UIHC Department of Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Dr., Iowa City, IA, 52246, USA.
J Robot Surg. 2022 Oct;16(5):1105-1110. doi: 10.1007/s11701-021-01346-w. Epub 2021 Dec 1.
General surgery residents are increasingly exposed to robotic surgery during their training. However, there is no standardized robotic educational curriculum across United States residency programs. Prior to implementing a robotic surgery curriculum, we surveyed our residents and attendings to ascertain their attitude towards robotic surgery training in residency. An anonymous survey was distributed to all general surgery, obstetrics and gynecology (OBGYN), and urology residents, and their respective attending staff at our institution. Responses were compared between residents, attendings, and specialty. Twenty-six (72% response rate) general surgery residents and 18 (47%) subspecialty residents (OBGYN and urology) responded to the survey. Among attendings, 21 general surgery (32%) and 18 subspecialty staff (27%) responded. The majority of general surgery residents and attendings agreed that a robotic surgery curriculum should be implemented in the general surgery residency program (100 vs 86%, p = 0.04). Subspecialty residents also believed a formal curriculum should be implemented within their respective programs (100%). There was no statistically significant difference between general surgery and subspecialty resident responses. The majority of general surgery and subspecialty attendings responded that they would want a robotic surgery curriculum if they were currently residents (76 vs 94%, p = 0.12). The majority of general surgery residents and attendings at our institution believe a robotic surgery curriculum should be offered during residency. This attitude is similar to those of the subspecialty residents and attendings. A surgical education initiative should be developed to create a standardized training program to assure teaching of basic technical skills in robotic surgery before trainees enter clinical practice.
普通外科住院医师在培训过程中越来越多地接触机器人手术。然而,美国住院医师培训项目中没有标准化的机器人教育课程。在实施机器人手术课程之前,我们调查了住院医师和主治医生,以确定他们对住院医师培训中机器人手术培训的态度。我们向我们机构的所有普通外科、妇产科和泌尿科住院医师及其各自的主治医生分发了一份匿名调查。对住院医师、主治医生和专业之间的反应进行了比较。26 名(72%的应答率)普通外科住院医师和 18 名(47%)专科住院医师(妇产科和泌尿科)对调查做出了回应。在主治医生中,21 名普通外科医生(32%)和 18 名专科医生(27%)做出了回应。大多数普通外科住院医师和主治医生都同意在普通外科住院医师培训项目中实施机器人手术课程(100 对 86%,p=0.04)。专科住院医师也认为应该在各自的项目中实施正式课程(100%)。普通外科和专科住院医师的反应之间没有统计学上的显著差异。大多数普通外科和专科主治医生表示,如果他们现在是住院医师,他们希望有一个机器人手术课程(76 对 94%,p=0.12)。我们机构的大多数普通外科住院医师和主治医生认为,住院医师培训期间应该提供机器人手术课程。这种态度与专科住院医师和主治医生的态度相似。应该开展一项外科教育计划,制定标准化的培训计划,以确保在受训者进入临床实践之前教授机器人手术的基本技术技能。
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