Supplemental Table 1: Pre-/ -Post Robotic Assistant Surgical Training (RAST) Survey Section I: Background & Demographics
1. Please select the title most closely represents your healthcare role or the highest degree obtained:
Surgeon, M.D. or D.O.
Fellow, M.D. or D.O.
Resident, M.D. or D.O.
Medical Intern, M.D., Medical Student, or D.O
Advanced Practice Nurse: Doctorate of Nursing practice (DNP), or Certified Nurse Practitioner, (NP)
Registered Nurse, (RN), or Registered Nurse First Assistant, (RNFA)
Physician’s Assistant, (PA)
Certified Surgical Technologist (CST)
Foreign Medical Graduate, Surgical Assistant-Certified, (SA-C)
Other: (explain)
2. Age:
3. Gender: M / F
4. Please select your level of surgical experience:
None
< 6-Months
6-Months – 1 Year
1-3 Years
3-5 Years
> 5 Years
4. Do you have experience in Laparoscopic Surgery? Yes No
0 – 5 cases
5 - 10 cases
If yes, select the most accurate number of cases you have been in?
0 – 5 cases
5 - 10 cases
10 – 20 cases
20 – 50 cases
> 50 cases
If yes, please select which system(s) you have used previously:
S-Type
Si
SP
X
Xi
Section 2: Comfort & Confidence
Please indicate on a scale of 0 – 5 your level of comfort or confidence 0 = (Novice) No Confidence or No Comfort
1 = Uncomfortable or Unconfident
2 = Slightly Uncomfortable or Slightly Unconfident 3 = Moderately Comfortable or Moderately Confident 4 = Comfortable or Confident
5 = (Expert) Extremely Comfortable or Extremely Confident
RAST Participant Pre- and Post-Survey 0 * 1* 2* 3* 4* 5*
How confident are you that you can power on and off the da Vinci Cart and connect each component of the da Vinci system to each other?
Do you feel comfortable driving the da Vinci robot?
Do you feel comfortable positioning the patient in the proper anatomical position based on the specific case?
Do you feel comfortable or confident in your skills to safely insert robotic ports and trocars per your surgical specialty?
Can you confidently determine where assistant ports should be placed per specific procedure or your generalized surgical specialty?
Do you feel confident that you can locate and manipulate the robotic clutches on each arm?
Do you feel confident that you can both drive and safely guide the team to maneuver the robot over the
operative anatomy during docking?
Do you feel comfortable docking to the robotic trocars?
Do you feel comfortable that you know how to calibrate the Si robot if it is part of your institution?
Do you feel confident you can properly insert a 30 degree camera scope on any robotic system?
Do you feel confident or comfortable targeting the robot?
Do you feel confident in attaching, activating, or trouble- shooting your institution’s CO2 insufflator?
Do you feel confident that you can determine which energy source attaches to each specific instrument?
Do you feel comfortable inserting and removing instruments?
Do you feel comfortable that you can trouble-shoot your institution’s robotic system faults or who to contact?
Do you feel confident in your ability to provide the surgeon with optimal arm or instrument external clearance?
Do you feel comfortable or confident in your ability to anticipate operative needs, such as retracting tissue or suctioning without surgeon prompts?
Do you feel comfortable cutting suture or tissue?
Do you feel comfortable passing suture or removing sutures from the field?
Do you feel comfortable or confident in inserting laparoscopic instruments and assisting in a robotic case?
Do you feel confident that you can visually inspect and properly handle tissue with laparoscopic instruments without causing tissue injury, trauma, or bleeding?
Do you feel comfortable or confident that you can suction the surgical field without causing trauma or injury to the tissue?
Do you feel comfortable that you can recognize and identify the surgical anatomy?
Do you feel that you are confident and comfortable in your skills, as an assistant, to safely and proficiently operate at the bedside on a human patient?
*0 = (Novice) No Confidence or No Comfort or Not applicable, 1 = Uncomfortable or Unconfident, 2 = Slightly Uncomfortable or Slightly Unconfident, 3 = Comfortable or Confident, 4 = Very Comfortable or Very Confident, 5 = (Expert) Extremely Comfortable or Extremely Confident
*Post-Survey ONLY
Do you feel that this RAST curriculum is beneficial to the RBA?
Yes No
Would you recommend that the RAST curriculum should be implemented for as standardized training for onboarding VMC robotic bedside assistants?
Yes No
Supplemental Table 2: Robotic Assistant Surgical Training (RAST) Between Stage Effectiveness Survey
Participant Name:
Please Circle which RAST Stage you just completed: I II III
RAST Between STAGE Effectiveness Survey 0 * 1 * 2* 3* 4* 5*
Do you feel comfortable performing the skills learned in this Stage of the RAST course as the bedside assistant in a real patient case?
Do you feel comfortable or confident that you can insert robotic instruments and remove them without difficulty?
Do you feel more comfortable or confident that you can identify anatomical landmarks in a robotic procedure?
Do you feel more comfortable or confident that you can dock or undock the robot in a real patient case?
Do you feel more comfortable or confident that you can handle tissue as the bedside assistant without causing trauma, injury, or bleeding?
Do you feel more confident that you understand how to assist the surgeon in a real robotic case?
Do you feel prepared to trouble-shoot the robotic equipment during a real case?
Do you feel you can effectively communicate with the robotic surgeon or team?
Do you feel that you can retract or expose tissue smoothly and efficiently?
Do you feel confident that you understand how to prevent external or internal robotic collisions?
Do you feel comfortable or confident that you could perform as the bedside assistant without causing patient harm based on the materials learned thus far?
*0 = (Novice) No Confidence or No Comfort, 1 = Uncomfortable or Unconfident, 2 = Slightly Uncomfortable or Slightly Unconfident, 3 = Comfortable or Confident, 4 = Very Comfortable or Very Confident, 5 = (Expert) Extremely Comfortable or Extremely Confident
List at least 2 Things you learned from this Stage of the RAST curriculum:
List at least 1 or 2 items that you feel would have helped you better understand the skills reviewed in this Stage of the RAST curriculum:
