Technology for minimal access surgery is rapidly progressing in all surgical specialities including Gynaecology. As robotic surgery becomes established in increasing numbers of hospitals, there is no set curriculum for training in robotic gynaecological surgery or the assistant role in use in the UK. The purpose of this study was to determine a list of competencies that could be used as the basis of a core robotic gynaecological surgery curriculum, to explore its acceptability and the level of interest in undertaking training in robotics among obstetrics & gynaecology (O&G) trainees. A four-round Delphi study was conducted using members and associates of British & Irish Association of Robotic Gynaecological Surgeons (BIARGS). In Round 1 respondents were asked to propose standards that could be used in the curriculum. In the following three rounds, the respondents were asked to score each of the standards according to their opinion as to the importance of the standard. Items that scored a mean of 80% or above were included in the final proposed curriculum. Following this, a national survey was conducted to explore the interest among O&G trainees in undertaking a formal robotic training for the first assistant and console surgeon roles. The items proposed were divided into three separate sections: competencies for a medical first assistant; competencies for a console surgeon; continued professional development for trained console surgeons. From the national survey; 109 responses were received of which 60% were interested in undertaking a formal training for the first assistant role, and 68% are expressing interest in training for the console surgeon role. Undertaking a Delphi exercise to determine a core gynaecological robotic training curriculum has enabled consensus to be achieved from the opinions of BIARGS members/associates. There is interest among O&G trainees at all levels of training to gain experience and develop their skills in robotic surgery by undertaking a formal training in robotic surgery at both the first assistant and console surgeon level.

中文翻译：

---

机器人妇科手术培训课程的开发和德尔菲研究的结果

微创手术技术在包括妇科在内的所有外科专业中都在迅速发展。随着越来越多的医院建立机器人手术，在英国，没有针对机器人妇科手术的培训或使用助手角色的固定课程。这项研究的目的是确定可以用作核心妇科外科手术课程基础的能力列表，以探讨其可接受性以及对妇产科（O＆G）受训人员进行机器人技术培训的兴趣水平。英国和爱尔兰机器人妇科外科医生协会（BIARGS）的成员和同事进行了四轮Delphi研究。在第一轮中，要求受访者提出可以在课程中使用的标准。在接下来的三轮中，要求受访者根据他们对标准重要性的看法对每个标准进行评分。最终提议的课程中包括平均分数达到80％或以上的项目。此后，进行了一项全国调查，以探索O＆G受训人员对于首次助理和控制台外科医生角色进行正式机器人培训的兴趣。拟议的项目分为三个单独的部分：一名医疗急救员的能力；控制台外科医生的能力；训练有素的控制台外科医生的持续专业发展。来自国家调查；收到109份回复，其中60％的人愿意接受正式培训以担任第一助手的角色，而68％的人表示有兴趣接受针对控制台医生的培训。进行一次Delphi练习来确定妇科机器人培训的核心课程，使得能够从BIARGS成员/协会的意见中达成共识。在所有级别的培训中，O＆G学员都有兴趣通过在第一级助理和控制台外科医生级别上接受机器人手术的正式培训来获取经验并发展他们在机器人手术方面的技能。