The impact of robotic surgical training in an obstetrics and gynecology residency training curriculum

Objective. To assess the impact of a single versus dual console robotic system on the perceptions of program directors (PD) and residents (RES) towards robotic surgical training among graduating obstetrics and gynecology residents.Design. An anonymous survey was developed usingQualtrics, a web-based survey development and administration system, and sent to obstetrics and gynecology program directors and graduating residents.Participants. 39 program directors and 32 graduating residents (PGY4).Results. According to residents perception, dual console is utilized in about 70% of the respondents’ programs. Dual console system programs were more likely to provide a robotics training certificate compared to single console programs (43.5% versus 0%,p=0.03). A greater proportion of residents graduating from a dual console program perform more than 20 robotic-assisted total laparoscopic hysterectomies, 30% versus 0% (p=0.15).Conclusions. Utilization of dual console system increased the likelihood of obtaining robotic training certification without significantly increasing the case volume of robotic-assisted total laparoscopic hysterectomy.

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Development and testing of a robotic surgical training curriculum for novice surgeons

Journal of Robotic Surgery ◽

10.1007/s11701-014-0484-x ◽

2014 ◽

Vol 9 (1) ◽

pp. 27-35 ◽

Cited By ~ 3

Author(s):

Sondra Summers ◽

Jennifer Anderson ◽

Amy Petzel ◽

Megan Tarr ◽

Kimberly Kenton

Keyword(s):

Surgical Training ◽

Training Curriculum ◽

Robotic Surgical Training ◽

Novice Surgeons

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Robotic Olympics: A novel robotic surgical training experience for residents in an obstetrics and gynecology residency program

10.7287/peerj.preprints.3510v1 ◽

2018 ◽

Author(s):

Malte Renz ◽

Eric Liberman ◽

Brian Daniels ◽

Sara Isani ◽

Dennis Y Kuo ◽

...

Keyword(s):

Robotic Surgery ◽

Surgical Training ◽

Residency Program ◽

Medical Center ◽

Gynecologic Oncology ◽

Career Goals ◽

Obstetrics And Gynecology ◽

Future Career ◽

Surgical Subspecialty ◽

Robotic Surgical Training

Background: Resident experience and opinions regarding robotic surgical training as part of the formal obstetrics and gynecology curriculum has not been reported. Objective: To evaluate residents’ experience with the newly introduced Robotic Olympics and a robotic surgical trainings curriculum in general, especially in correlation with future career goals. Methods: All residents of the Obstetrics and Gynecology Residency Program at the Montefiore Medical Center, who participated in the Robotic Olympics 2014, a team-based simulation competition, completed a de-identified pre- and post-Olympics survey. Results: For the participating 31 residents, the mean number of bedside-assistant robotic and console cases was 8 (0-50) and 4 (0-30), respectively. Both were positively associated with postgraduate level. The majority of residents (89%) reported that they were best trained in open surgery. Only 52% anticipated using robotic surgery in their future practice. Anticipated use of the robot and interest in robotic training were correlated with surgical subspecialty career goals. 100% of residents aspiring a career in gynecologic oncology and none interested in maternofetal medicine anticipated future use of robotic surgery. However, all residents desired the Robotic Olympics to be integral part of resident education. Conclusions: The majority of residents welcomed the addition of the Robotic Olympics to the robotic-surgical curriculum. However, the residents’ interest in robotic surgical training in general was disparate and correlated with the anticipated use of the robot in the residents’ future career. This data suggests the need for directed robotic surgical training for residents interested in surgical sub-specialties to focus resources early on.

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Impact of COVID-19 on Surgical Residency Training: Indian Perspective - A Review

Galore International Journal of Health Sciences and Research ◽

10.52403/gijhsr.20210710 ◽

2021 ◽

Vol 6 (3) ◽

pp. 62-69

Author(s):

Chetan V Kantharia ◽

Sharvari Pujari ◽

Kishor Jain

Keyword(s):

