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. 2023 Dec;89(12):5253-5262.
doi: 10.1177/00031348221142586. Epub 2022 Dec 1.

Does Surgeon Experience Correlate with Crowd-Sourced Skill Assessment in Robotic Bariatric Surgery?

Poppy Addison  1 , Daniel P Bitner  1 , Jermyn Addy  1 , Samuel Dechario  2 , Gregg Husk  1   3 , Anthony Antonacci  1   3 , Mark Talamini  3   4 , Gary Giangola  1   3 , Filippo Filicori  1   3
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Does Surgeon Experience Correlate with Crowd-Sourced Skill Assessment in Robotic Bariatric Surgery?

Poppy Addison et al. Am Surg. 2023 Dec.

Abstract

Background: The Global Evaluative Assessment of Robotic Skills (GEARS) rubric provides a measure of skill in robotic surgery. We hypothesize surgery performed by more experienced operators will be associated with higher GEARS scores.

Method: Patients undergoing sleeve gastrectomy from 2016 to 2020 were analyzed. Three groups were defined by time in practice: less than 5, between 5 and 15, and more than 15 years. Continuous variables were compared with ANOVA and multivariable regression was performed.

Results: Fourteen operators performing 154 cases were included. More experienced surgeons had higher GEARS scores and shorter operative times. On multivariable regression, operative time (P = 0.027), efficiency (P = .022), depth perception (P = 0.033), and bimanual dexterity (P = 0.047) were associated with experience.

Conclusions: In our video-based assessment (VBA) model, operative time and several GEARS subcomponent scores were associated with surgical experience. Further studies should determine the association between these metrics and surgical outcomes.

Keywords: robotics; surgical education; video-based assessment.

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Conflict of interest statement

Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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