Thoracic Surgical Training and Course Design

Section 1 of 3

Dear Thoracic Trainee,

We are designing a new course for Thoracic trainees. We would like this course to be based on any skills that would be sought by thoracic surgery trainees, which are currently missing in current training programmes.

In order to do this, we would like to assess which skills would be most beneficial for trainees to learn in courses, to augment their current teaching.

The following technical skills and procedures have all been taken from the ISCP Thoracic Surgery Curriculum.

All feedback is this form is anonymised.

Mr Sasha Stamenkovic

Robotic Lead and Thoracic Surgery Consultant, St Bartholomew's Hospital

Consultant Founder and Thoracic Lead, LSOC

What Training Level are You in?

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How Many Years of Thoracic Experience have you gained (including any non-training years)

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Is Robotic Thoracic Surgery Offered in Your Unit?

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If yes, what is the extent of thoracic trainee teaching on it?

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If yes, how has robotics affected your overall thoracic training?

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Please explain your reasons for the option above.

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To what extent has robotics affected your VATS/Open Training?

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To what extent has VATS affected your Open Training?

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Please explain your reasons for the option above.

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How Confident do you feel currently in Open Surgery?

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Not Confident at all

Very Confident - Independent

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How Confident do you feel currently in VATS Surgery?

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Not Confident at all

Very Confident - Independent

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How Confident do you feel currently in Robotic Surgery?

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Not Confident at all

Very Confident - Independent

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After section 1

Section 2 of 3

Current Training Experience

With your current training experience, how confident do you feel about the following core thoracic technical skills based on the ISCP Thoracic Surgery Curriculum? 1 (not confident at all) to 5 (Extremely confident)

Please scroll to the side to see all rating options if using a mobile phone

Question type

1 (Not Confident At All - Assisting Only

2 (Able to Perform Small Parts Only)

3 (Able to Complete Whole/Most of Case (>50%)- STS)

4 (Able to Complete Whole/Most of Case (>50%)- STU)

5 (Significant Value)

Bronchoscopy and Bronchoscopic Biopsy

Advanced Bronchoscopy including EBUS, Navigational Bronchoscopy

Endoscopic and Surgical Techniques of Lung Biopsy

Laser Therapy

Stenting

VATS - Multiport

VATS - Uniport

Robotic Surgery

Open Thoracic Surgery

Rows

10.

Columns

…

Require a response in each rowRequired

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With your current training experience, How confident do you feel about the following core procedures based on the ISCP Thoracic Surgery Curriculum?

Please scroll to the side to see all rating options if using a mobile phone

With your current training experience, How confident do you feel about the following core procedures based on the ISCP Thoracic Surgery Curriculum?

Please scroll to the side to see all rating options if using a mobile phone

Question type

1 (Not Confident At All - Assisting Only

2 (Able to Perform Small Parts Only)

3 (Able to Complete Whole/Most of Case (>50%)- STS)

4 (Able to Complete Whole/Most of Case (>50%)- STU)

5 ( Extremely Confident - Independent Surgeon)

VATS Lobectomy

Open Lobectomy

RATS Lobectomy

Lobectomy - VATS/RATS Conversion to Open

VATS Segmentectomy

Open Segmentectomy

RATS Segmentectomy

Segmentectomy - VATS/RATS Conversion to Open

Open Thymectomy / Mediastinal Mass Resection

VATS Thymectomy / Mediastinal Mass Resection

RATS Thymectomy / Mediastinal Mass Resection

Open Pleural and Pneumothorax Surgery

VATS Pleural and Pneumothorax Surgery

RATS Pleural and Pneumothorax Surgery

Rows

10.

11.

12.

13.

14.

15.

Columns

…

Require a response in each rowRequired

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With your current training experience, How confident do you feel about the following advanced procedures?

Please scroll to the side to see all rating options if using a mobile phone

With your current training experience, How confident do you feel about the following advanced procedures?

Please scroll to the side to see all rating options if using a mobile phone

Question type

1 (Not Confident At All - Assisting Only

2 (Able to Perform Small Parts Only)

3 (Able to Complete Whole/Most of Case (>50%)- STS)

4 (Able to Complete Whole/Most of Case (>50%)- STU)

5 ( Extremely Confident - Independent Surgeon)

Sleeve Lobectomy - Open

Sleeve Lobectomy - VATS

Pneumonectomy - Open

Pneumonectomy - VATS

Chest Wall Resections

Rib Fixation

Pectus Surgery (Open or Minimally Invasive)

Pericardial Surgery (Fenestration/Resection)

Surgery of the Diaphragm

Rows

10.

