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Assessing the effort associated with teaching residents.

Publication ,  Journal Article
Aibel, KR; Truong, T; Shammas, RL; Cho, EH; Buretta, KJ; Pomann, G-M; Hollenbeck, ST
Published in: J Plast Reconstr Aesthet Surg
December 2017

BACKGROUND: Intraoperative resident education is an integral mission of academic medical centers and serves as the basis for training the next generation of surgeons. The actual effort associated with teaching residents is unknown as it pertains to additional operative time. Using a large validated multi-institutional dataset, this study aims to quantify the effect of having a resident present in common plastic surgery procedures on operative time. Future directions for developing standardized methods to record and report teaching time are proposed, which can help inform prospective studies. STUDY DESIGN: The 2006-2012 American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was queried to identify seven isolated plastic surgical procedures that were categorized based on resident involvement and supervision. Linear regression models were used to calculate the difference in operative time with respect to resident participation while controlling for patient and operative factors. RESULTS: Resident involvement was associated with longer operative times for muscle flap trunk procedures (53 min, 95% CI = [25, 80], p-value = 0.0002) and breast reconstruction procedures with a latissimus dorsi flap (55 min, 95% CI = [22, 88], p-value = 0.001). For six of the seven surgeries evaluated, resident involvement was associated with longer operative times, as compared to no resident involvement. CONCLUSION: Resident involvement is associated with an increase in operative time for certain plastic surgery procedures. This finding underscores the need for a mechanism to quantify the time and effort that the attending surgeons allocate toward intraoperative resident education. Further study is also necessary to determine the causal impact on patient care.

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Published In

J Plast Reconstr Aesthet Surg

DOI

EISSN

1878-0539

Publication Date

December 2017

Volume

70

Issue

12

Start / End Page

1725 / 1731

Location

Netherlands

Related Subject Headings

  • Workload
  • United States
  • Teaching
  • Surgery, Plastic
  • Surgery
  • Operative Time
  • Internship and Residency
  • Humans
  • Education, Medical, Graduate
  • Clinical Competence
 

Citation

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Aibel, K. R., Truong, T., Shammas, R. L., Cho, E. H., Buretta, K. J., Pomann, G.-M., & Hollenbeck, S. T. (2017). Assessing the effort associated with teaching residents. J Plast Reconstr Aesthet Surg, 70(12), 1725–1731. https://doi.org/10.1016/j.bjps.2017.07.014
Aibel, Kelli R., Tracy Truong, Ronnie L. Shammas, Eugenia H. Cho, Kate J. Buretta, Gina-Maria Pomann, and Scott T. Hollenbeck. “Assessing the effort associated with teaching residents.J Plast Reconstr Aesthet Surg 70, no. 12 (December 2017): 1725–31. https://doi.org/10.1016/j.bjps.2017.07.014.
Aibel KR, Truong T, Shammas RL, Cho EH, Buretta KJ, Pomann G-M, et al. Assessing the effort associated with teaching residents. J Plast Reconstr Aesthet Surg. 2017 Dec;70(12):1725–31.
Aibel, Kelli R., et al. “Assessing the effort associated with teaching residents.J Plast Reconstr Aesthet Surg, vol. 70, no. 12, Dec. 2017, pp. 1725–31. Pubmed, doi:10.1016/j.bjps.2017.07.014.
Aibel KR, Truong T, Shammas RL, Cho EH, Buretta KJ, Pomann G-M, Hollenbeck ST. Assessing the effort associated with teaching residents. J Plast Reconstr Aesthet Surg. 2017 Dec;70(12):1725–1731.
Journal cover image

Published In

J Plast Reconstr Aesthet Surg

DOI

EISSN

1878-0539

Publication Date

December 2017

Volume

70

Issue

12

Start / End Page

1725 / 1731

Location

Netherlands

Related Subject Headings

  • Workload
  • United States
  • Teaching
  • Surgery, Plastic
  • Surgery
  • Operative Time
  • Internship and Residency
  • Humans
  • Education, Medical, Graduate
  • Clinical Competence