The Importance of the Institution of a Robotic Curriculum on Resident Training and Performance

2021 ◽  
pp. 000313482110604
Author(s):  
Jenalee Corsello ◽  
Darren B. Nease ◽  
Semeret Munie ◽  
Paul Bown ◽  
Farzad Amiri
Keyword(s):  
Robotic Surgery ◽  
General Surgery ◽  
Resident Training ◽  
Third Place ◽  
Formal Curriculum ◽  
General Surgery Residency ◽  
Marshall University ◽  
And Performance

In 2018, general surgery topped the number of robotic cases. Over 90% of residents participate, but only 65% of programs have a formal curriculum, and less than half track progress. Many are insufficient at training due to an observational role. This paper reviews Marshall University General Surgery Residency program’s robotic curriculum, which started in 2018. The curriculum consists of a weekend course and simulations, enabling residents obtain certification. Residents participated in Intuitive’s Resident Robotic Olympics with first place in 2019 and second and third place in 2020. For the 2021 year, the robotic curriculum was revised into phases based on year. Deadlines and forms help improve and track progress. It is important to develop a curriculum with a protocol for training, monitoring, and credentialing to ensure proficiency. Marshall University General Surgery robotic curriculum has been successful at improving robotic skill, enabling residents to obtain a robotic surgery certification upon graduation.

scholarly journals 0218 Biomathematical Modeling Predicts Fatigue Risk in General Surgery Residents

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A84-A85 ◽  
Author(s):  
L P Schwartz ◽  
J K Devine ◽  
S R Hursh ◽  
E Mosher ◽  
S Schumacher ◽  
...  
Keyword(s):  
General Surgery ◽  
National Standards ◽  
Sleep Patterns ◽  
Surgical Resident ◽  
General Surgery Residency ◽  
Performance Predictions ◽  
Shift Schedules ◽  
And Performance ◽  
Surgery Residency Program ◽  
Adjusted Model

Abstract Introduction Fatigue and its effects on performance have long been a concern in medicine. Evidence exists that current duty-hour restrictions for resident trainees have a limited impact on physician wellbeing and patient safety, prompting renewed efforts to address this threat. In this study, sleep patterns of general-surgery residents were used to optimize a biomathematical model of performance for use as a tool for fatigue risk management with residents. Methods General surgery residents based at a multi-hospital, general surgery residency program were approached for participation in this study. Enrolled residents wore actigraph devices for 8 weeks and completed subjective sleep assessments. Sleep data and shift schedules were then input into the Sleep, Activity, Fatigue and Task Effectiveness (SAFTE) Model to assess predicted cognitive performance. Performance was compared to an “effectiveness” level of 77 (equivalent to a blood-alcohol content of 0.05g/dL). Eight hours of sleep debt was considered “below reservoir criteria”. Results Sleep actigraphy data was collected from 22 general surgery residents. Modeling results showed that as shift lengths increased, effectiveness scores generally decreased, and the time spent below criterion (77) increased. Additionally, 11.13% of time on shift was below the effectiveness criterion and 42.7% of shifts included time spent below the reservoir criterion. Adjustments to the sleep prediction were made based on actual sleep, and performance predictions from actual sleep and the adjusted model were significantly correlated (p<.0001). Conclusion Despite adherence to national standards limiting work hours, current surgical resident sleep patterns and shift schedules create concerning levels of fatigue. This study illustrates how biomathematical fatigue models can predict resident physician sleep patterns and performance. Modeling represents a novel and important tool for medical educators seeking to create shift schedules that maintain physician preparedness and minimize fatigue risk. Support N/A

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.

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.

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

scholarly journals Telemedicine Experience of General Surgery Trainees: Impact on Patient Care and Education

2021 ◽  
pp. 000313482110234
Author(s):  
Brandon J Nakashima ◽  
Navpreet Kaur ◽  
Chelsey Wongjirad ◽  
Kenji Inaba ◽  
Mohd Raashid Sheikh
Keyword(s):  
Patient Care ◽  
Surgical Training ◽  
General Surgery ◽  
Southern California ◽  
University Of Southern California ◽  
General Surgery Residency ◽  
Surgical Training Program ◽  
Current Utilization ◽  
Surgery Resident ◽  
The Impact

Objective The COVID-19 pandemic has had a significant impact on patient care, including the increased utilization of contact-free clinic visits using telemedicine. We looked to assess current utilization of, experience with, and opinions regarding telemedicine by general surgery residents at an academic university–based surgical training program. Design A response-anonymous 19-question survey was electronically distributed to all general surgery residents at a single academic university–based general surgery residency program. Setting University of Southern California (USC) general surgery residency participants: Voluntarily participating general surgery residents at the University of Southern California. Results The response rate from USC general surgery residents was 100%. A majority of residents (76%) had utilized either video- or telephone-based visits during their careers. No resident had undergone formal training to provide telemedicine, although most residents indicated a desire for training (57.1%) and acknowledged that telemedicine should be a part of surgical training (75.6%). A wide variety of opinions regarding the educational experience of residents participating in telemedicine visits was elicited. Conclusions The COVID-19 pandemic brought telemedicine to the forefront as an integral part of future patient care, including for surgical patients. Additional investigations into nationwide telemedicine exposure and practice among United States general surgery residencies is imperative, and the impact of the implementation of telemedicine curricula on general surgery resident telemedicine utilization, comfort with telemedicine technology, and patient outcomes are further warranted. Competencies Practice-based learning, systems-based practice, interpersonal and communication skills

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