Cross Sectional Survey of Ob/Gyn Residents' Graduated Experience With Robotic Surgery

Area of Science:

• Minimally Invasive Surgery
• Surgical Education
• Robotic Surgery

Background:

• Robotic gynecologic surgery training for Obstetrics and Gynecology (Ob/Gyn) residents is crucial for developing surgical skills.
• Previous evaluations of resident robotic surgery experience have not differentiated by training level or specific procedures.

Purpose of the Study:

• To identify factors correlated with increased hands-on robotic surgery experience among Ob/Gyn residents.
• To determine factors associated with resident satisfaction in robotic gynecologic surgery training.

Main Methods:

• A 15-question electronic survey was distributed to current Ob/Gyn residents at 8 US programs.
• Ninety-eight responses were collected, representing a 44% response rate.
• Data were analyzed using linear regression and Analysis of Variance.

Main Results:

• Resident satisfaction with robotic surgery experience was high (48% satisfied, 20% neutral).
• Hands-on console experience, particularly in hysterectomy, myomectomy, and salpingectomy/oophorectomy, significantly increased satisfaction.
• Exposure to Minimally Invasive Gynecologic Surgery faculty was significantly associated with greater robotic surgery experience.

Conclusions:

• Ob/Gyn resident satisfaction is strongly linked to the level and duration of participation in robotic surgery, especially console time.
• Minimally Invasive Gynecologic Surgery faculty mentorship enhances resident robotic surgery experience.
• Training limitations include time constraints, case complexity, and insufficient opportunities for first assist roles.