Current C-SATS metrics don’t effectively assess proficiency in robotic surgeries, raising concerns for surgeon training.

• Total GEAR scores correlate with case volumes for robotic-assisted cholecystectomy (r=0.65) and inguinal hernia repair (r=0.54).
• No correlation was found for novice surgeons or those with fewer than 50 cases, indicating limitations in evaluating their skills.

Surgeons need better tools to accurately assess and train novice performers in robotic techniques.

• GEAR scores were consistent across residents, fellows, and practicing surgeons, suggesting a gap in measurement effectiveness.