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Inicio Actas Urológicas Españolas (English Edition) Current status of robotic training during the urology residency: results from a ...
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Vol. 48. Issue 7.
Pages 545-551 (September 2024)
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Vol. 48. Issue 7.
Pages 545-551 (September 2024)
Resident section
Current status of robotic training during the urology residency: results from a national survey in Spain
Estado de la formación robótica en la residencia de urología: resultados de una encuesta nacional en España
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N. García-Formosoa,b,
Corresponding author
nestorgf94@hotmail.com

Corresponding author.
, R. Ballestero Diegoa,c,g, E. Seguí-Moyab,d, E. Herrero Blancoa,c, C. Mercader Barrullb,e, D.A. González-Padillab,f, J.M. Benejam Gualg,h
a Urology Department, Marqués de Valdecilla University Hospital, Santander, Spain
b Group of Residents and Young Urologists of the Spanish Urological Association, Madrid, Spain
c Surgery Research and Innovation Group, Valdecilla´s Health Research Institue (IDIVAL), Santander, Spain
d Neuro-Urology Department, Royal National Orthopaedic Hospital, London, United Kingdom
e Urology department, Clínic Hospital, Barcelona, Spain
f Urology Department, Navarra University Clinic, Madrid, Spain
g Lithiasis and Endourology, Laparoscopy and Robotics Groups of the Spanish Urology Association, Madrid, Spain
h Urology Department, Manacor Hospital, Manacor, Spain
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Tables (4)
Table 1. Demographic data of survey respondents.
Table 2. Institutional aspects related to the robotic system.
Table 3. Educational aspects in robotic surgery during the residency program.
Table 4. Participation as first assistant in surgical procedures.
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Abstract
Introduction and objectives

The increasing number of robotic urological procedures observed in recent years highlights the need to expand training opportunities in robotic surgery. Our objective is to investigate the state of robotic training during urology residency in Spain in order to identify significant deficiencies.

Materials and methods

A 20-item online survey was conducted among urology residents in Spain who were registered in the database of the Residents and Young Urologists Group of the Spanish Association of Urology. The survey assessed subjective opinions, institutional aspects, training resources, and experience regarding robotic surgery. A total of 455 email invitations were sent throughout the year 2021. Descriptive analysis of the responses was performed.

Results

The participation rate reached 30%, with a total of 135 residents. 52% of respondents lacked access to a robotic system in their institution, of which only 48% could compensate for this deficiency through external rotations. Among those with access to a robotic system, 25% and 23% reported having access to theoretical and practical training, respectively. The existence of a formal training program was low (13%). 85% of the respondents considered robotic surgery training in Spain to be deficient.

Conclusions

Training for Spanish residents in robotic urological surgery is perceived as inadequate, emphasizing the crucial need for improvement in training programs in this field.

Keywords:
Robotic surgery
Resident education
Urology residency
Surgical training
National survey
Resumen
Introducción y objetivo

El aumento en el número de procedimientos urológicos robóticos evidenciado en los últimos años plantea la necesidad de aumentar la oferta formativa en cirugía robótica. Proponemos investigar el estado de la formación robótica durante la residencia de urología en España, con el objetivo de identificar las principales deficiencias a este nivel.

Materiales y métodos

Se llevó a cabo un cuestionario online de 20 preguntas entre los residentes de Urología de España registrados en la base de datos del Grupo de Residentes y Jóvenes Urólogos de la Asociación Española de Urología. Se evaluaron la opinión subjetiva, aspectos institucionales, recursos formativos y experiencia en lo referente a la cirugía robótica. Durante el año 2021, se enviaron un total de 455 invitaciones por correo electrónico. Se realizó un análisis descriptivo de las respuestas.

Resultados

La tasa de participación alcanzó el 30%, con un total de 135 residentes. El 52% de los encuestados no tenía acceso a un sistema robótico en su centro, de los cuales únicamente el 48% podían compensar esta carencia a través de rotaciones externas. Entre aquellos con acceso a un sistema robótico, el 25% y el 23% reportaron tener acceso a formación teórica y práctica, respectivamente. La existencia de un programa formal de entrenamiento fue baja (13%). El 85% consideraban que la formación en cirugía robótica en España era deficitaria.

Conclusiones

La formación de los residentes españoles en cirugía robótica urológica es percibida como deficiente, haciéndose imperativa una estandarización de los programas formativos en este ámbito.

Palabras clave:
Cirugía robótica
Formación de residentes
Residencia en urología
Formación quirúrgica
Encuesta nacional

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