Standard Operating Practices Live Surgery
To ensure the safety and the educational merit of live surgery teaching methods Patient safety in the operating theatre is paramount and should be considered the primary focus of any such program associated with the AUA.
- Patients must be fully informed and legally consented by the primary surgeon for planned live surgical demonstration at the institution in which surgery is arranged.
- Local hospital or institutional legal counsel should be informed and agreeable to said planned surgery by the primary surgeon. Written documentation of such agreement should be obtained at least 2 weeks prior to the planned surgery.
- The choice of patient to undergo the planned surgery should meet acceptable indications for the anticipated procedure as outlined by AUA clinical guidelines or best practice statements when feasible.
- The choice of the patient and the planned surgical procedure should be reviewed and agreed upon by the Chair or Director of the host medical center prior to the educational program presentation.
- The primary surgeon may participate in direct live communication with a moderator(s) during the surgery but should maintain a clear understanding that patient safety overrides any educational objectives of the program.
- The primary surgeon is encouraged to recruit a spokesperson to be present in the operating room who can field questions directly from moderators and be the primary communicator with the auditorium or audience viewing forum. Such spokesperson will also filter acceptable questions and answers at appropriate times with the primary surgeon so as to minimize surgeon distraction intra-operatively.
- Direct questions should come only from a moderator(s) in the auditorium or audience viewing forum. No questions should come directly from the audience to the operating theatre, but such must be filtered through and communicated by only the moderator(s).
- It is the primary surgeon's and/or moderator(s)' prerogative to terminate such surgery or audio and visual communication with the live audience at any time during live surgical demonstration if deemed to be in the best interest of the safety of the patient.
- Entry of individuals into the auditorium for viewing of live surgery must be registered with the AUA. Badge identification must be worn and visible at all times while in the auditorium.