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Dr. Medha Sugara’s Vattikuti Fellowship Experience

18 December 2024

It’s always rewarding to learn of the accomplishments made by our Vattikuti Fellows. Recently, Dr. Medha Sugara concluded her Fellowship with Dr. Somashekhar S. P., a longtime Mentor Surgeon with the Vattikuti Fellowship Program. She earned recognition for her research at two conferences: the CRSA 2024 in Rome and ASGO 2024 in Bali. The VF “interviewed” her by email.

Here is her story: "My Fellowship Journey with Dr. Somashekhar & Vattikuti Foundation."

What made you want to apply for a Vattikuti Fellowship – had you heard about them from others?

Having studied and worked in Bengaluru, I was fortunate to be inspired by Dr. Somashekhar’s work in surgical oncology, which motivated me to strive for excellence in the field. My first exposure to robotic surgery came during my super-specialization in surgical oncology at Kidwai Memorial Institute of Oncology, where I was introduced to the Da Vinci Xi Intuitive surgical system. While this experience was brief, it sparked a deep interest in robotic surgery. Afterward, I joined St. John’s Medical College, where I was eager to develop a robotic surgical program. When my hospital decided to acquire a robotic system, I recognized the opportunity to upskill and enhance my expertise. Given the Vattikuti Foundation’s reputation for excellence in robotic surgical training, I knew it was the best place to further my skills. The chance to learn from pioneers in the field and to be immersed in an environment that emphasizes cutting-edge technology and techniques was something I couldn’t pass up.

What were your expectations when you began your year?

When I began the Fellowship, my expectations were high, but nothing compared to the immense value I ultimately gained. I was looking forward to becoming proficient in robotic surgery and gain the confidence and competence to lead a high-quality surgical practice in the future.

Was it difficult? Were there any low points?

The Fellowship was undoubtedly demanding, both intellectually and technically. One of the challenges I faced was working with two different robotic systems. The centre had acquired the SSI Mantra, a surgical robot designed and manufactured in India; it differed significantly from the Da Vinci system I had previously encountered. The controls and functions were distinct, which made it difficult to transition smoothly between the two. Juggling both systems while simultaneously developing my proficiency was a challenge. However, this experience provided invaluable insight into the process of adopting new technologies and the importance of standardizing protocols and procedures for a new system. The initial learning curve was steep, but ultimately, it enhanced my ability to adapt to new advancements and improved my problem-solving skills in the operating room.

What were some of the highlights of working with Dr. Somashekhar?

Working with Dr. Somashekhar was an incredibly enriching experience, with several highlights that deeply influenced my growth. One of the key aspects was the opportunity to work with two distinct robotic systems—the SSI Mantra, a surgical robot designed in India, and the Da Vinci system from the USA. This exposure to different technologies was both challenging and rewarding, as it broadened my understanding of robotic surgery.

My centre, Aster International Institute of Oncology had high-volume and wide variety of cases covering multiple organ systems. Dr. Somashekhar’s approach to standardizing procedures and protocols was invaluable, creating a structured environment that greatly facilitated my learning. Working closely with my mentor, I gained insight into what is needed when building a dedicated, high-performing surgical team and setup.

His innovative mindset and enthusiasm for exploring new technologies were particularly inspiring. He consistently pushed the boundaries of what robotic surgery could achieve, always seeking ways to improve patient outcomes.

Another highlight was learning from senior robotic surgeons on his team, two of whom were Vattikuti Fellows themselves. Their exceptional skills and supportive guidance were motivating and encouraging, further fuelling my growth.

The training itself was systematic and thorough. It began with bedside assistant training, followed by the acquisition of basic robotic skills in the dry lab, modular console training under supervision, and ultimately, performing cases independently.

You published papers—how did this make you feel, to be recognized among your peers?

One of the significant advantages of training at this centre was my mentor's strong emphasis on research and publication. Dr. Somashekhar encouraged me to engage in scholarly work, which not only broadened my knowledge but also allowed me to contribute to the advancement of robotic surgical techniques. Having my research published and being recognized among my peers was an immensely gratifying experience. 

Tell me about how the Vattikuti Foundation has supported you.

The Vattikuti Foundation provided invaluable support throughout my Fellowship, offering numerous opportunities for professional growth. They financially backed my participation in national and international conferences, allowing me to present my work on a global stage. Winning awards for my presentations at multiple conferences significantly boosted my confidence and visibility within the surgical community. They provided not only financial backing but also an invaluable network of resources and experts.

Additionally, working with the Foundation on developing a surgical database was a tremendous learning experience, giving me insight into how data can be harnessed to improve surgical outcomes and patient safety. This exposure deepened my understanding of how to create a more systematic and secure approach to surgical training. Furthermore, the Foundation hosts the KS International Innovation Awards, a unique platform to showcase innovative surgical techniques and recognize groundbreaking work in the field. I am eager to present our team’s work at the congress which is happening in Jaipur.

Soon, you will be entering into your own practice. Are you confident that with Dr. Somashekhar’s training, you will succeed?

I am fortunate that my training with Dr. Somashekhar coincided with my center acquiring a robotic system. This timing allowed me to return to my practice and immediately perform my first robotic thyroidectomy with confidence. Thanks to the comprehensive training I received, I was able to approach the procedure with precision, and the excellent outcome further validated the skills I developed during my fellowship.

Would you consider becoming a Mentor Surgeon someday?

Absolutely. One of the things I’ve learned through this Fellowship is the importance of mentorship in shaping the next generation of surgeons. Dr. Somashekhar’s mentorship had a profound impact on me, and I feel strongly that I want to pay that forward. In the future, I would love to help guide young surgeons as they navigate their training, just as I was guided during my Fellowship. It’s a responsibility I take seriously, and I believe that sharing knowledge is one of the best ways to contribute to the advancement of the field.

Anything else that you want to share with me (for our readers)?

I am incredibly grateful to the Vattikuti Foundation for providing me with the opportunity to be part of such an esteemed Fellowship. As I begin the next chapter in my career, I look forward to continuing to learn, to teach, and to contribute to the ongoing evolution of this transformative field. The skills, knowledge, and relationships I’ve gained over this year will continue to shape my career for years to come.

We anticipate applications will open for the next round of Vattikuti Fellowships mid-2025.