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Updated: Jun 25, 2026

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Published on: May 20, 2018

A novel, web-based application for assessing and enhancing practice-based learning in surgery residency.

Bob J Wu¹, Patrick A Dietz, James Bordley

¹Department of Surgery, Mary Imogene Bassett Hospital, Cooperstown, New York 13326, USA. bobwu@hotmail.com

Journal of Surgical Education

|February 14, 2009

Summary

A new web-based tool effectively tracks surgical resident performance, providing objective data for Practice-Based Learning and Improvement (PBLI) assessments and accreditation. This system enhances self-assessment and identifies knowledge gaps for targeted learning.

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Area of Science:

Medical Education
Surgical Training
Healthcare Informatics

Background:

Practice-Based Learning and Improvement (PBLI) is a core competency for medical residents, mandated by the Accreditation Council for Graduate Medical Education (ACGME).
Current assessment methods for resident PBLI, like portfolios and faculty evaluations, are often subjective and qualitative.
There is a need for objective, quantitative, and outcome-based tools to evaluate resident performance and PBLI.

Purpose of the Study:

To develop and evaluate a web-based application for assessing surgical residents' Practice-Based Learning and Improvement (PBLI).
To provide objective, quantitative data on resident performance for accreditation and educational purposes.
To facilitate resident self-assessment and identify areas for targeted learning.

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Last Updated: Jun 25, 2026

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Published on: May 20, 2018

Main Methods:

A web-based application was implemented in a general surgery residency program.
Senior residents documented patient consultations, their initial impressions, and plans in real-time.
Patient outcomes were recorded, allowing residents to self-assess the accuracy of their initial assessments and calculate a performance metric (batting average).

Main Results:

Seven senior residents participated, documenting 459 consultations (222 by PGY4, 237 by PGY5).
PGY4 residents showed progressive improvement in their batting average (BA) from 82.9% to 94.3% over four quarters.
PGY5 residents maintained a high BA, ranging from 93.8% to 96.4% throughout their documented period.

Conclusions:

A web-based outcome-tracking program offers a valuable method for evaluating resident PBLI.
The system provides rapid, ongoing assessment, generating objective data for accreditation.
It aids in identifying individual resident knowledge gaps, promoting self-assessment, and guiding targeted learning.