Trainee participation is associated with adverse outcomes in emergency general surgery: An analysis of the national surgical quality improvement program database

Annals of Surgery

Volumn 260, Issue 3, 2014, Pages 483-493

  Kasotakis, George ^a   Lakha, Aliya ^a   Sarkar, Beda ^a   Kunitake, Hiroko ^a   Kissane Lee, Nicole ^a   Dechert, Tracey ^a   McAneny, David ^a   Burke, Peter ^a   Doherty, Gerard ^a  

^a BOSTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

emergency general surgery; graduate medical education; National Surgical Quality Improvement Program; operative time; outcomes; residents; supervision; trainees

Indexed keywords

ADULT; APPENDECTOMY; EDUCATION; EMERGENCY HEALTH SERVICE; FEMALE; GENERAL SURGERY; HUMAN; LENGTH OF STAY; MALE; MEDICAL EDUCATION; MIDDLE AGED; OPERATION DURATION; OUTCOME ASSESSMENT; POSTOPERATIVE COMPLICATIONS; RISK FACTOR; STATISTICAL MODEL; SURGERY; TOTAL QUALITY MANAGEMENT;

ADULT; APPENDECTOMY; EMERGENCY MEDICAL SERVICES; FEMALE; GENERAL SURGERY; HUMANS; INTERNSHIP AND RESIDENCY; LENGTH OF STAY; LOGISTIC MODELS; MALE; MIDDLE AGED; OPERATIVE TIME; OUTCOME ASSESSMENT (HEALTH CARE); POSTOPERATIVE COMPLICATIONS; QUALITY IMPROVEMENT; RISK FACTORS; SURGICAL PROCEDURES, OPERATIVE;

EID: 84906055198     PISSN: 00034932     EISSN: 15281140     Source Type: Journal    
DOI: 10.1097/SLA.0000000000000889     Document Type: Conference Paper

References (35)

