ROBO-TRACS

Provide your first and last name ^* (required)

Applicant’s Current Institution/Hospital ^* (required)

Attending or Fellow ^* (required)

Attending

Fellow

Fellowship Length (1 year or 2 year) ^* (required)

1 year

2 year

Fellowship Type (surgical critical care, trauma, acute care surgery): ^* (required)

Surgical Critical Care

Trauma

Acute care surgery

Year in Fellowship: ^* (required)

First Year

Second Year

Name of Fellowship Director or Division Chief ^* (required)

I certify that I have discussed enrollment in the ROBO-TRACS program with my Fellowship Director and/or Division Chief agree to attend all webinars as well as the hands-on training day ^* (required)

By checking this checkbox, I am certifying this information

Applicant mobile phone number ^* (required)

Applicant Email ^* (required)

Current Robotic Practice at Home Institution (describe access to robot and common case types): ^* (required)

Name of attending mentor/partner currently credentialed in robotic surgery ^* (required)

Is there a dual console (teaching console) available at your institution? ^* (required)

Average number of robotic cases performed by the ACS service (per month): ^* (required)

Please upload your current CV: ^* (required)

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ROBO-TRACS

AAST 2026/2027 ROBO-TRACS