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Tutorial Assistance for Board Certification in Surgery: Frequency, Associated Time and Cost.

Robert Mechera1, Salome Dell-Kuster2,3, Marco von Strauss Und Torney2,4

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Surgical residents increase operating room time and costs, impacting hospital finances. Training curricula need adjustments to ensure sufficient resident experience for board certification.

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Area of Science:

  • Surgical Education
  • Healthcare Economics
  • Medical Training

Background:

  • Tutorial assistance in surgery incurs extra time and costs, with ongoing debate on hospital financial compensation.
  • Quantifying the financial impact of training surgical residents is crucial for developing fair compensation models.
  • Switzerland serves as a case study for analyzing surgical resident training costs within a multi-subspecialty curriculum.

Purpose of the Study:

  • To quantify the additional time and costs associated with training surgical residents in operating theaters.
  • To determine the percentage of tutorial assistance provided during surgical procedures.
  • To analyze the financial implications of resident surgical training for board certification.

Main Methods:

  • Analysis of 200,700 operations conducted between 2008 and 2012.
  • Calculation of median procedure durations across four seniority levels (including residents).
  • Assessment of extra time, costs, and the proportion of procedures performed by residents over time.

Main Results:

  • Residents performed approximately one-third of all operations, including appendectomies.
  • Procedures like cholecystectomies showed increased duration and cost when performed by residents.
  • Residents performed less complex procedures in less defined categories, leading to shorter surgery times.

Conclusions:

  • The financial impact of tutorial assistance in surgical training is significant and requires adequate compensation.
  • A low percentage of procedures performed by trainees may hinder timely board certification, necessitating curriculum review.
  • Addressing the financial and experiential aspects of surgical resident training is essential for effective medical education.