Columns

…

Require a response in each rowRequired

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After section 2

Section 3 of 3

Skills in Thoracic Surgery Courses

This section is designed to ascertain the value of including the following skills in training courses for thoracic surgery trainees.

In your opinion, how much value would be added by including the following core thoracic technical skills in training courses for thoracic trainees (to support in-theatre training)?

Please scroll to the side to see all rating options if using a mobile phone

In your opinion, how much value would be added by including the following core thoracic technical skills in training courses for thoracic trainees (to support in-theatre training)?

Please scroll to the side to see all rating options if using a mobile phone

Question type

1 (No value at all)

2 (Minimal Value)

3 (Neutral)

4 (Alot of Value)

5 ( Extremely Confident - Independent Surgeon)

Bronchoscopy and Bronchoscopic Biopsy

Advanced Bronchoscopy including EBUS, Navigational Bronchoscopy

Endoscopic and Surgical Techniques of Lung Biopsy

Laser Therapy

Stenting

VATS - Multiport

VATS - Uniport

Rows

Columns

…

Require a response in each rowRequired

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In your opinion, how much value would be added by including the following core procedures in training courses for thoracic trainees (to support in-theatre training)?

Please scroll to the side to see all rating options if using a mobile phone

In your opinion, how much value would be added by including the following core procedures in training courses for thoracic trainees (to support in-theatre training)?

Please scroll to the side to see all rating options if using a mobile phone

Question type

1 (No value at all)

2 (Minimal Value)

3 (Neutral)

4 (Alot of Value)

5 (Significant Value)

VATS Lobectomy

Open Lobectomy

RATS Lobectomy

Lobectomy - VATS/RATS Conversion to Open

VATS Segmentectomy

Open Segmentectomy

RATS Segmentectomy

Segmentectomy - VATS/RATS Conversion to Open

Open Thymectomy / Mediastinal Mass Resection

VATS Thymectomy / Mediastinal Mass Resection

RATS Thymectomy / Mediastinal Mass Resection

Open Pleural and Pneumothorax Surgery

VATS Pleural and Pneumothorax Surgery

RATS Pleural and Pneumothorax Surgery

Rows

10.

11.

12.

13.

14.

15.

Columns

…

Require a response in each rowRequired

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In your opinion, how much value would be added by including the following advanced procedures in training courses for thoracic trainees (to support in-theatre training)?

Please scroll to the side to see all rating options if using a mobile phone

In your opinion, how much value would be added by including the following advanced procedures in training courses for thoracic trainees (to support in-theatre training)?

Please scroll to the side to see all rating options if using a mobile phone

Question type

1 (No value at all)

2 (Minimal Value)

3 (Neutral)

4 (Alot of Value)

5 (Significant Value)

Sleeve Lobectomy - Open

Sleeve Lobectomy - VATS

Pneumonectomy - Open

Pneumonectomy - VATS

Chest Wall Resections

Pectus Surgery (Open or Minimally Invasive)

Pericardial Surgery (Fenestration/Resection)

Rows

Columns

…

Require a response in each rowRequired

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Is there still a benefit in trainees attending thoracic training courses?

Question type

Add "Other"

…

Required

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What skills would you want to include in a thoracic surgery training course (including those not listed above)?

Question type

Required

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Any Additional Comments/ Information?

Question type

Required

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Would you like to be informed of any courses that arise from this survey?

