教授机器人手术技能：比较通才和亚专科医生的方法。

Teaching robotic surgery skills: comparing the methods of generalists and subspecialists.

机构信息

University Hospitals Case Medical Center, Cleveland, OH, USA.

出版信息

Int J Med Robot. 2013 Dec;9(4):472-6. doi: 10.1002/rcs.1511. Epub 2013 Jul 30.

DOI:10.1002/rcs.1511

PMID:23897782

Abstract

BACKGROUND

To compare opinions of general and subspecialty obstetricians and gynecologists regarding teaching robotic surgery (RS) to residents.

METHODS

After obtaining IRB approval, 2189 gynecologic surgeons trained on the DaVinci Surgical System® (Intuitive Surgical, Sunnydale, CA) were asked to complete an online survey. Anonymous responses were obtained and compared using the chi-squared test, including opinions on training residents in RS.

RESULTS

Of these 303 respondents, 161 practiced general obstetrics and gynecology ('generalists'), and 138 were self-described 'subspecialists' (+/- fellowship training). The majority of subspecialists (82%) taught residents, and 63% allowed resident participation. Only 44% of generalists taught residents, and 36% allowed participation. Regarding ideal RS training time, generalists favored residency (39%), while subspecialists favored fellowship. (46%, P < 0.001) CONCLUSIONS: While many generalists and subspecialists incorporate training residents into their robotic cases, there is still disparity regarding the extent of participation. Standardized training curriculums should be a goal of residencies with RS.

摘要

背景

比较普通妇产科医生和妇产科亚专科医生对向住院医师教授机器人手术（RS）的意见。

方法

在获得 IRB 批准后，2189 名接受过达芬奇手术系统®（直觉外科，桑尼戴尔，CA）培训的妇科外科医生被要求完成在线调查。匿名回复并使用卡方检验进行比较，包括对 RS 培训住院医师的意见。

结果

在这 303 名受访者中，161 名从事普通妇产科（“普通科医生”），138 名自称为“亚专科医生”（+/-专科培训）。大多数亚专科医生（82%）教授住院医师，63%允许住院医师参与。只有 44%的普通科医生教授住院医师，36%允许参与。关于理想的 RS 培训时间，普通科医生赞成住院医师（39%），而亚专科医生赞成专科培训（46%，P < 0.001）。