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Teleproctoring in Surgery Training to Avoid Technical Misadventures and Video Recording: Responsibility and Liability

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Abstract

Sir William Halsted established what is now the basis of modern American surgical training, namely, patient volume and repetition. Due to changes in surgical training, surgeons are now forced to rapidly learn and adapt to new techniques in order to deliver safe care with adequate outcomes.

Introduction of video-based surgical approaches allowed the development of telesurgery, which is defined when an experienced surgeon performs an operation remotely. Significant improvements in communication, laparoscopy, and robotics have allowed expert surgeons or less experienced surgeons to proctor in real-time trainees in remote or underserved areas, or patients who cannot travel for medical care, allowing patients undergoing an operation through a minimally invasive approach benefiting patients with a faster recovery and cost reductions.

In telesurgery, the proctor and mentored surgeon should define in writing his/her roles to the patient. There are still ongoing debates about the proctor’s responsibility when substandard care and patient care responsibilities are delivered, and if an emergency occurs, legal immunity has been proposed for proctors.

Despite multiple challenges, advances in technology and telecommunication, telemedicine, and telementoring are an integral part of the development and evaluation of surgical motor skills.

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Author information

Authors and Affiliations

  1. Department of General Surgery, Cleveland Clinic Florida, Weston, FL, USA

    Armando Rosales & Luis Zorrila-Nunez

  2. Department of Research, Department of General Surgery, Cleveland Clinic Florida, Weston, FL, USA

    Emanuele Lo Menzo

  3. The Metabolic and Bariatric Institute, Department of General Surgery, Cleveland Clinic Florida, Weston, FL, USA

    Raul J. Rosenthal

Authors
  1. Armando Rosales
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  2. Luis Zorrila-Nunez
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  3. Emanuele Lo Menzo
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  4. Raul J. Rosenthal
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Corresponding author

Correspondence to Raul J. Rosenthal .

Editor information

Editors and Affiliations

  1. Department of Surgery, Yale New Haven Hospital, New Haven, CT, USA

    John M. Morton

  2. Department of Surgery, The Ohio State University, Columbus, OH, USA

    Stacy A. Brethauer

  3. Vidant Medical Center, East Carolina University, Greenville, NC, USA

    Eric J. DeMaria

  4. Johns Hopkins Bloomberg School of Public, National Center for Weight and Wellness, Washington, DC, USA

    Scott Kahan

  5. Massachusetts General Hospital, Boston, MA, USA

    Matthew M. Hutter

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Rosales, A., Zorrila-Nunez, L., Menzo, E.L., Rosenthal, R.J. (2019). Teleproctoring in Surgery Training to Avoid Technical Misadventures and Video Recording: Responsibility and Liability. In: Morton, J., Brethauer, S., DeMaria, E., Kahan, S., Hutter, M. (eds) Quality in Obesity Treatment. Springer, Cham. https://doi.org/10.1007/978-3-030-25173-4_37

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  • DOI: https://doi.org/10.1007/978-3-030-25173-4_37

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-25172-7

  • Online ISBN: 978-3-030-25173-4

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