Hogg ME Besselink MG Clavien PA Fingerhut A Jeyarajah DR Kooby DA Moser AJ Pitt HA Varban OA Vollmer CM Zeh HJ Hansen P 2017 BACKGROUND Increased incorporation of minimally invasive pancreatic resections (MIPR) has emerged into hepato-pancreato-biliary practice, however, no standardization exists for its safe adoption. Novel strategies are presented for dissemination of safe MIPR. METHODS An international State-of-the-Art conference evaluating multiple aspects of MIPR was conducted by a panel of pancreas experts in Sao Paulo, Brazil on April 20, 2016. Training and education issues were discussed regarding the introduction of novel strategies for safe dissemination of MIPR. RESULTS The low volume of pancreatic resections per institution poses a challenge for surgeons to overcome their MIPR learning curve without deliberate training. A mastery-based simulation and biotissue curriculum can improve technical proficiency and allow for training of surgeons before the operating room. Video-based platforms allow for performance reporting and feedback necessary for coaching and surgical quality improvement. Centers of excellence with training involving a standardized approach and proctorship are important concepts that can be utilized in various formats internationally. DISCUSSION Surgical volume is not sufficient to ensure quality and patient safety in MIPR. Safe adoption of these complex procedures should consider innovative mastery-based training outside of the operating room, novel video based coaching techniques and prospective reporting of patient data and outcomes using standardized definitions. application/pdf https://sonar.ch/global/documents/47457 eng info:eu-repo/semantics/altIdentifier/doi/10.1016/j.hpb.2017.01.016 info:eu-repo/semantics/altIdentifier/pmid/28190709 info:eu-repo/semantics/openAccess HPB : the official journal of the International Hepato Pancreato Biliary Association. - 2017 Clinical Competence Congresses as Topic Curriculum Education, Medical, Graduate High Fidelity Simulation Training Humans Laparoscopy Learning Curve Pancreatectomy Pancreaticoduodenectomy Quality Improvement Quality Indicators, Health Care Robotic Surgical Procedures Surgeons Treatment Outcome Training in Minimally Invasive Pancreatic Resections: a paradigm shift away from "See one, Do one, Teach one". http://purl.org/coar/resource_type/c_6501