scholarly journals Residency Training in Robotic General Surgery: A Survey of Program Directors

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Lea C. George ◽  
Rebecca O’Neill ◽  
Aziz M. Merchant
Keyword(s):  
Robotic Surgery ◽  
Residency Training ◽  
General Surgery ◽  
Simulation Training ◽  
Program Directors ◽  
Current Approach ◽  
General Surgery Residency ◽  
Electronic Survey ◽  
Surgery Training ◽  
Robotic Surgery Training

Objective. Robotic surgery continues to expand in minimally invasive surgery; however, the literature is insufficient to understand the current training process for general surgery residents. Therefore, the objectives of this study were to identify the current approach to and perspectives on robotic surgery training. Methods. An electronic survey was distributed to general surgery program directors identified by the Accreditation Council for Graduate Medical Education website. Multiple choice and open-ended questions regarding current practices and opinions on robotic surgery training in general surgery residency programs were used. Results. 20 program directors were surveyed, a majority being from medium-sized programs (4–7 graduating residents per year). Most respondents (73.68%) had a formal robotic surgery curriculum at their institution, with 63.16% incorporating simulation training. Approximately half of the respondents believe that more time should be dedicated to robotic surgery training (52.63%), with simulation training prior to console use (84.21%). About two-thirds of the respondents (63.16%) believe that a formal robotic surgery curriculum should be established as a part of general surgery residency, with more than half believing that exposure should occur in postgraduate year one (55%). Conclusion. A formal robotics curriculum with simulation training and early surgical exposure for general surgery residents should be given consideration in surgical residency training.

Mo1997 GENERAL SURGERY RESIDENT AND ATTENDING ATTITUDE TOWARDS ROBOTIC SURGERY TRAINING IN RESIDENCY

2020 ◽  
Vol 158 (6) ◽  
pp. S-1573
Author(s):  
Paolo Goffredo ◽  
Rory Carroll ◽  
Dakota T. Thompson ◽  
Hannah Phillips ◽  
Ryan Lehmann ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
General Surgery ◽  
Surgery Training ◽  
General Surgery Resident ◽  
Robotic Surgery Training ◽  
Surgery Resident

Robotic Thoracic Surgery Training for Residency Programs

2018 ◽  
Vol 13 (6) ◽  
pp. 417-422 ◽  
Author(s):  
Wissam N. Raad ◽  
Adil Ayub ◽  
Chyun-Yin Huang ◽  
Landon Guntman ◽  
Sadiq S. Rehmani ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Thoracic Surgery ◽  
Residency Program ◽  
Program Directors ◽  
Robotic Assisted ◽  
Surgery Training ◽  
Robotic Assisted Surgery ◽  
Robotic Surgery Training ◽  
Surgery Residency Program ◽  
Residency Program Directors

Objective Robotic-assisted surgery is increasingly being used in thoracic surgery. Currently, the Integrated Thoracic Surgery Residency Program lacks a standardized curriculum or requirement for training residents in robotic-assisted thoracic surgery. In most circumstances, because of the lack of formal residency training in robotic surgery, hospitals are requiring additional training, mentorship, and formal proctoring of cases before granting credentials to perform robotic-assisted surgery. Therefore, there is necessity for residents in Integrated Thoracic Surgery Residency Program to have early exposure and formal training on the robotic platform. We propose a curriculum that can be incorporated into such programs that would satisfy both training needs and hospital credential requirements. Methods We surveyed all 26 Integrated Thoracic Surgery Residency Program Directors in the United States. We also performed a PubMed literature search using the key word “robotic surgery training curriculum.” We reviewed various robotic surgery training curricula and evaluation tools used by urology, obstetrics gynecology, and general surgery training programs. We then designed a proposed curriculum geared toward thoracic Integrated Thoracic Surgery Residency Program adopted from our credentialing experience, literature review, and survey consensus. Results Of the 26 programs surveyed, we received 17 responses. Most Integrated Thoracic Surgery Residency Program directors believe that it is important to introduce robotic surgery training during residency. Our proposed curriculum is integrated during postgraduate years 2 to 6. In the preclinical stage postgraduate years 2 to 3, residents are required to complete introductory online modules, virtual reality simulator training, and in-house workshops. During clinical stage (postgraduate years 4–6), the resident will serve as a supervised bedside assistant and progress to a console surgeon. Each case will have defined steps that the resident must demonstrate competency. Evaluation will be based on standardized guidelines. Conclusions Expansion and utilization of robotic assistance in thoracic surgery have increased. Our proposed curriculum aims to enable Integrated Thoracic Surgery Residency Program residents to achieve competency in robotic-assisted thoracic surgery and to facilitate the acquirement of hospital privileges when they enter practice.

Impact of Robotic Surgery on Residency Training for Herniorrhaphy and Cholecystectomy

2020 ◽  
Vol 86 (10) ◽  
pp. 1318-1323
Author(s):  
Nikita Kadakia ◽  
Kirollos Malek ◽  
Sarah K. Lee ◽  
Eun J. Lee ◽  
Sigrid Burruss ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Residency Training ◽  
General Surgery ◽  
Teaching Assistants ◽  
New Technology ◽  
Teaching Assistant ◽  
Senior Resident ◽  
General Surgery Residency ◽  
Surgical Residents ◽  
Academic Year

Robotic surgery has increased for common general surgery procedures. This study evaluates how robotic use affects the case distributions of herniorrhaphy and cholecystectomy for general surgery residents according to postgraduate year (PGY). We reviewed Accreditation Council for Graduate Medical Education (ACGME) biliary or hernia cases logged by surgical residents in the academic year 2017-2018. Operative reports were reviewed to compare approaches (robotic, laparoscopic, and open) by resident role and PGY level. Open cholecystectomies were excluded. Overall, 470 hernia and 657 cholecystectomy cases were logged. Hernia repairs were performed robotically in 15.9%, laparoscopically in 9.5%, and open in 74.7%. Cholecystectomies were performed robotically in 16.4% and laparoscopically in 83.6%. Residents were teaching assistants in 1.8% of hernia repairs and 1.5% of cholecystectomies. Distribution of cases by technique and PGY level was significantly different for both procedures, with chief residents performing the majority of robotic cholecystectomies (52.6%, P < .0001) and hernia repairs (59.7%, P < .0001). Migration of robotic cases to senior resident level and low percentage of teaching assistant roles held by residents suggest exposure to common operations may be delayed during general surgery residency training. Introduction of new technology in surgical training should be carefully reviewed and may benefit from a structured curriculum.

Current Barriers in Robotic Surgery Training for General Surgery Residents

2021 ◽  
Author(s):  
Robert D Shaw ◽  
Mark A Eid ◽  
Josh Bleicher ◽  
Justine Broecker ◽  
Ben Caesar ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
General Surgery ◽  
Surgery Training ◽  
Robotic Surgery Training

scholarly journals The impact of coronavirus 2019 on general surgery residency: A national survey of program directors

2021 ◽  
Vol 65 ◽  
pp. 102285
Author(s):  
Maxwell F. Kilcoyne ◽  
Garrett N. Coyan ◽  
Edgar Aranda-Michel ◽  
Arman Kilic ◽  
Victor O. Morell ◽  
...  
Keyword(s):  
National Survey ◽  
General Surgery ◽  
Program Directors ◽  
General Surgery Residency ◽  
The Impact
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