Question type

Add "Other"

…

Required

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Summary

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Individual

Insights

Average

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Median

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Range

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Total points distribution

Score	Count
-1	0
0	20

What Training Level are You in?20 responses

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ST1	1
ST2	4
ST3	2
ST4	4
ST5	1
ST6	2
ST7	2
Post FRCS exam	1
Clinical fellow	1
SAS	1
Senior clinical fellow	1

How Many Years of Thoracic Experience have you gained (including any non-training years)20 responses

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Less Than 1 year	3
1-3 Years	8
4-5 Years	7
6-10 Years	1
11-15 Years	1
More than 15 Years	0

Is Robotic Thoracic Surgery Offered in Your Unit?20 responses

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Yes	17
No	3

If yes, what is the extent of thoracic trainee teaching on it?20 responses

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No trainees on the robot currently	3
Minimal - Assisting Only	8
Small cases only	1
Some major procedural training (< 50% of a resection with consultant present)	3
Very good training (>50% or whole case with consultant present)	0
Complete Training - Completing Cases independantly	2
N/A	3

If yes, how has robotics affected your overall thoracic training?20 responses

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1 - Significantly Hindered Training	5
2 - Somewhat Hindered Training	8
3 - No effect on Training	4
4 - Mild improvement in Training	1
5 - Great improvement in Training	2

Please explain your reasons for the option above.20 responses

Difficult for core surgical trainees to scrub in for robotic cases without robotic training

Easy cases which used to be for training are going to be done by robotic now

Lists are shifting from VATs towards the robotic so I got less chance of training as I am only changing the arms

We lost two days for robotic list. We don't get benefit from robotic.

In previous trust the robotic programme was new with no second console so we were used as bedside assistants. At current trust, the robotic training is good as there is lots of opportunity, and there is a second console and dedicated robotic assistants.

Enforced the operative technique for performing different anatomical lung resection regardless of the approach.

Easier cases e.g. wedges would be done on the robot, which would ordinarily be training cases.

Trainees not involved in robotic cases other than as bedside assistant

Current unit very few trainers on robot due to consultants training. I lost a list a week. Now I'm starting to be trained and my next unit I will be trained doing all cases robotically. I feel the temporary hindrance has been necessary and will be net positive in the future

N/A

Less cases offered VATs

Training partly improved as it has offered a new skillset to learn from. But it has reduced the number of VATS cases available to learn on.

Fewer training lists for trainees

Most cases are robotic

Robotic theatre sessions I only allowed to assist only in sitting up in the present of SCP (we have one robotic theatre a week out of four)

At my stage need to learn open/VATs

Clicked 3 - no effect as no robot at current unit. Previous unit would have to be at table doing robot arms if robotic case. Only had one list a week and part of list could be robotic.

When robotic assisting, very little to do. Unless there is an extra assistant and extra robot, no chance for robotic training

At my current job, as it is only consultants operate on the robot, and some even training themselves, there is no scope for trainees to learn. As there is no scope to learn, you are at assisting role only. Plus, if you are very junior, the consultants choose SCP over you, instead of teaching you how to set up and assist.

To what extent has robotics affected your VATS/Open Training?20 responses

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1 - Significantly Hindered Training	6
2 - Somewhat Hindered Training	8
3 - No effect on Training	5
4 - Mild improvement in Training	0
5 - Great improvement in Training	1

Please explain your reasons for the option above.20 responses

Difficult to get cases

The same as above

Lists shifted towards the robotic at least 6 list a month

We lost 2 VATS/open list weekly.

Again, depends on trust you are at. At the previous trust the consultants were learning the robot so we lost vats lists due to this. At my current trust, my consultant does both VATS and RATS so there are excellent opportunities for both.

The visualisation you achieve from Robotic approach helps you build a deeper understanding when utilising VATS approach or even open..

Less VATS/Open cases - that could be trainee led are performed. Now often for emergencies or complex cases which elements of a case are done

Dedicated robotic lists no longer have training cases

I went on an OOPT to do VATs so I will be trained fully in both.

N/A

Simpler cases are now robotic

More cases switched to RATS instead of VATS.

Fewer training lists in VATS a consultants learning robot

Very little VATS given robotic lists

If robotic session was a VATS I might been offered to do cases in this

Lists taken up by robotics means less to do for VATS/open

Clicked 3 - no effect as no robot at current unit. Previous unit would have to be at table doing robot arms if robotic case. Only had one list a week and part of list could be robotic.

Always opportunity for trainees

If the consultant has a robot list instead of anything else, and you are paired to be on that list - no training would happen. Hence no VATS or open. People are very enthusiastic to put you on a robotic list, without realising how little actual training happens there. If you’re very junior - it is the same as watching a video online, since noone allows or teaches you how to set up, and you do not even dream on actually doing anything on the console.

