Career phase of board-certified general surgeons: Workload composition and outcomes

Archives of Surgery

Volumn 146, Issue 11, 2011, Pages 1307-1313

  Studnicki, James ^a   Fisher, John W ^a   Tsulukidze, M Maka ^a   Taylor, Yhenneko J ^a   Salandy, Simone ^a   Laditka, James N ^a  

^a UNIVERSITY OF NORTH CAROLINA AT CHARLOTTE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CARDIOVASCULAR SURGERY; CAREER; CERTIFICATION; FEMALE; HUMAN; MALE; OUTCOME ASSESSMENT; PATIENT SAFETY; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; SURGEON; SURGICAL MORTALITY; WORKLOAD;

ADULT; CAREER CHOICE; CLINICAL COMPETENCE; CROSS-SECTIONAL STUDIES; FEMALE; GENERAL SURGERY; HUMANS; MALE; RISK FACTORS; SPECIALTIES, SURGICAL; SPECIALTY BOARDS; SURGICAL PROCEDURES, OPERATIVE; UNITED STATES; WORKLOAD; YOUNG ADULT;

EID: 81855211071     PISSN: 00040010     EISSN: 15383644     Source Type: Journal    
DOI: 10.1001/archsurg.2011.265     Document Type: Article

References (28)

1. DeFrances C, Lucas C, Buie V, Golosinskiy A. 2006 National Hospital Discharge Survey. Hyattsville, MD: National Center for Health Statistics; 2008.
2. Dudley RA, Johansen KL, Brand R, Rennie DJ, Milstein A. Selective referral to high-volume hospitals: estimating potentially avoidable deaths. JAMA. 2000;283(9):1159-1166. (Pubitemid 30126604)
3. Halm EA, Lee C, Chassin MR. Is volume related to outcome in health care? a systematic review and methodologic critique of the literature. Ann Intern Med. 2002;137(6):511-520. (Pubitemid 35024623)
4. Birkmeyer JD, Stukel TA, Siewers AE, Goodney PP, Wennberg DE, Lucas FL. Surgeon volume and operative mortality in the United States. N Engl J Med. 2003;349(22):2117-2127. (Pubitemid 37464537)
5. Prystowsky JB, Bordage G, Feinglass JM. Patient outcomes for segmental colon resection according to surgeon's training, certification, and experience. Surgery. 2002;132(4):663-670.
6. Ritchie WP Jr, Rhodes RS, Biester TW. Work loads and practice patterns of general surgeons in the United States, 1995-1997: a report from the American Board of Surgery. Ann Surg. 1999;230(4):533-542.
7. Bilimoria KY, Phillips JD, Rock CE, Hayman A, Prystowsky JB, Bentrem DJ. Effect of surgeon training, specialization, and experience on outcomes for cancer surgery: a systematic review of the literature. Ann Surg Oncol. 2009;16(7):1799-1808.
8. Stolley PD, Becker MH, Lasagna L, McEvilla JD, Sloane LM. The relationship between physician characteristics and prescribing appropriateness. Med Care. 1972;10(1):17-28.
9. Elixhauser A, Steiner C, Palmer L. Clinical Classifications Software. Rockville, MD: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project; 2010.
10. Kourtis AP, Paramsothy P, Posner SF, Meikle SF, Jamieson DJ. National estimates of hospital use by children with HIV infection in the United States: analysis of data from the 2000 KIDS Inpatient Database. Pediatrics. 2006;118(1):e167-e173. (Pubitemid 46071132)
11. Cook CB, Tsui C, Ziemer DC, Naylor DB, Miller WJ. Common reasons for hospitalization among adult patients with diabetes. Endocr Pract. 2006;12(4):363-370. (Pubitemid 44717594)
12. King J, Fraher EP, Ricketts TC, Charles A, Sheldon GF, Meyer AA. Characteristics of practice among rural and urban general surgeons in North Carolina. Ann Surg. 2009;249(6):1052-1060.
13. Agency for Healthcare Research and Quality. Comorbidity Software, version 3.6. http://www.hcup-us.ahrq.gov/toolssoftware/comorbidity/comorbidity.jsp. Accessed November 12, 2010.
14. Elixhauser A, Steiner C, Harris DR, Coffey RM. Comorbidity measures for use with administrative data. Med Care. 1998;36(1):8-27. (Pubitemid 128456396)
15. Zou G. A modified Poisson regression approach to prospective studies with binary data. Am J Epidemiol. 2004;159(7):702-706. (Pubitemid 38405384)
16. Zeger SL, Liang KY. Longitudinal data analysis for discrete and continuous outcomes. Biometrics. 1986;42(1):121-130.
17. Chowdhury MM, Dagash H, Pierro A. A systematic review of the impact of volume of surgery and specialization on patient outcome. Br J Surg. 2007;94(2):145-161. (Pubitemid 46340392)
18. Wurtz R, Wittrock B, Lavin MA, Zawacki A. Do new surgeons have higher surgical-site infection rates? Infect Control Hosp Epidemiol. 2001;22(6):375-377. (Pubitemid 32777039)
19. Choudhry NK, Fletcher RH, Soumerai SB. Systematic review: the relationship between clinical experience and quality of health care. Ann Intern Med. 2005;142(4):260-273. (Pubitemid 40216243)
20. Rhee SO. Factors determining the quality of physician performance in patient care. Med Care. 1976;14(9):733-750.
21. Cofer JB, Burns RP. The developing crisis in the national general surgery workforce. J Am Coll Surg. 2008;206(5):790-797.
22. Stitzenberg KB, Sheldon GF. Progressive specialization within general surgery: adding to the complexity of workforce planning. J Am Coll Surg. 2005;201(6):925-932. (Pubitemid 41689323)
23. Sanchez M, Sariego J. The general surgeon shortage: causes, consequences, and solutions. South Med J. 2009;102(3):291-294.
24. Dimick JB, Birkmeyer JD, Upchurch GR Jr. Measuring surgical quality: what's the role of provider volume? World J Surg. 2005;29(10):1217-1221. (Pubitemid 41625962)
25. Hannan EL, Kilburn H Jr, Bernard H, O'Donnell JF, Lukacik G, Shields EP. Coronary artery bypass surgery: the relationship between inhospital mortality rate and surgical volume after controlling for clinical risk factors. Med Care. 1991;29(11):1094-1107.
26. Houchens RL, Elixhauser A, Romano PS. How often are potential patient safety events present on admission? Jt Comm J Qual Patient Saf. 2008;34(3):154-163.
27. Isaac T, Jha AK. Are patient safety indicators related to widely used measures of hospital quality? J Gen Intern Med. 2008;23(9):1373-1378.
28. Moxey E, Nash D. Volume/outcome in CABG and PTCA: a summary of the literature. Health Policy. 2003;16(1):6.