{
  "abstract": "Introduction\n\nRobotic cardiac surgery has evolved significantly over the past decades, offering enhanced precision, improved visualisation, and minimally invasive approaches. Despite its global expansion, its adoption in Brazil remains limited, particularly due to the absence of a structured and specialty-specific training pathway.Objective\n\nTo present a structured proposal for the implementation of robotic cardiac surgery training in Brazil, based on current national regulations and international experience.Methods\n\nThis study consists of a narrative review combined with a policy analysis of Brazilian regulatory documents and international training models. Evidence regarding simulation-based training, structured curricula, and competency-based progression was analysed to support the proposed framework.Results\n\nCurrent Brazilian regulations provide general guidance for robotic surgery but lack specific criteria for cardiac surgery training. In contrast, international models emphasise structured progression, simulation-based training, mentorship, and outcome-based evaluation. Based on these findings, a hybrid training model is proposed, combining short-term certification programmes and dedicated fellowship pathways.Conclusion\n\nThe implementation of a structured and standardised training pathway is essential for the safe expansion of robotic cardiac surgery in Brazil. Aligning national policies with international best practices may facilitate broader adoption while ensuring surgical proficiency and patient safety.",
  "abstract_shown": true,
  "affiliations": [
    "Einstein Hospital Israelita Department of Cardiovascular Surgery São Paulo São Paulo Brazil Department of Cardiovascular Surgery, Einstein Hospital Israelita, São Paulo, São Paulo, Brazil.",
    "Hospital Regional Hans Dieter Schmidt Palhoça Santa Catarina Brazil Hospital Regional Hans Dieter Schmidt, Palhoça, Santa Catarina, Brazil.",
    "Hospital Santa Casa de Curitiba Department of Cardiovascular Surgery Curitiba Paraná Brazil Department of Cardiovascular Surgery, Hospital Santa Casa de Curitiba, Curitiba, Paraná, Brazil."
  ],
  "article_type": "review article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Robinson Poffo"
    },
    {
      "affs": [
        0
      ],
      "name": "Sergio Augusto Fudaba Curcio"
    },
    {
      "affs": [
        1
      ],
      "name": "Anderson da Rosa Rosado"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Stephanie Senna"
    },
    {
      "affs": [
        0
      ],
      "name": "Renato Bastos Pope"
    },
    {
      "affs": [
        0
      ],
      "name": "Alisson Parrilha Toschi"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0ge4p9801dkz2.bib",
  "cited_by": 0,
  "doi": "10.21470/1678-9741-2026-0016",
  "fulltext_url": "https://europepmc.org/articles/PMC13660077",
  "id": "0ge4p9801dkz2",
  "issns": [
    "0102-7638",
    "1678-9741"
  ],
  "landing_url": "https://europepmc.org/article/MED/42853150",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Surgical Simulation and Training"
    ]
  ],
  "openalex": "W7221101429",
  "pdf_url": "https://europepmc.org/articles/PMC13660077?pdf=render",
  "pmcid": "PMC13660077",
  "pmid": "42853150",
  "published": "2026-09-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/0ge4p9801dkz2.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:18:10Z",
      "native_id": "MED:42853150",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42853150"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Surgical Simulation and Training",
      "subfield": "surgery"
    }
  ],
  "title": "Proficiency in Robotic Cardiac Surgery: Toward a Brazilian Training Curriculum.",
  "title_text": "Proficiency in Robotic Cardiac Surgery: Toward a Brazilian Training Curriculum.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:18:10Z",
  "url": "https://research.draconitic.com/paper/0ge4p9801dkz2",
  "venue": "Brazilian journal of cardiovascular surgery",
  "versions": []
}