The cost of surgical training: Analysis of operative time for laparoscopic cholecystectomy

Surgical Endoscopy

Volumn 26, Issue 9, 2012, Pages 2579-2586

  Von Strauss Und Torney, M ^a,b   Dell Kuster, S ^a,c   Mechera, R ^a,b   Rosenthal, R ^a   Langer, I ^d  

^a UNIVERSITY HOSPITAL BASEL   (Switzerland)

^b Cantonal Hospital   (Switzerland)

^c UNIVERSITY HOSPITAL BASEL   (Switzerland)

^d Lindenhofspital   (Switzerland)

Author keywords

Cholecystectomy; Costs < Technical; Education; Training < Endoscopy

Indexed keywords

ARTICLE; CHOLECYSTECTOMY; ECONOMIC ASPECT; FEMALE; FINANCIAL MANAGEMENT; HUMAN; MALE; MULTIVARIATE ANALYSIS; NORMAL HUMAN; OPERATION DURATION; PRIORITY JOURNAL; QUANTITATIVE ANALYSIS; REGRESSION ANALYSIS; RESIDENT; SURGEON; SURGICAL TRAINING; TEACHING;

EID: 84866099817     PISSN: 09302794     EISSN: 14322218     Source Type: Journal    
DOI: 10.1007/s00464-012-2236-1     Document Type: Article

References (30)

1. Bartowski R (2009) Problem DRG: bleibt die ärztliche Weiterbildung auf der Strecke? Swiss Knife 3:8-10
2. Bridges M, Diamond DL (1999) The financial impact of teaching surgical residents in the operating room. Am J Surg 177:28-32
3. Frank S (2009) Financing graduate medical education. Nat Clin Pract Neurol 5:58-59
4. Webb TP, Brasel KJ, Redlich PN, Weigelt JA (2010) Putting a price on education: hours and dollars for a general surgery curriculum. Am J Surg 199:126-130
5. Glauser R (2010) Finanzierung der ärztlichen Weiterbildung. VSAO J 9:8
6. Babineau TJ, Becker J, Gibbons G, Sentovich S, Hess D, Robertson S et al (2004) The cost of operative training for surgical residents. Arch Surg 139:366-369 discussion 369-370
7. Chung RS (2005) How much time do surgical residents need to learn operative surgery? Am J Surg 190:351-353
8. Deziel DJ, Millikan KW, Staren ED, Doolas A, Economou SG (1993) The impact of laparoscopic cholecystectomy on the operative experience of surgical residents. Surg Endosc 7:17-21
9. Haji A, Khan A, Haq A, Ribeiro B (2009) Elective laparoscopic cholecystectomy for surgical trainees: predictive factors of operative time. Surgeon 7:207-210
10. Hwang CS, Pagano CR, Wichterman KA, Dunnington GL, Alfrey EJ (2008) Resident versus no resident: a single institutional study on operative complications, mortality, and cost. Surgery 144:339-344
11. Hwang CS, Wichterman KA, Alfrey EJ (2010) The cost of resident education. J Surg Res 163:18-23
12. Koperna T (2004) How long do we need teaching in the operating room? The true costs of achieving surgical routine. Langenbecks Arch Surg 389:204-208
13. Hutter MM, Kellogg KC, Ferguson CM, Abbott WM, Warshaw AL (2006) The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Ann Surg 243:864-871 discussion 871-875
14. Knapp R (2002) Financing graduate medical education and limiting resident work hours: a political assessment. Am J Surg 184:187-195
15. Telser H, Leukert K (2009) Finanzierung der ärztlichen Weiterbildung aus ökonomischer Sicht. Available at: http://www.polynomics.ch/dokumente/ Polynomics-Finanzierung-aerztl-WB-2009.pdf. Accessed 2 May 2011
16. Steyerberg EW (2009) Dealing with missing values. In: Gail M, Krickeberg K, Samet J, Tsiatis A, Wong W (eds) Clinical prediction models. Springer, New York, pp 113-136
17. Credit Suisse (2008) Devisendurchschnittskurse 2005-2008. Available at: https://www.credit-suisse.com/ch/unternehmen/kmugrossunternehmen/doc/ devisendurchschnittskurse-2008-de.pdf. Accessed 6 Jan 2011
18. Swiss DRG Casemix Office (2011) webgrouper.swissdrg.org. Available at: https://webgrouper.swissdrg.org. Accessed 23 June 2011
19. Kauvar DS, Braswell A, Brown BD, Harnisch M (2006) Influence of resident and attending surgeon seniority on operative performance in laparoscopic cholecystectomy. J Surg Res 132:159-163
20. Z'graggen K, Wehrli H, Metzger A, Buehler M, Frei E, Klaiber C (1998) Complications of laparoscopic cholecystectomy in Switzerland. A prospective 3-year study of 10,174 patients. Swiss Association of Laparoscopic and Thoracoscopic Surgery. Surg Endosc 12:1303-1310
21. Harrington DT, Roye GD, Ryder BA, Miner TJ, Richardson P, Cioffi WG (2007) A time-cost analysis of teaching a laparoscopic entero-enterostomy. J Surg Educ 64:342-345
22. Sefr R, Ochmann J (1995) Our experience with early integration of laparoscopic cholecystectomy in surgical residency training. Surg Endosc 9:902-904
23. Shaikh IA, Sanjay P, Joga K, Yalamarthi S, Daniel T, Amin AI (2009) Are we performing enough emergency laparoscopic cholecystectomies? An experience from a district general hospital. Int J Surg 7:482-484
24. Wang WN, Melkonian MG, Marshall R, Haluck RS (2001) Postgraduate year does not influence operating time in laparoscopic cholecystectomy. J Surg Res 101:1-3
25. Businger A, Guller U, Oertli D (2010) Effect of the 50-hour workweek limitation on training of surgical residents in Switzerland. Arch Surg 145:558-563
26. Allemann P, Schafer M, Demartines N (2010) Critical appraisal of single port access cholecystectomy. Br J Surg 97:1476-1481
27. O'Shea JS (2010) Individual and social concerns in American surgical education: paying patients, prepaid health insurance, Medicare and Medicaid. Acad Med 85:854-862
28. Jarman BT, Miller MR, Brown RS, Armen SB, Bozaan AG, Ho GT et al (2004) The 80-hour work week: will we have less-experienced graduating surgeons? Curr Surg 61:612-615
29. Orlowa P, Siegrista M, Giger M (2007) Die wichtigsten Resultate der Umfrage 2006 bei Assistenzärztinnen und Assistenzärzten. Schweiz Ärzteztg 88:633-642
30. van der Horst K, Siegrist M, Orlow P, Giger M (2010) Residents' reasons for specialty choice: influence of gender, time, patient and career. Med Educ 44:595-602