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• W2334083886 abstract "You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment I1 Apr 2016MP11-07 INSIGHT INTO RESIDENT SURGICAL INVOLVEMENT USING ROBOLOG Kristin G. Baldea, Ryan Thorwarth, Marcus L. Quek, and Gopal N. Gupta Kristin G. BaldeaKristin G. Baldea More articles by this author , Ryan ThorwarthRyan Thorwarth More articles by this author , Marcus L. QuekMarcus L. Quek More articles by this author , and Gopal N. GuptaGopal N. Gupta More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.2378AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Standardization of training in performing robotic surgery is lacking. The current ACGME logging system for robotics is the same as every other type of surgery: a resident either performed the surgery or acted as an assistant. This does not accurately reflect actual experience as considerable variation exists in participation on the console. Our objective was to critically analyze our residents' robotic surgery experience using a tool we have developed for logging true operative experience (RoboLog). METHODS We previously developed a web-based tool to log surgical skill progression, experience, and feedback for common robotic surgical cases deconstructed to their major steps. There is a built-in function for the resident to request that the supervising attending review their performance. RoboLog provides automated summary reports to both residents and attending on a monthly basis and the system can be queried for various types of reports. RESULTS RoboLog was successfully developed and piloted for one year with participation from 10 residents and 7 attendings from our institution. A total of 310 cases were logged and 35 reviews by faculty were performed. Detailed data on resident experience was obtained. For instance, 82% of the 151 robotic prostatectomies were logged as “surgeon”, yet transection of the urethra had <35% resident involvement. The level of involvement stratified by post graduate year and procedure was also delineated. We found that the majority of surgical steps are being performed by chief residents and fellows, while intermediate level residents (PGY 3/4) have minimal console involvement (Figure). CONCLUSIONS The current logging system does not reflect actual participation as a resident who completes only the pelvic lymph node dissection during a prostatectomy will complete the ACGME case logging form identically to a resident who performs the entire surgery from start to finish. RoboLog has provided insightful information to our program which has generated discussion regarding a standardized training curriculum. Residents that have low participation in certain surgical steps can be identified early and this deficit can be rectified. When combined with results with other institutions, benchmarks for participation in surgical steps at certain PGY levels can be developed using the information gleaned from RoboLog. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e113-e114 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Kristin G. Baldea More articles by this author Ryan Thorwarth More articles by this author Marcus L. Quek More articles by this author Gopal N. Gupta More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W2334083886 date "2016-04-01" @default.
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• W2334083886 title "MP11-07 INSIGHT INTO RESIDENT SURGICAL INVOLVEMENT USING ROBOLOG" @default.
• W2334083886 doi "https://doi.org/10.1016/j.juro.2016.02.2378" @default.
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