Training Program ◽

Residency Training ◽

Surgical Training ◽

Clinical Training ◽

Clinical Teaching ◽

Residency Training Program ◽

Academic Program ◽

Remedial Measures ◽

Surgical Residency ◽

The Impact

Introduction: The COVID-19 pandemic has severely affected the health delivery system. The residency training program has had a major setback, with a maximum impact on Surgical residency training. This study attempts to explore the extent of impact of COVID-19 on Surgical Residency training and the corrective measures to be taken from the trainee’s perspective. Methods: A Questionnaire was made and response was sought from the surgical trainees. The aspects of surgical training assessed were; the impact on hands on surgical training, bed-side clinical teaching, efficacy of the alternative virtual academic program and the OSCE based assessment. Suggestions were also sought with regards to the remedial measures needed to be taken. The responses were compiled and conclusion was drawn. Statistical analysis was made using SPSS software programme. Results: A total of 68 residents participated in the survey. Of these, 17 (25.37%) were first year residents (6 from Govt and 11 from private institute), 26 (38.23%) second year (9 from Govt and 17 from private institute), and 25 (36.76%) third year residents (10 from Govt and 15 from private institute). The responses were analysed. All respondents reported decrease in clinical workload ranging from 50 to 90 %. The reported loss of surgical experience too ranged from 50-90% depending on the seniority of the residents. Operative autonomy too was experienced by only 13.23% of respondents. Reported decrease in the Bed side clinical training ranged from 50 to 95% All the respondents reported increase and benefits of online academic sessions with overall score >5 on a scale of 1-10. All the respondents (100%) approved of the OSCE pattern of exams held by the NBE board. Conclusions: The COVID-19 pandemic has adversely impacted surgical training. There is a need to assess the future training program advancement, with the need to include remedial measures, and adopting an individualized approach. The OSCE pattern of examination conducted has been accepted by all and recommended to be integrated as a part of the practical exams in future too. The virtual learning and telemedicine embraced in the time of pandemic, has had a great impact in enhancing surgical education Keywords: COVID 19-infection, Impact on Residency training Program

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Robotic Olympics: A novel robotic surgical training experience for residents in an obstetrics and gynecology residency program

10.7287/peerj.preprints.3510v2 ◽

2018 ◽

Author(s):

Malte Renz ◽

Eric Liberman ◽

Brian Daniels ◽

Sara Isani ◽

Dennis Y Kuo ◽

...

Keyword(s):

Robotic Surgery ◽

Surgical Training ◽

Residency Program ◽

Medical Center ◽

Gynecologic Oncology ◽

Career Goals ◽

Obstetrics And Gynecology ◽

Future Career ◽

Surgical Subspecialty ◽

Robotic Surgical Training

Background: Resident experience and opinions regarding robotic surgical training as part of the formal obstetrics and gynecology curriculum has not been reported. Objective: To evaluate residents’ experience with the newly introduced Robotic Olympics and a robotic surgical trainings curriculum in general, especially in correlation with future career goals. Methods: All residents of the Obstetrics and Gynecology Residency Program at the Montefiore Medical Center, who participated in the Robotic Olympics 2014, a team-based simulation competition, completed a de-identified pre- and post-Olympics survey. Results: For the participating 31 residents, the mean number of bedside-assistant robotic and console cases was 8 (0-50) and 4 (0-30), respectively. Both were positively associated with postgraduate level. The majority of residents (89%) reported that they were best trained in open surgery. Only 52% anticipated using robotic surgery in their future practice. Anticipated use of the robot and interest in robotic training were correlated with surgical subspecialty career goals. 100% of residents aspiring a career in gynecologic oncology and none interested in maternofetal medicine anticipated future use of robotic surgery. However, all residents desired the Robotic Olympics to be integral part of resident education. Conclusions: The majority of residents welcomed the addition of the Robotic Olympics to the robotic-surgical curriculum. However, the residents’ interest in robotic surgical training in general was disparate and correlated with the anticipated use of the robot in the residents’ future career. This data suggests the need for directed robotic surgical training for residents interested in surgical sub-specialties to focus resources early on.

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Robotic Olympics: A novel robotic surgical training experience for residents in an obstetrics and gynecology residency program

10.7287/peerj.preprints.3510 ◽

2018 ◽

Author(s):

Malte Renz ◽

Eric Liberman ◽

Brian Daniels ◽

Sara Isani ◽

Dennis Y Kuo ◽

...

Keyword(s):

Robotic Surgery ◽

Surgical Training ◽

Residency Program ◽

Medical Center ◽

Gynecologic Oncology ◽

Career Goals ◽

Obstetrics And Gynecology ◽

Future Career ◽

Surgical Subspecialty ◽

Robotic Surgical Training

Background: Resident experience and opinions regarding robotic surgical training as part of the formal obstetrics and gynecology curriculum has not been reported. Objective: To evaluate residents’ experience with the newly introduced Robotic Olympics and a robotic surgical trainings curriculum in general, especially in correlation with future career goals. Methods: All residents of the Obstetrics and Gynecology Residency Program at the Montefiore Medical Center, who participated in the Robotic Olympics 2014, a team-based simulation competition, completed a de-identified pre- and post-Olympics survey. Results: For the participating 31 residents, the mean number of bedside-assistant robotic and console cases was 8 (0-50) and 4 (0-30), respectively. Both were positively associated with postgraduate level. The majority of residents (89%) reported that they were best trained in open surgery. Only 52% anticipated using robotic surgery in their future practice. Anticipated use of the robot and interest in robotic training were correlated with surgical subspecialty career goals. 100% of residents aspiring a career in gynecologic oncology and none interested in maternofetal medicine anticipated future use of robotic surgery. However, all residents desired the Robotic Olympics to be integral part of resident education. Conclusions: The majority of residents welcomed the addition of the Robotic Olympics to the robotic-surgical curriculum. However, the residents’ interest in robotic surgical training in general was disparate and correlated with the anticipated use of the robot in the residents’ future career. This data suggests the need for directed robotic surgical training for residents interested in surgical sub-specialties to focus resources early on.