To what extent has VATS affected your Open Training?20 responses

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1 - Significantly Hindered Training	5
2 - Somewhat Hindered Training	5
3 - No effect on Training	8
4 - Mild improvement in Training	1
5 - Great improvement in Training	1

Please explain your reasons for the option above.20 responses

Able to do uniportal surgeries and consultants train well with Vats hands off technique

Difficult cases is done open, easier cases are done by VATs.

Open surgery now seldom, if so, it would be so complicated that done by the consultant.

VATS helped me to understand better the anatomy and improved my surgical skills.

Just get much less open cases, and they are few and far between.

No more Pneumonectomies or open lobectomies.. how I am going to learn how to control the main PA

Open left for complex cases, and so few and far between.

Open cases already rare and barely affected

I've worked with purely open consultants before VATS. There are also extended resections and sleeves which have been done open to allow open training.

Open surgeries performed rarely and only for very complex cases or complications during VATS, in which cases the consultant usually needs to take over. Trainees in our department feel more confident performing VATS procedures than open (as discussed many times).

Open cases are less frequent but still occur

Very few open cases now performed. Rare opportunities to learn open cases or perform thoracotomies. This is off concern considering that open surgery should be the emergency recovery procedure, but increasingly more trainees cannot do it.

Slightly different skill set but able to mix abd match during open procedures.

Open has became restricted to complex cases where consultants are more keen to start this cases from the beginning

Lists taken up by robotics means less to do for VATS/open

2 units in our deanery - 1 does majority open lobes and 1 VATS (now with robot) so feel good mix of open and VATS

When there are open cases boss does them and they’re usually. Complex so not a good training case

Do not open frequently

There is more VATS than open, but since the two approaches needs to be learned in parallel, I do not see this as an issue.

How Confident do you feel currently in Open Surgery?20 responses

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Value	Count
1	1
2	8
3	5
4	4
5	2

How Confident do you feel currently in VATS Surgery?20 responses

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Value	Count
1	0
2	3
3	9
4	4
5	4

How Confident do you feel currently in Robotic Surgery?20 responses

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Value	Count
1	13
2	2
3	4
4	0
5	1

Current Training Experience

Please scroll to the side to see all rating options if using a mobile phone

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	1 (Not Confident At All - Assisting Only	2 (Able to Perform Small Parts Only)	3 (Able to Complete Whole/Most of Case (>50%)- STS)	4 (Able to Complete Whole/Most of Case (>50%)- STU)	5 (Significant Value)
Bronchoscopy and Bronchoscopic Biopsy	0	6	2	6	6
Advanced Bronchoscopy including EBUS, Navigational Bronchoscopy	10	5	2	2	1
Endoscopic and Surgical Techniques of Lung Biopsy	2	5	2	5	6
Laser Therapy	11	4	3	1	1
Stenting	7	5	3	3	2
VATS - Multiport	0	6	6	2	6
VATS - Uniport	2	10	3	3	2
Robotic Surgery	14	3	1	1	1
Open Thoracic Surgery	2	7	3	2	6

With your current training experience, How confident do you feel about the following core procedures based on the ISCP Thoracic Surgery Curriculum?

Please scroll to the side to see all rating options if using a mobile phone

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	1 (Not Confident At All - Assisting Only	2 (Able to Perform Small Parts Only)	3 (Able to Complete Whole/Most of Case (>50%)- STS)	4 (Able to Complete Whole/Most of Case (>50%)- STU)	5 ( Extremely Confident - Independent Surgeon)
VATS Lobectomy	1	8	3	2	6
Open Lobectomy	2	8	2	2	6
RATS Lobectomy	13	4	1	1	1
Lobectomy - VATS/RATS Conversion to Open	6	3	4	5	2
VATS Segmentectomy	5	6	4	3	2
Open Segmentectomy	10	1	4	2	3
RATS Segmentectomy	16	2	0	1	1
Segmentectomy - VATS/RATS Conversion to Open	9	5	1	3	2
Open Thymectomy / Mediastinal Mass Resection	5	3	6	1	5
VATS Thymectomy / Mediastinal Mass Resection	5	5	5	2	3
RATS Thymectomy / Mediastinal Mass Resection	13	5	0	1	1
Open Pleural and Pneumothorax Surgery	4	1	4	5	6
VATS Pleural and Pneumothorax Surgery	1	0	4	7	8
RATS Pleural and Pneumothorax Surgery	15	1	1	0	3

With your current training experience, How confident do you feel about the following advanced procedures?

