Mp73-12 Robotic-Assisted Laparoscopic Surgery Is Commonly Performed by Non-Fellowship Trained Urologists: A Study of American Board of Urology Case Logs From 2013-2022

You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment (MP73)1 May 2024MP73-12 ROBOTIC-ASSISTED LAPAROSCOPIC SURGERY IS COMMONLY PERFORMED BY NON-FELLOWSHIP TRAINED UROLOGISTS: A STUDY OF AMERICAN BOARD OF UROLOGY CASE LOGS FROM 2013-2022 Alexa Steckler, Natalie Passarelli, Borivoj Golijanin, Rongqi Zhang, and Elias Hyams Alexa StecklerAlexa Steckler , Natalie PassarelliNatalie Passarelli , Borivoj GolijaninBorivoj Golijanin , Rongqi ZhangRongqi Zhang , and Elias HyamsElias Hyams View All Author Informationhttps://doi.org/10.1097/01.JU.0001009564.26544.1c.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Robotic-assisted laparoscopic surgery (RLS) has evolved from a novel, highly specialized area to a common feature of residency training. We evaluated differential activity in RLS for those with and without fellowship training as well as temporal trends, with the hypothesis that there is increasing performance of RLS by non-fellowship trained urologists. METHODS: American Board of Urology surgical case logs from 2013-2022 were obtained. Cases with CPT codes for common RLS procedures were included (Table 1). Cases with robotics utilization were additionally coded with S2900. Physician training and fellowship information was captured. Rates of RLS were calculated by fellowship status and procedure. RESULTS: A total of 73,195 physicians were included in the case logs, with 21,309 fellowship trained (29.11%). Among fellowship trained physicians, 12.5% perform RLS, compared to 10.4% of those without fellowships (p<0.0001) (Table 2). Of 7,478 total robotic cases, fellowship trained physicians performed 33%, while non-fellowship trained physicians performed 67.3% (Table 1). Among fellowship trained physicians, 56.7% of RLS cases were done by those trained in Oncology. The most common RLS procedure overall was robotic-assisted laparoscopic prostatectomy, with 72.5% performed by non-fellowship trained physicians (Table 1). Comparing case logs from 2013-2017 to those from 2018-2022, the overall rate of RLS was constant at 14.7%. CONCLUSIONS: Fellowship trained surgeons comprised 29% of all urologic surgeons and performed 33% of robotic procedures. RLS is performed by non-fellowship trained physicians at higher rates than their fellowship trained counterparts, reflecting that fellowship is not necessary for RLS. Interestingly, there does not seem to be increasing utilization of RLS across groups over time. Determining the role of fellowship in advancing skillsets and improving quality of care for more complex surgeries warrants attention. Source of Funding: N/A © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1186 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Alexa Steckler More articles by this author Natalie Passarelli More articles by this author Borivoj Golijanin More articles by this author Rongqi Zhang More articles by this author Elias Hyams More articles by this author Expand All Advertisement PDF downloadLoading ...