Team Training and Crisis Resource Management in Robot-Assisted Thoracic Surgery

<p>To deal with nontechnical skills (Notechs) is a matter of culture and is hard to implement in surgical training. Communication, cooperation, decision-making, leadership, and situational awareness are concepts for many and their application in surgical practice is challenging. The competency framework in cardiothoracic surgery has evolved towards wider components including Notechs as a cornerstone in surgeon training. However, knowledge of Notechs should be associated with practical sessions, using simulation as an innovative teaching tool.</p><p>In this video, the authors present their crisis resource management (CRM) program for robot-assisted thoracic surgical (RATS) procedures. The CRM simulation demonstrated allows the team to practice the successful management of major bleeding during a RATS lobectomy.</p><p><strong>Additional Resources</strong></p><ol><li>Arriaga AF, Bader AM, Wong JM, et al. Simulation-based trial of surgical-crisis checklists. <a href="https://doi.org/10.1056/NEJMsa1204720"><em>N Engl J Med.</em> 2013;368(3):246-253</a>.</li><li>Cerfolio RJ, Bess KM, Wei B, Minnich DJ. Incidence, results, and our current intraoperative technique to control major vascular injuries during minimally invasive robotic thoracic surgery. <a href="https://doi.org/10.1016/j.athoracsur.2016.02.004"><em>Ann Thorac Surg.</em> 2016;102(2):394-399</a>.</li><li>Wang TT, Ahmed K, Patel VM, et al. A competency framework in cardiothoracic surgery for training and revalidation - an international comparison. <a href="https://doi.org/10.1016/j.ejcts.2011.01.018"><em>Eur J Cardiothorac Surg.</em> 2011;40(4):816-825</a>.</li></ol><div>Professor Baste is a proctor for Intuitive Surgery, Medtronic, and Johnson.<br></div><p></p>