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

IF 3.5 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Journal of minimally invasive gynecology Pub Date : 2025-01-01 DOI:10.1016/j.jmig.2024.09.008

Alexandra E. Snyder MD , Lauren E. Farmer MD , Morgan L. Cheeks MD , Erin J. Caraher MD , Jasmine Correa MD , Natalia S. Parra MD , Julia J. Wainger MD , Ayesha I. Yakubu MD , Samantha D. Buery-Joyner MD

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引用次数: 0

Abstract

Study Objective

Obstetrics and gynecology (Ob/Gyn) resident experience with robotic gynecologic surgery has been evaluated at time of graduation, but no specific surgical procedures were identified to differentiate the experiences of residents at each level. This study proposes to determine which factors are correlated with more hands-on robotic surgery experience and resident satisfaction.

Design

An Investigational Review Board-approved, 15-question survey was distributed electronically. Ninety-eight responses were received for a rate of 44%. Linear regression and Analysis of Variance statistical analysis were performed.

Setting

Current residents at 8 Ob/gyn residency programs in the US were surveyed.

Patients

N/A.

Interventions

Survey administration.

Measurement and Main Results

The majority of respondents were satisfied (48%) or had neutral feelings (20%) with regard to their robotic surgery experience. All respondents reported experience with uterine manipulation or bedside assistance by postgraduate year (PGY) 2. Earliest experience performing hysterectomy was most common in PGY2 or PGY3.

Seventy-six percent of PGY3 or PGY4 residents report operating on the console for some or all major robotic surgeries, with 69% having participated in greater than 20 robotic surgery cases during residency. Only exposure to Minimally Invasive Gynecologic Surgery faculty is significantly associated with high robotic surgery experience (p = .022).

Overall satisfaction with robotic surgery experience increased significantly with higher level of participation (p <.0001), particularly operating at the console during some or most of the surgery; longitudinal experiences with hysterectomy, myomectomy, and salpingectomy/oophorectomy (p <.05); but not with sole bedside assisting or vaginal cuff closure. Factors limiting robotic console experience included case time constraints, lack of first assists, case complexity, and attending comfort.

Conclusions

Ob/Gyn resident satisfaction with training is significantly related to level and duration of robotic surgery participation. Minimally Invasive Gynecologic Surgery faculty contribute to more resident experience, and limiting factors include time constraints, case complexity, and lack of first assists. These results can provide a framework for structuring resident training in robotic surgery.

查看原文本刊更多论文

妇产科住院医师毕业时机器人手术经验的横断面调查。

研究目的：妇产科住院医师在毕业时对机器人妇科手术的经验进行了评估，但没有确定具体的手术程序来区分每个级别住院医师的经验。本研究旨在确定哪些因素与更多的机器人手术实践经验和住院医师满意度相关：设计：通过电子方式分发了一份经 IRB 批准、包含 15 个问题的调查问卷。共收到 98 份回复，回复率为 44%。进行了线性回归和方差分析：调查对象：美国八个妇产科住院医师培训项目的在读住院医师：无干预措施：测量和主要结果：大多数受访者对机器人手术体验表示满意（48%）或中性（20%）。所有受访者都表示在第二年级之前有过子宫操作或床边辅助的经验。最早有子宫切除术经验的是 PGY2 或 PGY3。76%的 PGY3 或 PGY4 住院医师表示在控制台上操作过部分或全部大型机器人手术，其中 69% 在住院医师培训期间参与过 20 例以上的机器人手术。只有与MIGS教师的接触才与丰富的机器人手术经验显著相关（p=.022）。对机器人手术经验的总体满意度随着参与程度的提高而显著增加（p结论：妇产科住院医师对培训的满意度与参与机器人手术的水平和持续时间密切相关。MIGS师资有助于增加住院医师的经验，限制因素包括时间限制、病例复杂性和缺乏第一助手。这些结果可为住院医师机器人手术培训的结构提供一个框架。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of minimally invasive gynecology 医学-妇产科学

CiteScore

5.00

自引率

7.30%

发文量

272

审稿时长

37 days

期刊介绍： The Journal of Minimally Invasive Gynecology, formerly titled The Journal of the American Association of Gynecologic Laparoscopists, is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field.