Please scroll to the side to see all rating options if using a mobile phone

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	1 (Not Confident At All - Assisting Only	2 (Able to Perform Small Parts Only)	3 (Able to Complete Whole/Most of Case (>50%)- STS)	4 (Able to Complete Whole/Most of Case (>50%)- STU)	5 ( Extremely Confident - Independent Surgeon)
Sleeve Lobectomy - Open	12	2	3	2	1
Sleeve Lobectomy - VATS	14	3	3	0	0
Pneumonectomy - Open	10	1	3	2	4
Pneumonectomy - VATS	12	1	3	4	0
Chest Wall Resections	9	3	3	4	1
Rib Fixation	4	3	7	1	5
Pectus Surgery (Open or Minimally Invasive)	13	3	3	1	0
Pericardial Surgery (Fenestration/Resection)	9	1	4	1	5
Surgery of the Diaphragm	11	4	2	2	1

Skills in Thoracic Surgery Courses

In your opinion, how much value would be added by including the following core thoracic technical skills in training courses for thoracic trainees (to support in-theatre training)?

Please scroll to the side to see all rating options if using a mobile phone

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	1 (No value at all)	2 (Minimal Value)	3 (Neutral)	4 (Alot of Value)	5 ( Extremely Confident - Independent Surgeon)
Bronchoscopy and Bronchoscopic Biopsy	2	4	4	6	4
Advanced Bronchoscopy including EBUS, Navigational Bronchoscopy	1	1	5	7	6
Endoscopic and Surgical Techniques of Lung Biopsy	3	2	4	11	0
Laser Therapy	1	1	3	12	3
Stenting	0	0	4	11	5
VATS - Multiport	1	2	3	9	5
VATS - Uniport	0	1	4	9	6

In your opinion, how much value would be added by including the following core procedures in training courses for thoracic trainees (to support in-theatre training)?

Please scroll to the side to see all rating options if using a mobile phone

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	1 (No value at all)	2 (Minimal Value)	3 (Neutral)	4 (Alot of Value)	5 (Significant Value)
VATS Lobectomy	1	0	2	9	8
Open Lobectomy	1	1	3	6	9
RATS Lobectomy	1	0	0	9	10
Lobectomy - VATS/RATS Conversion to Open	0	0	3	8	9
VATS Segmentectomy	1	0	1	10	8
Open Segmentectomy	1	0	2	9	8
RATS Segmentectomy	1	0	0	9	10
Segmentectomy - VATS/RATS Conversion to Open	0	0	2	9	9
Open Thymectomy / Mediastinal Mass Resection	2	2	0	9	7
VATS Thymectomy / Mediastinal Mass Resection	2	1	2	8	7
RATS Thymectomy / Mediastinal Mass Resection	1	0	1	10	8
Open Pleural and Pneumothorax Surgery	5	0	5	6	4
VATS Pleural and Pneumothorax Surgery	5	0	7	5	3
RATS Pleural and Pneumothorax Surgery	4	0	4	8	4

In your opinion, how much value would be added by including the following advanced procedures in training courses for thoracic trainees (to support in-theatre training)?

Please scroll to the side to see all rating options if using a mobile phone

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	1 (No value at all)	2 (Minimal Value)	3 (Neutral)	4 (Alot of Value)	5 (Significant Value)
Sleeve Lobectomy - Open	0	0	1	5	14
Sleeve Lobectomy - VATS	0	0	1	5	14
Pneumonectomy - Open	1	0	2	6	11
Pneumonectomy - VATS	1	0	2	6	11
Chest Wall Resections	0	1	1	5	13
Pectus Surgery (Open or Minimally Invasive)	1	0	0	7	12
Pericardial Surgery (Fenestration/Resection)	1	2	2	7	8

Is there still a benefit in trainees attending thoracic training courses? 20 responses

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1 - No, theatre training is all that is needed	0
2 - Not really, mild benefit gained	0
3 - Neutral	1
4 - Alot of benefit	8
5 - Significant benefit	11

What skills would you want to include in a thoracic surgery training course (including those not listed above)?20 responses

Bronchoscopy, VATS, RATS, Open

Robotic

Mediastinoscopy

More hands on simulation.

