(0751) Transoral Robotic Surgery Curriculum for Otolaryngology Residents and Achievement of a Training Equivalency Certificate

Introduction: Transoral robotic surgery (TORS) is relatively new surgical technique introduced for oropharyngeal cancer in 2005 and has since seen a growth in surgical indications. As with any new surgical technique, its incorporation into residency training has been poorly defined and is currently not considered a core competency by ACGME program requirements in Otolaryngology. The growing transoral applications of robotic surgery in Otolaryngology showcases the need for a defined curriculum specific to our field.

Methods: A review of the existing literature on robotic surgery resident curricula was conducted with an emphasis on TORS. A multifaceted TORS curriculum was designed and implemented in 2022 at a 20 resident ACGME accredited Otolaryngology program. Preliminary resident TORS experience was abstracted from resident ACGME case log data. Survey data regarding resident TORS experience and influence on career choice is currently being collected.

Results: We developed and implemented a standardized TORS resident curriculum based on the Da Vinci Single Port system, that culminates in the earning of a Da Vinci SP Training Equivalency Certificate. This curriculum consists of online learning modules, simulation console modules, hands-on in-service training, online written assessment, didactic lectures, and proctored performance of TORS procedures as primary bedside assistant with graduated progression to primary console surgeon. One resident has achieved a Davinci Training Equivalency Certificate so far, in under 3 years of training. The average number of TORS cases logged as primary console surgeon have increased to >3 per resident (PGY2-5).

Conclusions: We present a TORS curriculum that facilitates the graduated development of robotic skillset in Otolaryngology residents and provides the opportunity to earn a Training Equivalency Certificate during post-graduate training. We believe this curriculum could be easily translated to other institutions and incorporated into Otolaryngology resident education nationwide for the advancement of TORS as a field.