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The Impact of COVID-19 pandemic on Obstetrics and Gynecology Residency Programs and perspectives on adaptive ways of training in Ethiopia

10.21203/rs.3.rs-35772/v1 ◽

2020 ◽

Author(s):

Wondimu Gudu ◽

Mekitie Wondafrash ◽

Delayehu Bekele ◽

Balkachew Nigatu ◽

Malede Birrara ◽

...

Keyword(s):

Data Analysis ◽

Residency Training ◽

Quantitative Data ◽

Clinical Teaching ◽

Program Directors ◽

Obstetrics And Gynecology ◽

Complete Suppression ◽

Normal Delivery ◽

Research Activities ◽

The Impact

Abstract Background: The impact of Covid-19 on healthcare system and trainings has been tremendous and unpredictable. In addition to service re-organization, teaching institutions will have to devise adaptive mechanisms to cope up with the disruption in medical education and residency training. Objectives: to assess the effect of Covid-19 pandemic on obstetrics and gynecology residency program and explore residents’ & program directors’ perspectives on alternative academic approaches in Ethiopia.Methods: This is a cross sectional mixed method study which was conducted at 12 institutions engaged in obstetrics and gynecology residency training in Ethiopia from May to June 2020. Quantitative data were collected from 240 residents employing an online platform (Google Forms) and focus group discussion was conducted using the ZOOM video-conferencing platform with eleven chief residents and eight program directors. Quantitative data analysis was performed using Stata 15 statistical software while thematic synthesis approach was used for the qualitative data analysis assisted by ATLAS.ti 7 for windows. Ethical clearance was obtained from IRB of Saint Paul’s Hospital Millennium Medical College. Results: All levels of residents from all residency sites were represented. The level of residents’ engagement in various routine clinical services vary depending on the type of service during COVID-19 pandemic period. Residents’ involvement in routine ANC, high risk clinics are “slightly” reduced while in Gynecology OPDs, the reduction was “severe”. There was no effort made to address the psychological impact of the pandemic on residents. The level of reduction in didactic and clinical teaching (rounds, case presentations, seminars, management sessions ranged from “some” to “complete interruption” for most of the residents at different years of training. Although the reduction in obstetric practical exposure (normal delivery, cesarean delivery) was “slight”, there was “sever” reduction to “complete suppression” (>80%) in major gynecologic surgeries primarily affecting final year residents. Research activities are completely halted in most of the institutions. Generally, adaptive methods to sustain the residency training were implemented in very few of the institutions. Conclusions: There was significant disruption in all domains of the residency training following the report of the first case of COVID-19 in Ethiopia. The preparedness and response of the programs was very poor and there was limited effort in implementing adaptive teaching methods in almost all of the institutions.

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Overview of the Effect of COVID-19 Pandemic on Residency Training in Surgery and Related Specialties in North-Central Nigeria

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2020/v32i2330724 ◽

2020 ◽

pp. 126-131

Author(s):

B. I. Omolabake ◽

B. T. Ugwu ◽

A. A. Abiodun ◽

C. A. Agbo ◽

A. J. Akintayo ◽

...

Keyword(s):

Residency Training ◽

Surgical Training ◽

Negative Impact ◽

Surgical Care ◽

Online Questionnaire ◽

North Central ◽

New Methods ◽

Gradual Introduction ◽

The Impact ◽

And Training

Background: The complete lockdown in Nigeria earlier this year as a result of the COVID-19 pandemic severely disrupted surgical care and training in all ramifications as mostly, only emergency cases were seen besides COVID-19 patients. After the lockdown, and gradual introduction of out-patient and elective surgical care and other medical services, measures to prevent transmission of the virus in our daily surgical practice as well as the introduction of virtual meetings and training are some of the new normal that will remain even after the pandemic. Aim: The aim of this paper is to assess the impact of the COVID-19 pandemic on residency training in surgical specialties in Northcentral Nigeria. Methodology: The objective was achieved using an online questionnaire distributed to residency training tertiary centres in Northcentral Nigeria. Results: We found that various aspects of training were affected differently by the pandemic, with novel strategies adopted to minimize the impact. Conclusion: We conclude that although there was a reduction in core activities of surgical training, there were strategies in place to mitigate the negative impact of the pandemic by streamlining care to protect the surgical community, whilst adopting new methods to sustain learning. There is need to incorporate these new methods into mainstream surgical training in the sub-region even after this pandemic.

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