A National Survey of Robotic Surgery Training Among Otolaryngology-Head and Neck Surgery Residents.
OBJECTIVE
The aim of this study is to describe the current state of robotic surgery training among Otolaryngology-Head and Neck Surgery (OHNS) residency programs in the United States.


METHODS
This is a national survey study among OHNS residents. All OHNS residency programs were identified via the Accreditation Council for Graduate Medical Education website. A total of 64/127 (50.3%) of OHNS programs were selected based on a random number generator. The main outcome measure was the number of OHNS residents with access to robotic surgery training and assessment of operative experience in robotic surgery among those residents.


RESULTS
A total of 140 OHNS residents participated in the survey, of which 59.3% (n = 83) were male. Response rate was 40.2%. Respondents came from middle 50.0% (n = 70), southern 17.8% (n = 25), western 17.8% (n = 25), and eastern sections 14.3% (n = 20). Most respondents (94.3%, n = 132) reported that their institution utilized a robot for head and neck surgery. Resident experience at the bedside increased in the junior years of training and console experience increased across the years particularly for more senior residents. However, 63.4% of residents reported no operative experience at the console. Only 11.4% of programs have a structured robotics training program.


CONCLUSION
This survey indicated that nearly all OHNS residencies utilize robotic surgery in their clinical practice with residents receiving little formal education in robotics or experience at the console. OHNS residencies should aim to increase access to training opportunities in order to increase resident competency.


LEVEL OF EVIDENCE
IV.
['McCrary|Hilary C|HC|https://orcid.org/0000-0002-9523-0727', 'McLean|Sierra R|SR|', 'Luman|Abigail|A|', "O'Sullivan|Patricia|P|", 'Smith|Brigitte|B|', 'Cannon|Richard B|RB|']
D000328:Adult D003479:Curriculum D005260:Female D006801:Humans D007396:Internship and Residency D008297:Male D010036:Otolaryngology D065287:Robotic Surgical Procedures D011795:Surveys and Questionnaires D014481:United States D055815:Young Adult
robotic surgery residency head and neck cancer minimally invasive surgery surgical education