Teaching robotic surgery skills: comparing the methods of generalists and subspecialists

Abstract

BACKGROUND: To compare opinions of general and subspecialty obstetricians and gynecologists regarding teaching robotic surgery (RS) to residents. METHODS: After obtaining IRB approval, 2189 gynecologic surgeons trained on the DaVinci Surgical System® (Intuitive Surgical, Sunnydale, CA) were asked to complete an online survey. Anonymous responses were obtained and compared using the chi-squared test, including opinions on training residents in RS. RESULTS: Of these 303 respondents, 161 practiced general obstetrics and gynecology ('generalists'), and 138 were self-described 'subspecialists' (+/- fellowship training). The majority of subspecialists (82%) taught residents, and 63% allowed resident participation. Only 44% of generalists taught residents, and 36% allowed participation. Regarding ideal RS training time, generalists favored residency (39%), while subspecialists favored fellowship. (46%, P < 0.001) CONCLUSIONS: While many generalists and subspecialists incorporate training residents into their robotic cases, there is still disparity regarding the extent of participation. Standardized training curriculums should be a goal of residencies with RS.