Resident Confidence in Performing Robotic Hysterectomy in Obstetrics and Gynecologic Training Programs.

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STUDY OBJECTIVE: To compare residents' perceptions of readiness to perform robotic-assisted laparoscopic hysterectomy with the perceptions of residency program directors in obstetrics and gynecology programs throughout the United States DESIGN: A survey was administered to all residents taking the 2019 CREOG Exam and concurrently to program directors in all ACGME accredited training programs.

SETTING: The survey was designed to assess resident confidence to perform robotic hysterectomies by the time of graduation.

PATIENTS: No patients were included in the study.

INTERVENTIONS: The only intervention was administration of the survey.

MEASUREMENTS: De-identified survey data was analyzed using chi-squared and Fisher's exact tests.

MAIN RESULTS: 5473 resident respondents and 241 residency program directors were included in the study. Fifty-two percent of graduating residents reported they felt they were given surgical autonomy to perform robotic hysterectomies, and 53.7% reported they could perform one independently (if it was an "emergency" and they had to). By the time of graduation, only 59% of residents reported confidence performing a robotic hysterectomy and only 56% reported they felt it would be an important procedure for their future career. Program directors were significantly more likely to report their residents were given autonomy to perform robotic hysterectomy by graduation [61.0% (95% CI 54.3 - 67.3)], could perform a robotic hysterectomy independently [60.9% (95% CI 53.9 - 67.6)], or could perform a robotic hysterectomy by graduation [70.2% (95% CI 63.5 - 76.3)] than residents themselves [38.6% (95% CI 37.2 - 40.0); 22.8% (95% CI 21.6 - 24.0); 62.6% (95% CI 61.2 - 64.0) respectively].

CONCLUSION: At time of graduation, resident confidence in performing robotic hysterectomy independently is lower than all other approaches to hysterectomy.

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J Minim Invasive Gynecol