The effect of junior residents on surgical quality: A study of surgical outcomes in breast surgery

American Journal of Surgery

Volumn 202, Issue 6, 2011, Pages 654-658

  Aguilar, Brenda ^a   Sheikh, Fariha ^a   Pockaj, Barbara ^a   Wasif, Nabil ^a   Gray, Richard ^a  

^a MAYO CLINIC   (United States)

Author keywords

Breast cancer; Outcome and trainees; Quality; Reexcision and breast cancer; Residents; Surgical education

Indexed keywords

ADULT; AGED; ARTICLE; CANCER SURGERY; CLINICAL EFFECTIVENESS; CLINICAL PRACTICE; CONTROLLED STUDY; FEMALE; FOLLOW UP; HEALTH CARE QUALITY; HUMAN; HUMAN TISSUE; MAJOR CLINICAL STUDY; PARTIAL MASTECTOMY; PATIENT SAFETY; PRIORITY JOURNAL; PROFESSIONAL COMPETENCE; RESIDENCY EDUCATION; RETROSPECTIVE STUDY; TREATMENT OUTCOME; TUMOR VOLUME;

ADULT; AGED; AGED, 80 AND OVER; BREAST NEOPLASMS; CLINICAL COMPETENCE; EDUCATIONAL MEASUREMENT; FEMALE; FOLLOW-UP STUDIES; HUMANS; INTERNSHIP AND RESIDENCY; MASTECTOMY; MIDDLE AGED; NEOPLASM STAGING; RETROSPECTIVE STUDIES; TREATMENT OUTCOME;

EID: 82655187203     PISSN: 00029610     EISSN: 18791883     Source Type: Journal    
DOI: 10.1016/j.amjsurg.2011.05.018     Document Type: Article

References (16)

1. G. Freedman, B. Fowble, and A. Hanlon Patients with early stage invasive cancer with close or positive margins treated with conservative surgery and radiation have an increased risk of breast cancer recurrence that is delayed by adjuvant systemic therapy Int J Radiat Oncol Biol Phys 44 2004 1005 1015 (Pubitemid 29342901)
2. D. Wazer, R. Schmidt-Ullrich, and C. Schmid The value of breast lumpectomy margin assessment as a predictor of residual tumor burden Int J Radiat Oncol Biol Phys 38 1997 291 299 (Pubitemid 27318644)
3. C. Chinmaya, J. Davies, and Z. Rayter Factors affecting surgical margin clearance in screen-detected breast cancer and the effect of cavity biopsies on residual disease Eur J Surg Oncol 23 1997 123 127
4. J. Dixon, O. Ravisekar, and M. Cunnigham Factors affecting outcome of patients with impalpable breast cancer detected by breast screening Br J Surg 83 1996 997 1001 (Pubitemid 26228228)
5. S. McLaughlin, M. Wright, and K. Morris Prevalence of lymphedema in women with breast cancer 5 years after sentinel lymph node biopsy or axillary dissection: patient perceptions and precautionary behaviors J Clin Oncol 26 2008 5220 5226
6. V. Velanovich, F.R. Lewis Jr, and S.D. Nathanson Comparison of mammographically guided breast biopsy techniques Ann Surg 229 1999 625 630
7. M. O'Sullivan, T. Li, and G. Freedman The effect of multiple reexcisions on the risk of local recurrence after breast conserving surgery Ann Surg Oncol 14 2007 3133 3140 (Pubitemid 47594283)
8. B. Thompson, P. Baade, and M. Coory Patterns of surgical treatment for women diagnosed with early breast cancer in Queensland Ann Surg Oncol 15 2008 443 451 (Pubitemid 351643023)
9. B. Cleffken, J. Postelmans, and S. Olde Damink Breast-conserving therapy for palpable and nonpalpable breast cancer: can surgical residents do the job irrespective of experience? World J Surg 31 2007 1731 1736 (Pubitemid 47283213)
10. M. Landheer, L. Hoorntje, and J. Klinkenbijl The surgical treatment of nonpalpable breast carcinoma in a university teaching hospital and a general teaching hospital by residents-in-training and surgeons; comparable results Ned Tijdschr Geneeskd 148 2004 1724 1727 (Pubitemid 39165177)
11. K. Moorthy, V. Asopa, and E. Wiggins Is the reexcision rate higher if breast conservation surgery is performed by surgical trainees? Am J Surg 188 2004 45 48 (Pubitemid 38823054)
12. F. Sheikh, A. Rebecca, and B. Pockaj Inadequate margins of excision when undergoing mastectomy for breast cancer: which patients are at risk? Ann Surg Oncol 18 2011 952 956
13. J. Hughes, M. Mason, and R. Gray A multi-site validation trial of radioactive seed localization as an alternative to wire localization Breast 14 2008 153 157 (Pubitemid 351341837)
14. A. Naylor, M. Thompson, and K. Varty Provision of training in carotid surgery does not compromise patient safety Br J Surg 85 1998 939 942 (Pubitemid 28341564)
15. K. Singh, and R. Aitken Outcome in patients with colorectal cancer managed by surgical trainees Br J Surg 86 1999 1332 1336
16. D. Pallin, R. Harris, and C. Johnson Is consent "informed" when patients receive care from medical trainees? Acad Emerg Med 15 2008 1304 1308