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Practice Makes Proficient: Implementation of an Advanced Robotic Surgery Pathway for Obstetrics and Gynecology Residents

Purpose: To describe an educational pathway for robotic proficiency during obstetric and gynecology training.


Background: As utilization of robotic-assisted surgery for gynecologic procedures grows, demand for surgeons proficient in robotic procedures is increasing. Resident exposure to robotic surgery during training is variable, and career opportunities following completion of residency may be impacted by an individual’s competency in robotic-assisted surgery.


Methods: A two-track robotic training curriculum for obstetric and gynecology residents was created, including a basic and advanced pathway.  

Components of the basic pathway, initiated in the first year, included online training for the da Vinci surgical platform, attendance of an in-person robotics basics course, and intraoperative bedside assistance in five robotic cases. Advanced training included independent learning and intraoperative experience, in addition to the components of the basic pathway. Independent learning consisted of review of procedural videos and completion of assigned simulation exercises with a required passing score of 80%. Intraoperative components of the advanced curriculum included additional bedside assistance followed by operation as primary console surgeon in a minimum of 15 cases in years 3-4 of training. In at least 5 cases, residents were to complete post-case review and evaluation with an attending surgeon ranking the resident as competent.


Results: Residents planning to pursue a career that included robotic surgery completed an advanced robotics pathway and were provided with a formal letter documenting experience and competency.


Discussions: As a result of implementation of a longitudinal advanced robotic proficiency curriculum, residents acquired the skill set to become competent and confident robotic surgeons.

Topics: CREOG & APGO Annual Meeting, 2023, Resident, Faculty, Residency Director, Residency Coordinator, Patient Care, Practice-Based Learning & Improvement,

General Information

Resident,Faculty,Residency Director,Residency Coordinator,
Patient Care,Practice-Based Learning & Improvement,
Clinical Focus

Author Information

Maya Gross, MD MPH; University of Wisconsin School of Medicine and Public Health; Matthew Wagar, MD; Sumer Wallace, MD MS; Jennifer Karnowski, MD; 

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Gynecology and Obstetrics (APGO)