Robotic surgery and physician wellness in gynecologic oncology

Over the past decades, advances in surgical robotics have led to significant improvements in the care provided to women with gynecologic cancer. These advancements have occurred during a time when healthcare systems are changing their focus from a traditional fee for service model to value-based healthcare. The focus on value and risk sharing has led to institutions choosing quality outcomes over complications. This has been emphasized from the recent addition of the Institute for Healthcare Improvement modification of the Triple AIM to the Quadruple Aim: better care, better quality, better cost, and better experience. The added focus on better experience includes the patient and healthcare professional. This comes at an important time in medicine, where the implementation of electronic medical records (EMRs) such as Epic and Cerner has been met with a significant increase in physician burnout. This chapter focuses on the advancements seen in the field of gynecology and oncology over the past decade. It closes with a focus on health and wellness, with ten key tips for the healthcare professional to take to remain well and prevent burnout. It is our hope that you will enjoy this chapter, stay well, and take care for yourself and your patients together.