MyIntuitive telemetry identifies proficiency thresholds in robotic pancreaticoduodenectomy

A telemetry-based primary endpoint (MyIntuitive idle time) sensitively tracks the RPD learning curve and, with risk-adjusted CUSUM, identifies a proficiency threshold around ~ 60 cases. Secondary ITT completion trends and conversion mapping corroborate the telemetry signal. This telemetry-first framework provides objective, phase-specific insight to guide coaching and programme maturation in complex robotic pancreatic surgery.