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- W2885403606 abstract "While proficiency-based robotic training has been shown to enhance skill acquisition, no studies have shown that training leads to improved outcomes or quality measures.Board-certified general surgeons participated in an optional proficiency-based robotic training curriculum and outcomes from robotic hernia cases were analyzed. Multivariable analysis was performed for operative times to adjust for patient and surgical variables.Six out of 16 (38%) surgeons completed training and 210 robotic hernia cases were analyzed. Longer operative times were associated with bilateral repairs (observed-to-expected operative time ratio [OTR] = 1.41, p < 0.001) and incarceration (OTR = 1.24, p = 0.006), while female patients (OTR = 0.87, p = 0.001) and increasing chronologic case order (OTR = 0.94, p < 0.001) were associated with shorter operative times. Surgeons who completed robotic training achieved shorter OTRs than those who did not (p = 0.03). Comparing non-risk adjusted hospital costs, trainees had an average of $1207 in savings (20% reduction) per robotic hernia case.A structured proficiency-based robotics training curriculum is an effective way to reduce operative times and costs." @default.
- W2885403606 created "2018-08-22" @default.
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- W2885403606 date "2019-04-01" @default.
- W2885403606 modified "2023-10-14" @default.
- W2885403606 title "Proficiency-based training and credentialing can improve patient outcomes and decrease cost to a hospital system" @default.
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- W2885403606 doi "https://doi.org/10.1016/j.amjsurg.2018.07.053" @default.
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