Fundamental Skills of Robot-Assisted Surgery (FSRS)

The Fundamental Skills of Robot-Assisted Surgery (FSRS) training program has trained nearly 400 national and international surgeons and is one of the oldest training programs for robot-assisted surgery (RAS) approach.

ATLAS offers training to surgeons locally and internationally to promote proficiency in robot-assisted surgery. The structured certification programs are the most affordable internationally as we only charge trainees the gross cost of training. The comprehensive, yet flexible curriculum can be tailored to your areas of interest and expertise.

Basic Certification


2-3 day curriculum


Starting at $750 USD

Robotic Surgical Simulator® & Hands-on Surgical Training®

This augmented-reality simulation will guide you step by step, at your own pace, as you develop 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 skills with this new tool, which will make it easier to transfer your skills to the robot itself. The Hands-on Surgical Training (HoST®) curriculum takes you through each step of actual surgical procedures, guided by the hands of an expert surgeon.

Laparoscopic Training Boxes

Fundamentals of Laparoscopic Surgery (FLS) training boxes and the corresponding curriculum help trainees perfect their skills using laparoscopic tools in timed, practical exercises.

LapSkills® Simulator

Using augmented-reality-based training, the LapSkills® Simulator develops trainees’ skills with laparoscopic tools, moving up from basic concepts to complex procedures.

Dry Lab Training

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 an 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.

Intermediate Certification


5-7 day curriculum


Starting at $2,000 USD + Includes Basic Curriculum

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 performs 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.

Advanced Certification


1-2 week curriculum + Includes Basic Curriculum


Starting at $3,500 USD + Includes Intermediate Program Materials

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.)

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.

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.


Program Extensions

Cost of each additional day of training in the following areas:

  • Surgical Robot Dry Lab (da Vinci Surgical System®) - $195 USD
  • Final Evaluation Lab (da Vinci Surgical System®) - $1,156 USD
  • OR Observation - $50 USD
  • Training Lab - $82 USD

Staff Training Program

Train up to two staff members (nurses, technicians, etc.)

Duration: 5-day curriculum

Cost: (starting at) $890 USD

Short-term Training Program

This is a flexible schedule that can be adjusted according to your needs:

  • Orientation: 2 hours
  • Operating room observation: 4 hours
  • Simulation curriculum: 8 hours
  • Surgical robot curriculum (not including final evaluation lab): 8 hours
  • Final evaluation lab: 4 hours
  • Digital textbook: 4 hours

*During the registration process, ask about arranging for 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 will be given Friday as a free day for building your observation or practical skills.

Extended Training Program

If you would like to add days or weeks to your program, please contact the ATLAS staff and we will be happy to arrange extended training. Prices may vary, depending on your specific training interests (operating room observation, simulator time in the training lab, or additional dry or wet lab days).

Book Your Training

Please note that cancellations submitted less than two weeks before your scheduled start date will result in forfeiting the full sum of the initial security deposit. If you reschedule training at a later date, or at the time of cancellation, the course director will roll over, the deposit pending review. Leaving the program early may result in the loss of your certification if you have not completed the mandatory curriculum, and it will result in a forfeit of the full payment. (Extenuating circumstances will be taken into consideration.) No certificate will be issued without full completion of the required course work.