Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Department of Thoracic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Am Surg. 2024 Jun;90(6):1317-1323. doi: 10.1177/00031348241229631. Epub 2024 Jan 23.
BACKGROUND: Robotic surgery has emerged as an operative tool for many elective and urgent surgical procedures. The purpose of this study was to evaluate early surgical trainees' experiences and opinions of robotic surgery. METHODS: An introductory robotic training course consisting of online da Vinci Xi/X training and in-person, hands on training was implemented for residents and medical students across surgical subspecialties at a single institution. A voluntary survey evaluating perceptions of and interest in robotic surgery and prior robotic surgery experience, as well as a basics of robotics quiz, was distributed to participants prior to the start of the in-person session. Descriptive statistics were used to evaluate the cohort. RESULTS: 85 trainees participated in the course between 2020 and 2023, including 58 first- and second-year surgical residents (general surgery, urology, OB/GYN, and thoracic surgery) and 27 fourth-year medical students. 9.4% of participants reported any formal robotic surgery training prior to the session, with only 19% of participants reporting robotic operative experience. 52% of the participants knew of and/or had completed the da Vinci online course modules prior to the scheduled training session. Participants unanimously (100%) agreed that robotic surgery should be implemented into surgical training. CONCLUSIONS: There is rising enthusiasm for robotic surgery, yet early exposure and training remain infrequent and inconsistent amongst medical students and new surgical residents. A standardized introduction of multi-disciplinary robotic surgery training should be incorporated into medical school and/or early residency education to ensure surgical residents receive appropriate exposure and training to achieve competency.
背景:机器人手术已成为许多择期和紧急手术的手术工具。本研究旨在评估早期外科受训者对机器人手术的经验和看法。
方法:在一家机构内,为跨外科专业的住院医师和医学生实施了包括在线 da Vinci Xi/X 培训和亲自实践的机器人基础培训课程。在开始现场课程之前,向参与者分发了一份评估对机器人手术的看法和兴趣以及先前机器人手术经验的调查问卷,以及机器人基础知识测验。使用描述性统计来评估队列。
结果:2020 年至 2023 年间,有 85 名受训者参加了该课程,其中包括 58 名第一和第二年的外科住院医师(普通外科、泌尿科、妇产科和胸外科)和 27 名四年级医学生。9.4%的参与者报告在课程开始前接受过任何正式的机器人手术培训,只有 19%的参与者报告过机器人手术经验。52%的参与者在预定的培训课程之前就已经知道并/或完成了 da Vinci 在线课程模块。所有参与者(100%)一致认为应该将机器人手术纳入外科培训。
结论:尽管机器人手术的应用越来越广泛,但医学生和新外科住院医师对其的早期接触和培训仍然很少且不一致。应将多学科机器人手术培训纳入医学院和/或早期住院医师教育,以确保外科住院医师获得适当的接触和培训以实现胜任力。
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