Mp11-12 Live Streaming of Robotic Surgery From Leading Educational Centres Enables a Global Approach to Surgical Teaching.
Year: 2016
Type: article
Study design: Observational Study
Abstract: 310 GEARS questionnaires for robotic prostatectomies (RP) and partial nephrectomies (RPN).We evaluated agreement between residents' self-assessment and those assessing them using intraclass correlation (ICC) and correlation of individual GEARS component scores to other GEARS components within each group of evaluators (attending, fellow, resident, surgical tech) using Spearman's correlation coefficient (r).RESULTS: Overall ICC of resident performance was 0.75 (95 % CI 0.35,0.92)when all four evaluator scores were available.Correlation between components with GEARS for trainee evaluation varied by evaluator type.For attending surgeon evaluations, Depth Perception had the lowest correlation with other GEARS metrics (r¼0.49-0.59,p<0.0001).Manual dexterity had moderate correlation with other parameters (r¼0.72-0.77,p<0.0001).Efficiency, Force Sensitivity, and Autonomy had very high correlation with other GEARS metrics (r¼0.77-0.87,p<0.0001).Fellow evaluations found significant correlation across all GEARS metrics (r¼0.81-0.96,p<0.0001).Such high correlations were not seen in either scrub tech scoring or resident-self evaluations.CONCLUSIONS: The routine use of GEARS immediately following completion of surgery as part of a formal robotics curriculum demonstrates reasonably high ICC between resident self-assessment and GEARS assessment by relevant evaluators.Overall, correlation between individual GEARS components is higher from surgeons with more surgical experience (attending and fellow surgeons).As distinct groups of evaluators, fellows tend to vary their GEARS assessments the least, while only select metrics given by attending surgeons highly correlated.
Source: The Journal of Urology
Authors: Justin Collins, Alexander Mottrie, Abolfazl Hosseini, Benjamin Challacombe, Christofer Adding, Prokar Dasgupta, Walter Artibani, Richard Gaston, Thierry Piechaud, Prasanna Sooriakumaran, Giovannalberto Pini, Andreas Nilsson, Evangelos Fragkiadis, Ashutosh Tewari, Ketan Badani, Inderbir Gill, Mihir Desai, Vipul Patel, Rajesh Ahlawat, Declan Murphy, Rafael Coelho, Koon Rha, Giorgio Gandaglia, Harko Verhagen, Peter Wiklund
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2330977011