Surgical Resident Training Essay
Introduction:
Surgical resident training relies significantly on intra-operative mentorship and supervised participation in operative procedures. However, an evolving healthcare economy has brought a spotlight to the quality and value of health care delivery models and led to re-examination of prevalent teaching practices.1, 2 Further, patients and other stakeholders may harbor additional concerns about the impact of surgical resident participation on their operative experience.3-5
The impact of supervised resident participation on utilization of operative time resource in parotid surgery has not been studied. While resident training is indispensable to preparing a competent surgical workforce, an examination of the impact of resident participation …show more content…
Procedural complexity and time commitments related to superficial parotidectomy with dissection and preservation of the facial nerve are likely to differ from other procedures including total parotidectomy without nerve dissection, partial parotidectomy without nerve dissection, procedures involving cervical nodal dissection or re-operative cases. As a result, these closely related but different procedures were not considered for analyses in this study to ensure homogeneity of patient cohorts and minimization of confounding …show more content…
Cases with missing data regarding surgeon participation and occurrences when the attending surgeon was not scrubbed (but available in the immediate vicinity) were excluded. A total of 1,235 cases were available for evaluation, and these were stratified into two groups. Procedures where an attending surgeon scrubbed with resident surgeon (AR) and those where the attending surgeon operated alone without resident assistance (AA) were compared. Preoperative variables and co-morbid conditions were assessed to establish comparability between the two groups. The intra-operative time end points were identified and operative durations were evaluated to assess impact of directly supervised resident participation versus cases that were performed by an attending surgeon alone. Secondary outcome variables included post-operative complications, length of hospitalization, re-operation and readmission
Surgical resident training relies significantly on intra-operative mentorship and supervised participation in operative procedures. However, an evolving healthcare economy has brought a spotlight to the quality and value of health care delivery models and led to re-examination of prevalent teaching practices.1, 2 Further, patients and other stakeholders may harbor additional concerns about the impact of surgical resident participation on their operative experience.3-5
The impact of supervised resident participation on utilization of operative time resource in parotid surgery has not been studied. While resident training is indispensable to preparing a competent surgical workforce, an examination of the impact of resident participation …show more content…
Procedural complexity and time commitments related to superficial parotidectomy with dissection and preservation of the facial nerve are likely to differ from other procedures including total parotidectomy without nerve dissection, partial parotidectomy without nerve dissection, procedures involving cervical nodal dissection or re-operative cases. As a result, these closely related but different procedures were not considered for analyses in this study to ensure homogeneity of patient cohorts and minimization of confounding …show more content…
Cases with missing data regarding surgeon participation and occurrences when the attending surgeon was not scrubbed (but available in the immediate vicinity) were excluded. A total of 1,235 cases were available for evaluation, and these were stratified into two groups. Procedures where an attending surgeon scrubbed with resident surgeon (AR) and those where the attending surgeon operated alone without resident assistance (AA) were compared. Preoperative variables and co-morbid conditions were assessed to establish comparability between the two groups. The intra-operative time end points were identified and operative durations were evaluated to assess impact of directly supervised resident participation versus cases that were performed by an attending surgeon alone. Secondary outcome variables included post-operative complications, length of hospitalization, re-operation and readmission