 |
|
The "Cost" of Operative Training for Surgical Residents
Timothy J. Babineau, MD, MBA;
James Becker, MD;
Gary Gibbons, MD;
Stephen Sentovich, MD;
Donald Hess, MD;
Sharon Robertson, BA;
Michael Stone, MD
Arch Surg. 2004;139:366-370.
Hypothesis There is an increase in the amount of time required to perform an operation when the procedure involves training a surgical resident. This increased time does not translate into a financial burden for the hospital.
Design Retrospective review of prospectively collected data. During the study period, surgeons and residents were blinded to the study's intent. We compared the operative times of academic surgeons performing 4 common surgical procedures before and after the introduction of a postgraduate year 3 resident into a community teaching hospital. Between January 1, 2001, and June 30, 2002, 4 academic surgeons performed operations without a resident in a community hospital that was recently integrated into a tertiary medical center system. During that period, surgeons operated alone (hernia surgery) or assisted one another (laparoscopic cholecystectomy, colectomy, and carotid endarterectomy). From July 1, 2002, through March 31, 2003, these same 4 surgeons were assisted by a postgraduate year 3 resident on similar procedures.
Setting Community hospital recently integrated into a tertiary medical center system.
Participants Four experienced academic surgeons operating in the community setting and patients undergoing 1 of 4 surgical procedures (inguinal hernia repair, laparoscopic cholecystectomy, partial colectomy, or carotid endarterectomy) from January 1, 2001, through March 31, 2003.
Intervention The introduction of a postgraduate year 3 surgical resident rotation into a community hospital in which the same academic surgeons had been performing operations without a resident for 18 months.
Main Outcome Measures Mean operating time with and without a postgraduate year 3 resident participating in 4 common surgical procedures.
Result For the 4 procedures studied, there was a significant increase in the operative time required to complete such procedures.
Conclusions There is an increased time cost associated with the operative training of surgical residents. This "cost" primarily impacts the attending surgeon.
From the Departments of Surgery, Boston Medical Center, Quincy Medical Center, and Boston University School of Medicine, Boston, Mass.
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
The trainer, the trainee and the surgeons' assistant: CLINICAL OUTCOMES FOLLOWING TOTAL HIP REPLACEMENT
Palan et al.
J Bone Joint Surg Br 2009;91-B:928-934.
ABSTRACT
| FULL TEXT
Influence of resident training on anaesthesia induction times
Schuster et al.
Br J Anaesth 2008;101:640-647.
ABSTRACT
| FULL TEXT
Proficiency-Based Laparoscopic Simulator Training Leads to Improved Operating Room Skill That Is Resistant to Decay
Stefanidis et al.
SURG INNOV 2008;15:69-73.
ABSTRACT
The Impact of Service-Specific Staffing, Case Scheduling, Turnovers, and First-Case Starts on Anesthesia Group and Operating Room Productivity: A Tutorial Using Data from an Australian Hospital
McIntosh et al.
Anesth. Analg. 2006;103:1499-1516.
ABSTRACT
| FULL TEXT
Resident Teaching Versus the Operating Room Schedule: An Independent Observer-Based Study of 1558 Cases
Davis et al.
Anesth. Analg. 2006;103:932-937.
ABSTRACT
| FULL TEXT
Neurology postgraduate training: what is to be done?
Wills
J. Neurol. Neurosurg. Psychiatry 2004;75:1513-1515.
FULL TEXT
|
