Exit Impact of COVID-19 on Gynaecology Robotic Surgical Practice BIARGS Robotic practice survey in COVID-19 pandemic Question Title * 1. Where is your primary robotic practice UK based mainly Gynaeoncology surgeon UK based both Gynaeoncology and benign Gynaecology surgeon UK based mainly benign Gynaecology surgeon Non-UK based mainly Gynaeoncology surgeon Non-UK based both Gynaeoncology and benign Gynaecology surgeon Non-UK based mainly Gynaeoncology surgeon Other (please specify) Question Title * 2. How did the start of COVID-19 pandemic impact on your robotic practice in your hospital?. Gynaecology Robotic surgery was stopped as my hospital was converted to acute COVID site Gynaecology Robotic surgery was stopped mainly due to perceived risk of aerosol generating procedure Gynaecology Robotic surgery was stopped mainly due to lack of theatre capacity due to staff absence Gynaecology Robotic surgery was stopped due to prioritisation of urology cases Not at all , continued as before pandemic Other Other (please specify) Question Title * 3. How easy or difficult is it for you to work effectively these days? ( Are you able to book robotic list as before pandemic) My practice is same except brief pause at the start of pandemic due to perceived uncertainty with aerosol generating procedure risk and lack of theatre space My practice restarted after initial few months pause due to uncertainty of aerosol generating procedures and lack of theatre space, however the number of cases are half than before My practice has now restarted after 6 months of pause due to lack of theatre capacity and case load is as before My practice has now restarted after 6 months of pause due to lack of theatre capacity, however access is on add-hoc basis Very difficult, we have not restarted robotic surgery for gynaecology yet due to urology pressures. other reasons Other (please specify) Question Title * 4. What are the TOP THREE biggest challenges you are currently facing to practice robotic surgery General anxiety about the impact of coronavirus on my life Lack of HDU/ITU facilities Communication with patients/family with full informed consent is difficult due to minimum face to face consultation preoperatively Keeping a regular schedule Maintaining competency in robotic surgery and fear of complications Cancellations of patients on the day due to unavailability of COVID-19 swab test Lack of COVID-19 free pathways Lack of management engagement Case selection for robotic surgery Access to robotic theatre Lack of anaesthetic staff Other (please specify) Question Title * 5. Thinking about decreased robotic practice arrangements currently in majority of hospitals, how long do you think one could comfortably maintain competencies? without need for retraining/ refresher training. It’s not sustainable now One month 2-3 months 6 months 1 year It does not matter, robotic surgery is like riding a bike, I will pick up anytime Other (please specify) Question Title * 6. How many robotic cases on a average you undertake per year? 1-10 11-20 21-30 31-40 41-50 51-60 61-70 71-80 81-90 91-100 >100 I am not a robotic surgeon Other (please specify) Question Title * 7. Which Robotic system do you currently use for gynaecology Intuitive surgical X Intuitive surgical Xi Intuitive surgical S Versius Medtronic other Other (please specify) Question Title * 8. How confident are you that offering robotic surgery to complex gynaecology patients during this pandemic is appropriate use of resources?, given that laparotomy has shown to increases mortality of patients if they turns out COVID positive. Extremely confident Very confident Somewhat confident Not so confident Not confident at all Other (please specify) Question Title * 9. Outside of work, do you think the right support network with help you through this period? Yes, extremely important to have BIARGS society network support BIARGS Society support will help me to some extent I don't think BIARGS network support is needed Not so sure Not needed as will not influence my local situation Other (please specify) Question Title * 10. What is your single greatest work-related concern right now? relating to robotic gynaecological surgery Done