Orthopaedic Trainee Views on Robotic Technologies in Orthopaedics: A Survey-Based Study

Area of Science:

• Surgical innovation
• Medical education technology
• Orthopaedic surgery

Background:

• Robotics are increasingly utilized in surgery, particularly in orthopaedics.
• There is a lack of research on orthopaedic trainees' perceptions and comfort levels with robotic technology.
• Assessing the attitudes of future orthopaedic surgeons towards robotics is crucial.

Purpose of the Study:

• To evaluate the attitudes of orthopaedic trainees regarding the use of robotics in orthopaedic surgery.
• To understand trainees' exposure, training, and comfort levels with robotic surgical systems.
• To identify factors influencing trainees' future adoption of robotic technology.

Main Methods:

• An anonymous, national, web-based survey was distributed to orthopaedic residency programs accredited by the Accreditation Council for Graduate Medical Education (ACGME).
• The questionnaire included multiple-choice and Likert scale questions to assess trainee demographics, exposure, training, and perceptions of robotics.
• Bivariate analysis using Pearson's Chi-square or Fisher's exact test was employed to analyze factors associated with future robotics use.

Main Results:

• A total of 280 trainees responded (18% response rate).
• 67.9% reported exposure to robotics, and 42.9% received training, with 44.4% gaining increasing autonomy.
• 67.1% felt uncomfortable with robotic technology, yet 71.4% recognized its educational potential, with over 90% acknowledging its future significance.

Conclusions:

• Despite concerns, most orthopaedic residents and fellows believe robotics will be integral to the future of surgery.
• A significant gap exists in current training and practical experience provided to trainees regarding robotic surgical systems.
• Addressing trainees' concerns and enhancing robotic surgical training are essential for future adoption and integration.