Robotic GYN Curriculum

Below is the detailed Robotic GYN Curriculum Education.

Objectives

• Understanding and correctly identifying the various components of the da Vinci Xi robotic platform.
• Mastering the safe and efficient set up of the patient in the operating room.
• Developing laparoscopic skills as a first assistant.
• Docking and troubleshooting the robotic platform during the surgical procedure.
• Developing adequate surgical skills as the primary Surgeon to qualify for a “Certificate of Robotic Surgical Training,” which would allow our graduating residents to start practicing robotics without the need to be proctored.
• Maintaining current knowledge of robotic literature in our specialty.
• Providing a system that helps guide attending exectations regarding knowledge/skill level of the residents at various stages of their training.

PGY-1

1. ONLINE MODULES & ASSESSMENTS: Online Modules will be completed during Orientation
   • da Vinci Xi System Overview (davincisurgerycommunity.com)
   • OR Setup and System Connections
   • Vision System
   • Draping
   • Docking
   • Safety Features
   • da Vinci Xi OR Staff Assessment
     EndoWrist SMARTPEDAL TECHNOLGY UPGRADE:
   • SmartPedal Technology Overview
   • SmartPedal Technology In-Service
   • SmartPedal Assessment
   • Minimum of 90% required on simulator.
2. Complete the Online Assessment and obtain a training certificate.
3. Literature Review: Past/Current Publications – 1 two hour lecture/year. (2 offered yearly)
4. Five (5) bedside first assist cases/year, with evaluations.
5. Complete 20 exercises on the simulator with a minimum score of 90%. 

Goals to be measured by:

• Conference Attendance in Med Hub – Didactic Curriculum
• Conference Attendance in Med Hub– Dry Lab
• Procedure Evaluations – Med Hub

*See Dry Lab Appendix

PGY-2

1. Procedure Observation: 3 cases (1 of these should be a Gyn Oncology case).
2. Literature Review: Past/current publications – 1, two-hour lecture. 2 offered yearly.
3. 5 bedside first assist case this year.
4. Complete the remaining 19 exercises by the end of PGY 2 year.

Goals to be measured by:

• Conference Attendance in Med Hub – Didactic Curriculum
• Conference Attendance in Med Hub– Dry Lab
• Procedure Evaluations – Med Hub

PGY-3

1. Literature Review: Past/Current Publications – 1, two-hour lecture. 2 offered yearly.
2. 10, second console assist (<50% of case) cases/year with evaluation.
3. Having met all above criteria, start collecting cases as primary surgeon for robotic hysterectomy in the absence of PGY-4.

PGY-4

1. Literature Review: Past/Current Publications – 1, two-hour lecture. 2 offered yearly.
2. Collect a minimum of 20 cases as primary surgeon for robotic hysterectomy with evaluation.
3. Solicit a Letter of Verification of da Vinci System Training and Procedures completed from the chief of surgery or program director.
4. Submit a copy of the Online Training Certificate (from PGY-1), Case Log and Letter of Verification to the Intuitive Representative.

Robotic Gynecology Curriculum

Essentials in Minimally Invasive Gynecologic Surgery (EMIGS) is a comprehensive program designed by experts in the field over the past five years for the standardized education and assessment of MIGS knowledge and skills. The program encompasses three main components, EMIGS Didactics, EMIGS Cognitive, and EMIGS Manual Skills.  

We require that EMIGS be completed early in the second year of residency. This timing shift is grounded in evidence showing that earlier completion enables residents to incorporate critical skills—like laparoscopic, robotic and hysteroscopic techniques, anatomical safety, and complication management—throughout a more extended period of their training.