Association of Crowd-Sourced Assessment of Technical Skills (CSATS

To investigate if use of the Crowd-Sourced Assessment of Technical Skills (CSATS Five fellowship-trained urologists voluntarily submitted RALP cases for CSATS GEARS scores for randomly-selected versus surgeon-selected cases did not differ significantly. Overall GEARS score correlated positively with annual surgical RALP volume (r=0.39, p=0.003) and negatively with years in practice (r=-0.34, p=0.01). After adjusting for confounders, there was no significant improvement in overall GEARS Score (0.01±0.02/month, p=0.48); but likelihood of sepsis (Odds Ratio 0.07, 95% CI 0.01-1.00, p=0.05) and pelvic fluid collection (Odds Ratio 0.09, 95% CI 0.01-0.99, p=0.049) were significantly decreased during the intervention period (n=165) compared to the prior 12 months (n=144). No outcome increased in likelihood (p>0.05). Integration of CSATS

Informations de copyright

Published by Elsevier Inc.

Déclaration de conflit d'intérêts

Declaration of Competing Interest 1)__Maximilian J. Rabil: no conflict________________________ 2)__Michael Jalfon: no conflict____________________________________ 3)__Dylan Heckscher: no conflict__________________________ 4)__Zhiqian Song: no conflict_____________________________________ 5)__Fangyong Li: no conflict_______________________________________ 6)__Thomas Martin: no conflict____________________________ 7)__Preston C. Sprenkle: no conflict_______________________ 8)__David Hesse: no conflict_______________________________ 9)__Isaac Y. Kim: ad hoc consultant to Intuitive Surgical_ 10)_Michael S. Leapman: no conflict______________________ 11) Jaime A. Cavallo: no conflict