting
• Teamworking
• Emergency scenarios: cardiac arrest, haemorrhage, system/instrument failure

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Discussed points for decisions (format, medium, duration, scalability)

Agreed that establishment review, training rotation and rostering of staff in training is a separate piece - but that this course will look to flex to accommodate any such models (internally and externally)

Agreed on weekly meetings ('Rob Short Course Task & Finish Group') every Wed at 10:30 am

This board to start collecting documents and records - anyone to post and/or comment

CB to propose allocation of tasks for next meeting (26.06.24)

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Different collections/diets for different professionals (nurses / surgical trainees / assistants and SCPs)

CB and JB to start tracker/structure draft (focus to start on scrub)

Claire to look at surveys and other data to inform product and look to evaluate after delivery

standardised robotics competency pack (currently being reviewed - ideally to incorporate in course)

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Draft syllabus for RAS course 11.07.24.xlsx

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Access password: UCLHtheatres