ATLAS Intermediate Certification

Fundamental Skills of Robotic Surgery (FSRS)

1. Operating Room Observation (at least three robotic cases)

You will observe robot-assisted surgeries in Roswell Park’s OR, watching as the best surgeons in the field perform cases in multiple disciplines. You will be directed to observe specific tasks, including start-up of the dVSS®, surgical techniques, and similarities or differences between the machines. You may select cases related to your specialty or interest. Our non-physician staff will provide you with hands-on tutorials, tips and tricks of the docking process and machine maintenance, and strategies for troubleshooting common problems while using the surgical robot for the first time. Procedures include radical cystectomy, partial nephrectomy, prostatectomy, and hysterectomy.

2. Simulator (RoSS® — Full Curriculum & HoST®)

This augmented-reality simulation will guide you step by step, at your own pace, as you acquire the skills you need to master safe, effective robot-assisted surgeries. With 24-hour/365-day access to the ATLAS training lab, you will have ample opportunity to perfect your skill with this new tool, which will make it easier to transfer your skills to the robot itself. The HoST® curriculum takes you through each step of actual surgical procedures, guided by the hands of an expert surgeon.

3. Dry Lab Training (Full Curriculum)

During your dry lab experience, you will train on a dVSS® in a lab devoted exclusively to training. You will be given a full introduction to the surgical robot — the instruments, the docking process, and an overview of machine maintenance — to help you successfully establish your program. The dry lab curriculum will help you transfer the skills you acquired on the RoSS® simulator to real applications on the robot. You will learn to master four basic tasks, practicing suturing on synthetic tissue, and completing a urethro-vesical anastomosis on an inanimate model utilizing the dVSS®. This dry lab opportunity will give you the chance to test your newly acquired skills in utilizing the system and observing the experts as you develop your own style and grow more accustomed to working with the surgical robot. Because you have opted for the FSRS certification, your assessment will include an expert’s evaluation of your recorded completion of the anastomosis utilizing the Robotic Anastomosis Competency Evaluation (RACE) as well as the expertise and knowledge you demonstrated in the final evaluation lab.

4. Final Evaluation Lab (Wet Lab–Optional)

Because you have chosen to use our facility for a robot-assisted wet lab on a model, you will be permitted to perform the surgery of your choice, gaining real-world experience under the guidance of your instructors. You are free to utilize the full time between 8:30 a.m.–2 p.m. on your designated day. If you would like to perform multiple procedures or would like to have more than one final evaluation lab day, we will be happy to accommodate you if you notify us at least four weeks prior to your start date. (Additional fees will apply for additional final evaluation labs.)

5. Staff Training (Requires an Additional Fee–Optional)

One Week FSRS Program

Approximate time for each part of the program: flexible, depending on your needs.

  • Orientation: two hours
  • OR observation: 11 hours
  • Bedside assistant tutorial with OR Staff: one hour
  • Simulation curriculum: seven hours
  • Surgical robot curriculum (not including final evaluation lab): six hours
  • Bedside assistant tutorial with ATLAS Staff: one hour
  • Machine maintenance and docking process tutorial: one hour
  • Final evaluation lab: six hours
  • Digital textbook: five hours
  • *During the registration process, inquire about having multiple final-evaluation labs. (Labs must be booked no less than four- weeks prior to your start date.)
  • *If you have opted to not have a final-evaluation lab at the conclusion of your program, you have Friday as a free day to build on your observational or practical skills.

6. Machine Maintenance & Use Tutorial

You will receive two versions of this tutorial — one directly from the Robotic Staff in the operating room and the other from your ATLAS Team trainers. This tutorial will teach you to become self-sufficient at using the surgical robot. We will share important trouble-shooting and maintenance information, and tips and tricks from our years of experience using the machine, so you can establish your own program with competence and confidence.

7. Digital Textbook DVD

The digital textbook DVD will be provided at no cost. It includes important information, videos, and written guidance for perfecting your skills in robot-assisted surgery.