Tracheostomy insertion, Pleural tents, Arterial sleeve (or combined bronchial and arterial sleeve), invasive thymectomy resections

Transplant

Decortication Lymph node sampling Tracheal resection and reconstruction

n/a

Emergency management - PA bleeding, airway bleeding

Open surgery, RATS, navigational bronchoscopy (generally procedures that are available in all thoracic departments), U/S guided chest drains in early years

Rigid bronchoscopy

Oesophageal Work.

Sleeve resection and advanced brochoscopic skills Chest ultrasound

Open surgical skills

VATS

Listed above

Nil to add

Principles of setting up ( positioning, post placement, incision placement) and closure (specimen retrieval techniques, closure of thoracotomy, drain placement, etc. ), since these are the procedures that you start from when you begin as a surgeon at the early stages. You usually learn them by doing, but for some things knowing the idea behind why we do what we do - would help to make more independent decisions and lead to independent work faster. Uniportal techniques - used not only for resecton, but also for minor procedures. More often for minor procedures, where you start as a junior. Knowing how to navigate instruments in uniportal would really help to progress. Response to emergency situations - how to convert from RATS/VATS to open in case of emergency, what to do in case of bleeding, techniques to apply pressure, what to do in case of cardiac arrest when patient is in lateral decubitus. Airway emergencies - what can you do in immediate response on the ward, or in theatre. In case of loss of ventilation.

Any Additional Comments/ Information?20 responses

N/a

N/A

Nil

Robotic lung resection

High fidelity simulation that is easily accessible would be of huge benefit. The robotic simulation exercises I have seen are basic but valuable, to get advanced versions specifically for thoracic surgery would be phenomenal for training.

n/a

Thank you for your continuous efforts to develop and improve thoracic training

Nil to add

Would be interesting if the courses could advise on techniques or ways to practice what you learn. Since if you do not get the opportunities at work to learn, going on a course is unlikely to make it better. And you loose the skills if you do not practice. So most frustration comes from learning something new, wanting to apply it in practice, not getting that chance, and forgetting it. Hence if there are ways, that you can do simple models, practice at home/in sim lab, those advises would be very useful.

Would you like to be informed of any courses that arise from this survey?20 responses

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Yes - Please click on the link on the next page to provide your name and email address.	14
No	6

Responses cannot be edited

Thoracic Surgical Training and Course Design

Dear Thoracic Trainee,

The following technical skills and procedures have all been taken from the ISCP Thoracic Surgery Curriculum.

All feedback is this form is anonymised.

Mr Sasha Stamenkovic

Robotic Lead and Thoracic Surgery Consultant, St Bartholomew's Hospital

Consultant Founder and Thoracic Lead, LSOC

What Training Level are You in? *

ST1

ST2

ST3

ST4

ST5

ST6

ST7

Other:

How Many Years of Thoracic Experience have you gained (including any non-training years) *

Less Than 1 year

1-3 Years

4-5 Years

6-10 Years

11-15 Years

More than 15 Years

Is Robotic Thoracic Surgery Offered in Your Unit? *

Yes

If yes, what is the extent of thoracic trainee teaching on it? *

No trainees on the robot currently

Minimal - Assisting Only

Small cases only

Some major procedural training (< 50% of a resection with consultant present)

Very good training (>50% or whole case with consultant present)

Complete Training - Completing Cases independantly

N/A

If yes, how has robotics affected your overall thoracic training? *

1 - Significantly Hindered Training

2 - Somewhat Hindered Training

3 - No effect on Training

4 - Mild improvement in Training

5 - Great improvement in Training

Please explain your reasons for the option above. *

Difficult for core surgical trainees to scrub in for robotic cases without robotic training

To what extent has robotics affected your VATS/Open Training? *

1 - Significantly Hindered Training

2 - Somewhat Hindered Training

3 - No effect on Training

4 - Mild improvement in Training

5 - Great improvement in Training

Please explain your reasons for the option above. *

Difficult to get cases

To what extent has VATS affected your Open Training? *

1 - Significantly Hindered Training

2 - Somewhat Hindered Training

3 - No effect on Training

4 - Mild improvement in Training

5 - Great improvement in Training

Please explain your reasons for the option above. *

Able to do uniportal surgeries and consultants train well with Vats hands off technique

