醫學生機械手臂輔助教學訓練

錢祖明^{1, 2}、阮雍順¹、李經家^{1, 2}、李香瑩¹、吳文正¹、吳登強³

¹高雄醫學大學附設中和醫院 泌尿部

²高雄醫學大學附設岡山醫院 泌尿科

³高雄醫學大學附設岡山醫院 腸胃內科

Robotic Assisted Surgery Training for Medical Students

Tsu-Ming Chien^1,2, Yung-Shun Juan¹, Ching-Chia Li^1,2, Hsiang-Ying Lee¹, Wen-Jeng Wu¹,

Deng-Chyang Wu³

¹Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

²Division of Urology, Kaohsiung Medical University Gangshan Hospital, Kaohsiung, Taiwan

³Division of Gastroenterology, Kaohsiung Medical University Gangshan Hospital, Kaohsiung, Taiwan

Purpose: Robotic surgery has continued to diffuse across a broad range of common surgical procedures that historically were performed using open or laparoscopic techniques. The purpose of this study is to test if the implementation of a hands-on robotic surgery training course into the curriculum could increase the interest to join a surgical discipline in medical student and post graduate year doctor (PGY).

Materials and Methods: All medical students (Clerk 2) and PGY doctors were informed by e-mail of the current curriculum. Baseline characteristics and professional interest were assessed prior and after a hands-on training course. After a general lecture on laparoscopic and robotic assisted surgery (1hr), students were 1:1 randomized into two groups. Group A were assigned to the laparoscopic training group (2hrs) and group B were assigned to the robotic training group (skill practice at console for 0.5hr, and real organ practice for 1.5hrs). After the first step training, two groups exchange the course. Finally, students were invited to complete the questionnaire which gathered quantitative and qualitative responses relating to the hands-on training courses. Students related their overall satisfaction on a 5-point scale.  

Results: A total of 119 students (93 Clerk 2 students and 26 PGY doctors) were enrolled in the current training program, 63 man and 56 women. Although the positive attitude towards the surgical field significantly increases, the interest to turn into surgery field only increase in the Clerk2 student group but not in PGY group after the hand-on training course. Students gain more information, feel more confident when facing the new surgical equipment after the training course. Both medical students and PGY doctor expect that using robotic assisted surgery will improve surgical outcomes.  

Conclusions: This is the first structured implementation of robotic assisted surgery in the field of medical education in Taiwan. We believed that early hands-on surgical training (including laparoscopic and robotic assisted surgery) increased surgical interest in medical students.