Proficiency in Robotic Cardiac Surgery: Toward a Brazilian Training Curriculum.
- 1Einstein Hospital Israelita Department of Cardiovascular Surgery São Paulo São Paulo Brazil Department of Cardiovascular Surgery, Einstein Hospital Israelita, São Paulo, São Paulo, Brazil.
- 2Hospital Regional Hans Dieter Schmidt Palhoça Santa Catarina Brazil Hospital Regional Hans Dieter Schmidt, Palhoça, Santa Catarina, Brazil.
- 3Hospital Santa Casa de Curitiba Department of Cardiovascular Surgery Curitiba Paraná Brazil Department of Cardiovascular Surgery, Hospital Santa Casa de Curitiba, Curitiba, Paraná, Brazil.
Abstract
Introduction
Robotic 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
To present a structured proposal for the implementation of robotic cardiac surgery training in Brazil, based on current national regulations and international experience.Methods
This 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
Current 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
The 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.
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BibTeX
@article{poffo2026proficiency,
title = {{Proficiency in Robotic Cardiac Surgery: Toward a Brazilian Training Curriculum.}},
author = {Robinson Poffo and Sergio Augusto Fudaba Curcio and Anderson da Rosa Rosado and Stephanie Senna and Renato Bastos Pope and Alisson Parrilha Toschi},
journal = {Brazilian journal of cardiovascular surgery},
year = {2026},
month = sep,
doi = {10.21470/1678-9741-2026-0016},
url = {https://europepmc.org/article/MED/42853150},
note = {CC BY},
}
RIS
TY - JOUR
TI - Proficiency in Robotic Cardiac Surgery: Toward a Brazilian Training Curriculum.
AU - Robinson Poffo
AU - Sergio Augusto Fudaba Curcio
AU - Anderson da Rosa Rosado
AU - Stephanie Senna
AU - Renato Bastos Pope
AU - Alisson Parrilha Toschi
PY - 2026
DA - 2026/09/01
JO - Brazilian journal of cardiovascular surgery
DO - 10.21470/1678-9741-2026-0016
UR - https://europepmc.org/article/MED/42853150
AB - Introduction Robotic 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 To present a structured proposal for the implementation of robotic cardiac surgery training in Brazil, based on current national regulations and international experience.Methods This 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 Current 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 The 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.
SN - 0102-7638
SN - 1678-9741
ER -