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Resident Involvement in Shoulder-Stabilization Procedures Is Not Associated With an Increased Risk of 30-Day

John D Jovan1, Aaron J Marcel1, Karen M Myrick1

  • 1Frank H. Netter M.D. School of Medicine, Quinnipiac University, North Haven, Connecticut, U.S.A.

Arthroscopy, Sports Medicine, and Rehabilitation
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Summary

Resident involvement in shoulder stabilization surgery increases operative time but does not raise 30-day complication risks. This study analyzed outcomes from the American College of Surgeons National Surgical Quality Improvement database.

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Area of Science:

  • Orthopedic Surgery
  • Surgical Quality Improvement

Background:

  • Resident participation in surgical training is crucial for skill development.
  • Evaluating the impact of resident involvement on patient outcomes is essential for quality assurance.

Purpose of the Study:

  • To examine the 30-day postoperative outcomes of resident involvement in shoulder-stabilization surgical procedures.
  • To assess the association between resident participation and surgical outcomes using a large national database.

Main Methods:

  • Retrospective review of the American College of Surgeons National Surgical Quality Improvement database (2010-2018).
  • Inclusion of various shoulder stabilization procedures (e.g., arthroscopic Bankart, Latarjet).
  • Comparison of outcomes between 'attending alone' and 'attending and resident' groups using statistical analysis, including logistic regression with propensity score.

Main Results:

  • 28.8% of 3,954 shoulder stabilization procedures involved resident participation.
  • Resident involvement was associated with longer operative times (91 vs. 85 minutes).
  • Complication rates were low and similar between groups (approximately 0.8%), with no significant increase linked to resident involvement.

Conclusions:

  • Resident involvement in shoulder stabilization surgery is linked to increased operative time.
  • There is no significant increase in 30-day postoperative complications associated with resident involvement.
  • This suggests that resident participation can be safely integrated into shoulder stabilization procedures without compromising short-term patient safety.