Operating is a key component to surgical residency and fellowship training. Trainees need to have hands-on experience in the operating room to prepare them for independent postgraduate practice. The goal of academic training centres is to train future urologists without jeopardising patient outcomes. With this in mind, the concept of 'graduated responsibility' is often employed (Schnapp et al., 2019; Teman, Gauger, Mullan, Tarpley, & Minter, 2014). Improving resident education, concurrent with maintaining excellent patient outcomes, has been an area of enhanced focus with ongoing changes to resident work hours and supervision policies (Curet, 2008). There have been several studies investigating the effects of trainee involvement on patient safety and surgical outcomes (Castleberry et al., 2013). A large study by Matulewicz et al. reviewed the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database for all procedures performed by 'Urology' as the primary service and compared cases with and without residents. Resident involvement was associated with significantly longer operative times but no difference in overall