Survey of Robotic Surgery Training in Obstetrics and Gynecology Residency

Gobern, Joseph M.; Novak, Christopher M.; Lockrow, Ernest G.

doi:10.1016/j.jmig.2011.08.004

Cited by 39 publications

(33 citation statements)

References 16 publications

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“…However, the demographic data illustrate the variety of respondents in terms of program type, gender, geographic location, and postgraduate year reflective of the overall OB/Gyn resident population. It is important to note that despite this study excluding residents receiving training in other surgical subspecialties, our results are similar to prior studies regarding formal robotics training in different surgical specialties [4,5,14]. Future efforts to improve response rates could include partnering with the Council on Resident Education in Obstetrics and Gynecology of ACOG for survey administration and providing incentives for responses.…”

Section: Discussionsupporting

confidence: 76%

“…This study found that 98.9% of respondents had access to a robot console at their training institution which is greatly improved from a prior survey in 2011 in which access to robotic surgical systems in OB/Gyn residencies was reported at 58% [4]. Furthermore, 65.0% of respondents were required to complete a structured robotics training program prior to being allowed activity at the surgical console compared to 16% in a 2010 study [5].…”

Section: Discussionmentioning

confidence: 71%

“…In 2011, a cross-sectional survey of OB/Gyn residency directors revealed that although robotic surgical systems were available at 78% of the institutions, only 58% of programs had incorporated robotic surgical training as part of residency program [4]. Another study evaluating resident access to robotics training demonstrated that only 38% of residents had access to formal training despite 79% of respondents believing that their institution should provide such training [5].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Time to consider integration of a formal robotic-assisted surgical training program into obstetrics/gynecology residency curricula

et al. 2017

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The objectives of the study were to describe robotic-assisted surgery training programs currently being used by ACGMEaccredited obstetrics and gynecology (OB/Gyn) residency programs and to explore residents' attitudes towards their robotic surgery training curricula to evaluate resident desire for robotics training. We conducted a cross-sectional study of OB/Gyn residents for the 2015-2016 academic year. Participants completed a 31-item online questionnaire regarding their roboticassisted surgical training and associated perspectives. Analyses of these data were primarily descriptive. In total, 98.9% of included respondents (N = 177) reported availability of a surgical robot at their training institution, and 35.0% of participants reported not having any structured robotics training program at their institution. The most commonly used training modalities included online modules (62.2%), dual-assist console (55.1%) and virtual reality simulation (50.3%). The most commonly reported barriers to completing a robots training were a lack of personal time (56.2%) and availability of the virtual reality simulator or access to the robotic equipment (29.2%). OB/Gyn residents desire robotics training and are exposed to a wide variety of training modalities. The ACGME should consider recommending the incorporation of a standardized formal robotics training program as part of the OB/Gyn residency curriculum.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 71%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Time to consider integration of a formal robotic-assisted surgical training program into obstetrics/gynecology residency curricula

et al. 2017

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“…While the actual number of residents who received our survey via e-mail is unknown, a minimum 8% response rate can be assumed from the 313 respondents if all 4,000 residents appropriately received and viewed the e-mail invitation. Therefore, our study's response rate is consistent with those listed in the current literature [15,18,19,20,21,22]. Additionally, we were not able to provide a comparison between responders and non-responders since the ACGME does not track demographics of the residents in the United States; therefore, we are not able to accurately describe the population beyond those choosing to answer the questions.…”

Section: Discussionsupporting

confidence: 50%

Attitudes and Compliance with Research Requirements in Ob/Gyn Residencies: A National Survey

Oakley

Crisp

Estanol

et al. 2013

Gynecol Obstet Invest

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Background/Aims: The Accreditation Council for Graduate Medical Education (ACGME) requires that all Ob/Gyn residents accomplish scholarly activity. We hypothesize resident productivity is poor. Methods: This was a web-based two-survey study using SurveyMonkey®. Surveys queried both program directors and residents regarding their adherence to ACGME guidelines. All 233 accredited Ob/Gyn programs were targeted. Results: 70 program directors responded (30.4%). The majority (99%) felt research was a goal of their program and stated their residents are taught to read current literature (99%), design basic studies (99%), and interpret simple statistics (89%). 17% (53/313) of the residents did not agree that their training environment promoted research, 25% did not feel comfortable discussing basic study designs, and 54% did not feel comfortable interpreting basic statistics. Urban programs demonstrated improved resident attitudes toward research (p = 0.025), better research environments (p = 0.007) and curricula (p = 0.001) compared to rural programs. Furthermore, residents intending to pursue an academic career were more likely to be working with a research mentor (p = 0.038). Conclusion: The ACGME clearly delineates residency research requirements. A dichotomy exists between program director perception and resident compliance. Notwithstanding, it is reassuring that the majority of programs appear to promote scholarly activity and provide necessary support.

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“…In addition, training in robotic surgery is not part of all residency programs; according to a recent nationwide survey, training in robotics was part of the curriculum in 58% of programs. 3 Also, as is true for vaginal and conventional laparoscopic hysterectomies, a robotic approach may not be suitable for all conditions requiring surgery.…”

Section: Introductionmentioning

confidence: 99%

Current Role of Robotic Hysterectomy

DuBeshter

Angel

Toy

et al. 2013

Journal of Gynecologic Surgery

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While robotic surgery for gynecologic indications received U.S. government approval in 2005, and has been rapidly and widely adopted, it is currently unclear how often this approach to hysterectomy is utilized. The aim of this research was to assess length of stay (LOS), mortality, indications, and current use of robotic hysterectomy, compared to other types of hysterectomy. A retrospective study of hysterectomies performed in New York State (NYS) in 2011 was performed. Data, including indication for surgery, age, procedure, LOS, and discharge status were obtained from the NYS Department of Health Statewide Planning and Research Cooperative System (SPARCS). LOS and mortality rate, were calculated according to institution, procedure, and indication for surgery. For 22073 hysterectomies performed in NYS, the mean LOS was 2.9 days, and there were 29 (0.13%) deaths. The mean LOS for abdominal (12774 cases, 3.9 days) hysterectomies was longer than for laparoscopic (3927 cases, 1.6 days), robotic (2814 cases, 1.6 days), or vaginal (2558 cases, 1.7 days) hysterectomies (<0.05). The adjusted mortality rates for abdominal (0.20%), laparoscopic (0.03%), robotic (0.07%), and vaginal (0.04%) hysterectomies were not significantly different. Overall, robotic surgery was performed in 29% of hospitals, by 11% of physicians and in 13% of cases. A robotic approach was utilized in 35% of patients with uterine cancer, 13% with endometriosis, 11% with excessive bleeding, 8% with leiomyomata, and 8% with pelvic relaxation. Despite the advantages in reduced LOS for robotic and other minimally invasive types of hysterectomies, the abdominal route is still predominant in most institutions. (J GYNECOL SURG XX:1).

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Survey of Robotic Surgery Training in Obstetrics and Gynecology Residency

Cited by 39 publications

References 16 publications

Time to consider integration of a formal robotic-assisted surgical training program into obstetrics/gynecology residency curricula

Time to consider integration of a formal robotic-assisted surgical training program into obstetrics/gynecology residency curricula

Attitudes and Compliance with Research Requirements in Ob/Gyn Residencies: A National Survey

Current Role of Robotic Hysterectomy

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