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Resident Operative Autonomy in Robotic Surgery Training: Unpacking Gender Disparities and Training Trends.

Maisa Nimer¹, Andres A Abreu¹, Lauren A Tyler¹

¹Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX.

Journal of Surgical Education

|October 25, 2024

Summary

This summary is machine-generated.

Male surgical residents report higher robotic operative autonomy and console time than females. Recent cohorts and fellowship alignment show improved training, necessitating refined approaches for equitable robotic surgery education.

Keywords:

Resident autonomy disparities robotic surgery surgical education

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Area of Science:

Surgical Education
Robotic Surgery Training
Operative Autonomy Assessment

Background:

Robotic surgery is increasingly integrated into surgical training.
Understanding factors influencing resident operative autonomy is crucial for effective skill development.
Resident-reported metrics provide insights into training experiences.

Purpose of the Study:

To evaluate resident and program-level factors associated with self-reported robotic operative autonomy.
To identify predictors of High Resident Autonomy (HRA) in robotic procedures.
To analyze differences in console time and autonomy based on resident and case characteristics.

Main Methods:

Retrospective cohort study of general surgery residents' robotic case logs (2021-2023).
Analysis included pancreaticoduodenectomies, hernia repairs, and low anterior resections.
Outcomes: console time and High Resident Autonomy (>50% case participation); variables: cohort, fellowship, gender, minority status, hospital type.

Main Results:

Male residents reported higher HRA (76% vs. 54%) and longer console times (150 vs. 120 min).
Female gender was associated with 74% lower odds of HRA and 18 fewer console minutes.
The 2023 cohort showed higher HRA odds; aligned fellowships increased console time.

Conclusions:

Significant gender disparities exist in robotic operative autonomy and console time.
Recent training cohorts demonstrate improved outcomes, and fellowship alignment enhances experience.
Refining robotic surgery training is essential to ensure equity and optimize efficacy.