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Does implementing a general surgery residency program and resident involvement affect patient outcomes and increase
Trevor Wexner1, Armando Rosales-Velderrain1, Steven D Wexner1
1Department of Surgery, Cleveland Clinic Florida, Weston, FL, USA.
American Journal of Surgery
|November 28, 2016
Summary
A new general surgery residency program (GSRP) increased operative times and costs but did not negatively affect patient outcomes or complication rates for common procedures.
Area of Science:
- Surgical Education
- Health Services Research
- Patient Outcomes
Background:
- General surgery residency programs (GSRP) have shown variable impacts on patient outcomes and healthcare costs.
- Evaluating the specific effects of a newly implemented GSRP is crucial for understanding its value.
Purpose of the Study:
- To determine if a new general surgery residency program (GSRP) significantly altered patient outcomes and associated costs.
- To compare patient outcomes and charges for specific procedures before and after GSRP implementation.
Main Methods:
- Retrospective analysis of laparoscopic appendectomies (lap-ap), cholecystectomies (lap-chole), and inguinal hernia repairs (IHR).
- Data collected on operative time, incision closure time, length of stay, complication rates, and charges.
- Comparison of outcomes and costs between pre-GSRP and post-GSRP implementation periods.
Main Results:
- Operative time and incision closure time significantly increased for all analyzed procedures (lap-ap, lap-chole, IHR).
- Length of stay increased only for lap-ap; complication rates remained unchanged across all procedures.
- Healthcare charges significantly increased for all analyzed procedures post-GSRP implementation.
Conclusions:
- Implementation of a new general surgery residency program (GSRP) led to increased operative times and healthcare charges.
- Despite increased times and costs, the GSRP did not result in adverse patient outcomes or higher complication rates.
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