1. Ryan C, Ross S, Davey P, et al. Prevalence and causes of prescribing errors: the PRescribing Outcomes for Trainee Doctors Engaged in Clinical Training (PROTECT) study. PLoS One. 2014;9:e79802.
2. Polanczyk CA, Lane A, Coburn M, Philbin EF, Dec GW, DiSalvo TG. Hospital outcomes in major teaching, minor teaching, and nonteaching hospitals in New York state. Am J Med. 2002;112:255-261.
3. Sandhu A, Moscucci M, Dixon S, et al. Differences in the outcome of patients undergoing percutaneous coronary interventions at teaching versus non-teaching hospitals. Am Heart J. 2013;166:401-408.
4. McLauchlan CA, Jones K, Guly HR. Interpretation of trauma radiographs by junior doctors in accident and emergency departments: a cause for concern? J Accident Emerg Med. 1997;14:295-298.
5. Hope WW, Hooks WB, III, Kilbourne SN, et al. Assessing resident performance and training of colonoscopy in a general surgery training program. Surg Endosc. 2013;27:1706-1710.
6. Buchner AM, Shahid MW, Heckman MG, et al. Trainee participation is associated with increased small adenoma detection. Gastrointest Endosc. 2011;73:1223-1231.
7. Eckardt AJ, Swales C, Bhattacharya K, et al. Does trainee participation during colonoscopy affect adenoma detection rates? Dis Colon Rectum. 2009;52:1337-1344.
8. Fahrner R, Turina M, Neuhaus V, et al. Laparoscopic cholecystectomy as a teaching operation: comparison of outcome between residents and attending surgeons in 1, 747 patients. Langenbeck Arch Surg. 2012;397:103-110.
9. Iannuzzi JC, Rickles AS, Deeb AP, et al. Outcomes associated with resident involvement in partial colectomy. Dis Colon Rectum. 2013;56:212-218.
10. Kern SQ, Lustik MB, McMann LP, et al. Comparison of outcomes after minimally invasive versus open partial nephrectomy with respect to trainee involvement utilizing the American College of Surgeons National Surgical Quality Improvement Program. J Endourol. 2014;28:40-47.
11. Iannuzzi JC, Chandra A, Rickles AS, et al. Resident involvement is associated with worse outcomes after major lower extremity amputation. J Vasc Surg. 2013;58:827-831. e1.
12. Naiditch JA, Lautz TB, Raval MV, et al. Effect of resident postgraduate year on outcomes after laparoscopic appendectomy for appendicitis in children. J Laparoendosc Adv Surg Tech A. 2012;22:715-719.
13. Offner PJ, Hawkes A, Madayag R, et al. General surgery residents improve efficiency but not outcome of trauma care. J Trauma. 2003;55:14-19.
14. Rovito PF, Kreitz K, Harrison TD, et al. Laparoscopic Roux-en-Y gastric bypass and the role of the surgical resident. Am J Surg. 2005;189:33-37.
15. Schoenfeld AJ, Serrano JA, Waterman BR, et al. The impact of resident involvement on post-operative morbidity and mortality following orthopaedic procedures: a study of 43, 343 cases. Arch Orthop Trauma Surg. 2013;133:1483-1491.
16. Castleberry AW, Clary BM, Migaly J, et al. Resident education in the era of patient safety: a nationwide analysis of outcomes and complications in resident-Assisted oncologic surgery. Ann Surg Oncol. 2013;20:3715-3724.
17. Davis SS, Jr, Husain FA, Lin E, et al. Resident participation in index laparo-scopic general surgical cases: impact of the learning environment on surgical outcomes. J Am Coll Surg. 2013;216:96-104.
18. Papandria D, Rhee D, Ortega G, et al. Assessing trainee impact on operative time for common general surgical procedures in ACS-NSQIP. J Surg Educ. 2012;69:149-155.
19. Scarborough JE, Bennett KM, Pappas TN. Defining the impact of resident participation on outcomes after appendectomy. Ann Surg. 2012;255:577-582.
20. Tseng WH, Jin L, Canter RJ, et al. Surgical resident involvement is safe for common elective general surgery procedures. J Am Coll Surg. 2011;213:19-26; discussion 28.
21. Kiran RP, Ahmed Ali U, Coffey JC, et al. Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program. Ann Surg. 2012;256:469-475.
22. Shah R, Velanovich V, Syed Z, et al. Limitations of patient-Associated co-morbidity model in predicting postoperative morbidity and mortality in pancreatic operations. J Gastrointest Surg. 2012;16:986-992.
23. Turner PL, Saager L, Dalton J, et al. A nomogram for predicting surgical complications in bariatric surgery patients. Obes Surg. 2011;21:655-662.
24. Margenthaler JA, Longo WE, Virgo KS, et al. Risk factors for adverse outcomes following surgery for small bowel obstruction. Ann Surg. 2006;243:456-464
25. American College of Surgeons Surgical Risk Calculator. Available at: http://riskcalculator.facs.org. Accessed March 27, 2014.
26. American College of Surgeons National Surgical Quality Improvement Program. User Guide for the 2010 participant use data file. Available at: http://site. acsnsqip.org/wp-content/uploads/2012/03/2010-User-Guide FINAL.pdf. Accessed August 3, 2013.
27. Blackwell M, Iacus SM, King G, et al. Cem: coarsened exact matching in Stata. Stata J. 2009; 9: 524-546.
28. Krell RW, Birkmeyer NJ, Reames BN, et al. Effects of resident involvement on complication rates after laparoscopic gastric bypass. J Am Coll Surg. 2014;218:253-260.
29. Wilkiemeyer M, Pappas TN, Giobbie-Hurder A, et al. Does resident post graduate year influence the outcomes of inguinal hernia repair? Ann Surg. 2005;241:879-882; discussion 882-884.
30. Kazaure HS, Roman SA, Sosa JA. The resident as surgeon: an analysis of ACS-NSQIP. J Surg Res. 2012;178:126-132.
31. Itani KM, DePalma RG, Schifftner T, et al. Surgical resident supervision in the operating room and outcomes of care in Veterans Affairs hospitals. Am J Surg. 2005;190:725-731.
32. Shiloach M, Frencher SK, Jr, Steeger JE, et al. Toward robust information: data quality and inter-rater reliability in the American College of Surgeons National Surgical Quality Improvement Program. J Am Coll Surg. 2010;210:6-16.
33. Visser BC, Keegan H, Martin M, et al. Death after colectomy: it's later than we think. Arch Surg. 2009;144:1021-1027.
34. De Ponti R, Marazzi R, Doni LA, et al. Simulator training reduces radiation exposure and improves trainees' performance in placing electrophysiologic catheters during patient-based procedures. Heart Rhythm. 2012;9:1280-1285.
35. Nestel D, Groom J, Eikeland-Husebo S, et al. Simulation for learning and teaching procedural skills: the state of the science. Simul Healthc. 2011;6:S10-S13.