At the same time the technological ‘solutions’ market continues to expand. The Future of Surgery: Technology Enhanced Surgical Training Commission sprang from an awareness that, despite digital technologies being hailed as potentially transformative in surgery for decades, few advances had made a significant impact on surgical training. The question was posed by a Royal College of Surgeons (RCS) of England and the UK’s Association of Surgeons in Training in a comprehensive review published in August 2022. We need to train more surgeons, more quickly, with no diminution of their skills. Yet currently, less than 25% of cancer patients globally actually receive safe, affordable, timely surgery.Īccording to Richard Sullivan, Co-Chair of the Lancet Oncology Commission on Global Cancer Surgery, which reported in 2015, “The failure to train more cancer surgeons and strengthen systems could result in as much as US$6.2 trillion in lost cumulative gross domestic product by 2030.” In 2021, it wrote to European commissioners pointing out that, by 2030, 45 million surgical procedures will be needed worldwide. The European Society of Surgical Oncology has been warning of the increasing demand for high-quality cancer surgery. In most countries, the pressures on both demand for and supply of cancer services that were exacerbated by the pandemic have persisted.
A 2021 German study into the role of VR in training surgical novices, in the light of the Covid pandemic, found VR simulator training improved the visual spatial ability of all 60 trainees studied. Interest exploded during the Covid-19 pandemic, when many elective procedures had to be postponed and access to the operating room became difficult because of social distancing. Holographic visors can be used to overlay scans and virtual anatomy onto models or real patients.
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Surgeons can download apps that enable them to review cases and learn new procedures. Surgeons and their organisations around the world are exploring this new way of training, based as much on the models of detailed simulation used by airline pilots as on traditional observation and supervision in the operating room.ĭozens of tech companies are riding the wave of excitement, promoting virtual reality (VR) education platforms using VR headsets, haptic units (which recreate a sense of touch) and robotics, to provide a realistic replica of the operating theatre which the trainee can move around. Getting good takes a long, long time.īut in the past two decades, advances in technology have offered another option: detailed 3D simulations and online learning packages that not only provide plentiful practice but also tools for evaluation and developing skills. The training revolves around closely supervised surgery on real patients in a real operating theatre – which means that not only is the pressure enormous, but also that there aren’t too many learning opportunities.
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Spinal surgeon Bronek Boszczyk has said that training in complex surgery is like having to learn the violin during a full orchestral concert.
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