How Confident do you feel currently in Open Surgery? *

Not Confident at all

Very Confident - Independent

How Confident do you feel currently in VATS Surgery? *

Not Confident at all

Very Confident - Independent

How Confident do you feel currently in Robotic Surgery? *

Not Confident at all

Very Confident - Independent

Current Training Experience

Please scroll to the side to see all rating options if using a mobile phone

1 (Not Confident At All - Assisting Only

2 (Able to Perform Small Parts Only)

3 (Able to Complete Whole/Most of Case (>50%)- STS)

4 (Able to Complete Whole/Most of Case (>50%)- STU)

5 (Significant Value)

Bronchoscopy and Bronchoscopic Biopsy

Advanced Bronchoscopy including EBUS, Navigational Bronchoscopy

Endoscopic and Surgical Techniques of Lung Biopsy

Laser Therapy

Stenting

VATS - Multiport

VATS - Uniport

Robotic Surgery

Open Thoracic Surgery

1 (Not Confident At All - Assisting Only

2 (Able to Perform Small Parts Only)

3 (Able to Complete Whole/Most of Case (>50%)- STS)

4 (Able to Complete Whole/Most of Case (>50%)- STU)

5 (Significant Value)

Bronchoscopy and Bronchoscopic Biopsy

Advanced Bronchoscopy including EBUS, Navigational Bronchoscopy

Endoscopic and Surgical Techniques of Lung Biopsy

Laser Therapy

Stenting

VATS - Multiport

VATS - Uniport

Robotic Surgery

Open Thoracic Surgery

With your current training experience, How confident do you feel about the following core procedures based on the ISCP Thoracic Surgery Curriculum?

Please scroll to the side to see all rating options if using a mobile phone

1 (Not Confident At All - Assisting Only

2 (Able to Perform Small Parts Only)

3 (Able to Complete Whole/Most of Case (>50%)- STS)

4 (Able to Complete Whole/Most of Case (>50%)- STU)

5 ( Extremely Confident - Independent Surgeon)

VATS Lobectomy

Open Lobectomy

RATS Lobectomy

Lobectomy - VATS/RATS Conversion to Open

VATS Segmentectomy

Open Segmentectomy

RATS Segmentectomy

Segmentectomy - VATS/RATS Conversion to Open

Open Thymectomy / Mediastinal Mass Resection

VATS Thymectomy / Mediastinal Mass Resection

RATS Thymectomy / Mediastinal Mass Resection

Open Pleural and Pneumothorax Surgery

VATS Pleural and Pneumothorax Surgery

RATS Pleural and Pneumothorax Surgery

1 (Not Confident At All - Assisting Only

2 (Able to Perform Small Parts Only)

3 (Able to Complete Whole/Most of Case (>50%)- STS)

4 (Able to Complete Whole/Most of Case (>50%)- STU)

5 ( Extremely Confident - Independent Surgeon)

VATS Lobectomy

Open Lobectomy

RATS Lobectomy

Lobectomy - VATS/RATS Conversion to Open

VATS Segmentectomy

Open Segmentectomy

RATS Segmentectomy

Segmentectomy - VATS/RATS Conversion to Open

Open Thymectomy / Mediastinal Mass Resection

VATS Thymectomy / Mediastinal Mass Resection

RATS Thymectomy / Mediastinal Mass Resection

Open Pleural and Pneumothorax Surgery

VATS Pleural and Pneumothorax Surgery

RATS Pleural and Pneumothorax Surgery

With your current training experience, How confident do you feel about the following advanced procedures?

