title: Assessment of robotic simulation by trainees in residency programs of the Southeastern Section of the American Urologic Association.
abstract: OBJECTIVE
  To assess the Southeast Section of the American Urological Association (SESAUA) trainee exposure to and thoughts on robotic simulation.
  
  
  METHODS
  Questionnaire-based study of SESAUA residency trainees to determine their access to robotic simulation, live robotic experience to date, and opinion regarding the adequacy of current robotic training.
  
  
  METHODS
  Three trainees from each SESAUA training program were invited to Orlando, Florida for a formal 2-day robotic training course. Day 1 was a 3-component didactic session. Day 2 involved faculty directing the trainees in set tasks on a live porcine model for 4 hours and another 4 hours on the Mimic dV-Trainer (Mimic Technologies, Inc, Seattle, WA) for directed exercises.
  
  
  METHODS
  Thirty-two trainees from 14 programs in the SESAUA participated in the course and filled out a 1-page, 8-item questionnaire following their simulator exposure.
  
  
  RESULTS
  Seventeen (53.1%) trainees, including 5 urology year-3 trainees, reported never having had robotic console time. Of the trainees, 65.6% (21 of 32) had access to the Mimic dV-Trainer or Mimic "backpack" whereas 10 had no exposure to robotic simulation; 84.4% (27 of 32) felt that the simulator replicated real-life robotic console surgery and 90.6% (29 of 32) felt the simulator was helpful or would be helpful for training in their program. Trainees felt the "tubes 2" drill, which mimics a vesicourethral anastomosis, was the most difficult drill to perform.
  
  
  CONCLUSIONS
  A majority of trainees in the SESAUA have had limited to no robotic console time. A high number of resident trainees in the SESAUA have exposure to virtual reality robotic simulation. Trainees believe that the simulator replicates real-life robotic console movements and almost all believe they would be benefit from having access to robotic simulation.
authors.affiliation: Department of Urology, Mayo Clinic, Jacksonville, Florida. Electronic address: thiel.david@mayo.edu.
authors.forename: David D
authors.initials: DD
authors.lastname: Thiel
authors.forename: Vipul R
authors.initials: VR
authors.lastname: Patel
authors.forename: Todd
authors.initials: T
authors.lastname: Larson
authors.forename: Amy
authors.initials: A
authors.lastname: Lannen
authors.forename: Raymond J
authors.initials: RJ
authors.lastname: Leveillee
mesh_terms: D002983:Clinical Competence; D006801:Humans; D007396:Internship and Residency; D059032:Learning Curve; D011468:Prostatectomy / Q000379:methods*; D012371:Robotics / Q000193:education*; D013647:Task Performance and Analysis; D013520:Urologic Surgical Procedures / Q000193:education / Q000295:instrumentation / Q000379:methods*; D014572:Urology / Q000193:education*
keywords: Medical Knowledge; Practice-Based Learning and Improvement; resident training; robotic prostatectomy; robotic surgery; robotic training; simulation