Expert consensus on robotic colorectal surgery proctoring in the UK

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Autori principali: Matthew Harris, Taner Shakir, Frances Dixon, Anu Krishna, Charles Evans, Richard Justin Davies, Subash Vasudevan, Kenneth Campbell, Julian Hance, Douglas Speake, Philip Varghese, Oroog Ali, Kai Leong, Barrie Keeler, Jonathan Morton, Nuha Yassin, Shakil Ahmed, Irshad A. Shaikh, Danilo Miskovic, Jim Khan, Deena Harji
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Pubblicazione: Wiley 2026
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author Matthew Harris
Taner Shakir
Frances Dixon
Anu Krishna
Charles Evans
Richard Justin Davies
Subash Vasudevan
Kenneth Campbell
Julian Hance
Douglas Speake
Philip Varghese
Oroog Ali
Kai Leong
Barrie Keeler
Jonathan Morton
Nuha Yassin
Shakil Ahmed
Irshad A. Shaikh
Danilo Miskovic
Jim Khan
Deena Harji
author_facet Matthew Harris
Taner Shakir
Frances Dixon
Anu Krishna
Charles Evans
Richard Justin Davies
Subash Vasudevan
Kenneth Campbell
Julian Hance
Douglas Speake
Philip Varghese
Oroog Ali
Kai Leong
Barrie Keeler
Jonathan Morton
Nuha Yassin
Shakil Ahmed
Irshad A. Shaikh
Danilo Miskovic
Jim Khan
Deena Harji
Matthew Harris
Taner Shakir
Frances Dixon
Anu Krishna
Charles Evans
Richard Justin Davies
Subash Vasudevan
Kenneth Campbell
Julian Hance
Douglas Speake
Philip Varghese
Oroog Ali
Kai Leong
Barrie Keeler
Jonathan Morton
Nuha Yassin
Shakil Ahmed
Irshad A. Shaikh
Danilo Miskovic
Jim Khan
Deena Harji
collection Wiley Open Access
contents Expert consensus on robotic colorectal surgery proctoring in the UK Matthew Harris Taner Shakir Frances Dixon Anu Krishna Charles Evans Richard Justin Davies Subash Vasudevan Kenneth Campbell Julian Hance Douglas Speake Philip Varghese Oroog Ali Kai Leong Barrie Keeler Jonathan Morton Nuha Yassin Shakil Ahmed Irshad A. Shaikh Danilo Miskovic Jim Khan Deena Harji Colorectal Disease Abstract Background The adoption of robotic‐assisted surgery (RAS) in colorectal practice is accelerating, supported by growing evidence of clinical benefit. Robotic proctors play a critical role in ensuring safe dissemination by guiding and supporting new users. However, national standards outlining their responsibilities, training and governance remain undefined. Methods All UK‐based colorectal robotic proctors within the Association of Coloproctology of Great Britain and Ireland (ACPGBI) were invited to participate in a consensus process structured around eight predefined domains. These were informed by a prior scoping meeting. Participants received a summary report and had the opportunity to propose additional themes. A modified nominal group technique was used to generate and vote on statements. Final statements were circulated for further input post‐meeting. Results Twelve of twenty invited proctors participated. A total of 32 statements were generated; 30 reached consensus and 21 were unanimously supported. Key recommendations include: (1) Robotic proctorship in the UK should encompass proctoring, preceptoring, coaching and mentoring tailored to individual surgeon needs. (2) Proctors should complete a robotic‐specific ‘Train the Trainers’ course or equivalent. (3) Proctors must ensure the proctee can safely operate the system whilst maintaining patient safety and delivering structured feedback. (4) Industry should support communication, theatre team training and structured feedback mechanisms. (5) A distinction should be made between first‐ and second‐generation proctors to support safe innovation in new robotic platforms. Conclusion This expert consensus provides one of the first structured frameworks for robotic proctoring in colorectal surgery, aiming to improve training consistency, professional standards and patient safety. 10.1111/codi.70468 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1111/codi.70468
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institution Wiley Open Access
license_str_mv http://onlinelibrary.wiley.com/termsAndConditions#vor
publishDate 2026
publisher Wiley
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spellingShingle Expert consensus on robotic colorectal surgery proctoring in the UK
Matthew Harris
Taner Shakir
Frances Dixon
Anu Krishna
Charles Evans
Richard Justin Davies
Subash Vasudevan
Kenneth Campbell
Julian Hance
Douglas Speake
Philip Varghese
Oroog Ali
Kai Leong
Barrie Keeler
Jonathan Morton
Nuha Yassin
Shakil Ahmed
Irshad A. Shaikh
Danilo Miskovic
Jim Khan
Deena Harji
Colorectal Disease
Expert consensus on robotic colorectal surgery proctoring in the UK Matthew Harris Taner Shakir Frances Dixon Anu Krishna Charles Evans Richard Justin Davies Subash Vasudevan Kenneth Campbell Julian Hance Douglas Speake Philip Varghese Oroog Ali Kai Leong Barrie Keeler Jonathan Morton Nuha Yassin Shakil Ahmed Irshad A. Shaikh Danilo Miskovic Jim Khan Deena Harji Colorectal Disease Abstract Background The adoption of robotic‐assisted surgery (RAS) in colorectal practice is accelerating, supported by growing evidence of clinical benefit. Robotic proctors play a critical role in ensuring safe dissemination by guiding and supporting new users. However, national standards outlining their responsibilities, training and governance remain undefined. Methods All UK‐based colorectal robotic proctors within the Association of Coloproctology of Great Britain and Ireland (ACPGBI) were invited to participate in a consensus process structured around eight predefined domains. These were informed by a prior scoping meeting. Participants received a summary report and had the opportunity to propose additional themes. A modified nominal group technique was used to generate and vote on statements. Final statements were circulated for further input post‐meeting. Results Twelve of twenty invited proctors participated. A total of 32 statements were generated; 30 reached consensus and 21 were unanimously supported. Key recommendations include: (1) Robotic proctorship in the UK should encompass proctoring, preceptoring, coaching and mentoring tailored to individual surgeon needs. (2) Proctors should complete a robotic‐specific ‘Train the Trainers’ course or equivalent. (3) Proctors must ensure the proctee can safely operate the system whilst maintaining patient safety and delivering structured feedback. (4) Industry should support communication, theatre team training and structured feedback mechanisms. (5) A distinction should be made between first‐ and second‐generation proctors to support safe innovation in new robotic platforms. Conclusion This expert consensus provides one of the first structured frameworks for robotic proctoring in colorectal surgery, aiming to improve training consistency, professional standards and patient safety. 10.1111/codi.70468 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Expert consensus on robotic colorectal surgery proctoring in the UK
topic Colorectal Disease
url https://onlinelibrary.wiley.com/doi/10.1111/codi.70468