Please scroll to the side to see all rating options if using a mobile phone

1 (Not Confident At All - Assisting Only

2 (Able to Perform Small Parts Only)

3 (Able to Complete Whole/Most of Case (>50%)- STS)

4 (Able to Complete Whole/Most of Case (>50%)- STU)

5 ( Extremely Confident - Independent Surgeon)

Sleeve Lobectomy - Open

Sleeve Lobectomy - VATS

Pneumonectomy - Open

Pneumonectomy - VATS

Chest Wall Resections

Rib Fixation

Pectus Surgery (Open or Minimally Invasive)

Pericardial Surgery (Fenestration/Resection)

Surgery of the Diaphragm

1 (Not Confident At All - Assisting Only

2 (Able to Perform Small Parts Only)

3 (Able to Complete Whole/Most of Case (>50%)- STS)

4 (Able to Complete Whole/Most of Case (>50%)- STU)

5 ( Extremely Confident - Independent Surgeon)

Sleeve Lobectomy - Open

Sleeve Lobectomy - VATS

Pneumonectomy - Open

Pneumonectomy - VATS

Chest Wall Resections

Rib Fixation

Pectus Surgery (Open or Minimally Invasive)

Pericardial Surgery (Fenestration/Resection)

Surgery of the Diaphragm

Skills in Thoracic Surgery Courses

This section is designed to ascertain the value of including the following skills in training courses for thoracic surgery trainees.

In your opinion, how much value would be added by including the following core thoracic technical skills in training courses for thoracic trainees (to support in-theatre training)?

Please scroll to the side to see all rating options if using a mobile phone

1 (No value at all)

2 (Minimal Value)

3 (Neutral)

4 (Alot of Value)

5 ( Extremely Confident - Independent Surgeon)

Bronchoscopy and Bronchoscopic Biopsy

Advanced Bronchoscopy including EBUS, Navigational Bronchoscopy

Endoscopic and Surgical Techniques of Lung Biopsy

Laser Therapy

Stenting

VATS - Multiport

VATS - Uniport

In your opinion, how much value would be added by including the following core procedures in training courses for thoracic trainees (to support in-theatre training)?

Please scroll to the side to see all rating options if using a mobile phone

1 (No value at all)

2 (Minimal Value)

3 (Neutral)

4 (Alot of Value)

5 (Significant Value)

VATS Lobectomy

Open Lobectomy

RATS Lobectomy

Lobectomy - VATS/RATS Conversion to Open

VATS Segmentectomy

Open Segmentectomy

RATS Segmentectomy

Segmentectomy - VATS/RATS Conversion to Open

Open Thymectomy / Mediastinal Mass Resection

VATS Thymectomy / Mediastinal Mass Resection

RATS Thymectomy / Mediastinal Mass Resection

Open Pleural and Pneumothorax Surgery

VATS Pleural and Pneumothorax Surgery

RATS Pleural and Pneumothorax Surgery

1 (No value at all)

2 (Minimal Value)

3 (Neutral)

4 (Alot of Value)

5 (Significant Value)

VATS Lobectomy

Open Lobectomy

RATS Lobectomy

Lobectomy - VATS/RATS Conversion to Open

VATS Segmentectomy

Open Segmentectomy

RATS Segmentectomy

Segmentectomy - VATS/RATS Conversion to Open

Open Thymectomy / Mediastinal Mass Resection

VATS Thymectomy / Mediastinal Mass Resection

RATS Thymectomy / Mediastinal Mass Resection

Open Pleural and Pneumothorax Surgery

VATS Pleural and Pneumothorax Surgery

RATS Pleural and Pneumothorax Surgery

In your opinion, how much value would be added by including the following advanced procedures in training courses for thoracic trainees (to support in-theatre training)?

Please scroll to the side to see all rating options if using a mobile phone

1 (No value at all)

2 (Minimal Value)

3 (Neutral)

4 (Alot of Value)

5 (Significant Value)

Sleeve Lobectomy - Open

Sleeve Lobectomy - VATS

Pneumonectomy - Open

Pneumonectomy - VATS

Chest Wall Resections

Pectus Surgery (Open or Minimally Invasive)

Pericardial Surgery (Fenestration/Resection)

Is there still a benefit in trainees attending thoracic training courses? *

1 - No, theatre training is all that is needed

2 - Not really, mild benefit gained

3 - Neutral

4 - Alot of benefit

5 - Significant benefit

What skills would you want to include in a thoracic surgery training course (including those not listed above)? *

Bronchoscopy, VATS, RATS, Open

Any Additional Comments/ Information? *

Nil

Would you like to be informed of any courses that arise from this survey? *

Yes - Please click on the link on the next page to provide your name and email address.

Submitted 18/04/2024, 11:35

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