Original ArticlesThe financial impact of teaching surgical residents in the operating room
Section snippets
Methods
Since our residency is not large enough to allow resident participation in all operative procedures, surgical faculty perform some cases without resident participation. Since the faculty surgeon is constant, the variable of resident participation was thought to be an adequate means of separating cases into those definitely not done by a resident and those probably done by a resident. Both resident and faculty evaluations have suggested that over 95% of the procedures that involve a resident are
Results
There were 14,452 total cases for analysis, 9,733 with a resident and 4,719 with no resident (Table IV). There were 46 operative case categories (10,787 cases) in which procedures performed with a resident required longer operative times (103 minutes average time) when compared with cases done without a resident (61 minutes average time). This resulted in a total of 148,812 more minutes (2,480 hours), of operating time than would have been expected if the case times had been the same as those
Comments
One can certainly take exception to the methodologies used in this analysis. Some of the cases listed with the resident may actually have been done by faculty, but our internal analysis seems to indicate that cases done with a resident listed by operating room personnel as assistant serves as a reasonable proxy for “case done by resident with faculty in attendance.” If anything, the potential to have some resident cases actually done by faculty would minimize the effect of lost time rather than
References (3)
- Fishman LE. Medicare payments with an education label: fundamentals and the future. Association of American Medical...
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