Outcomes associated with resident involvement in laparoscopic colorectal surgery suggest a need for earlier and more intensive resident training

Surgery (United States)

Volumn 156, Issue 4, 2014, Pages 825-833

  Gorgun, Emre ^a   Benlice, Cigdem ^a   Corrao, Elizabeth ^a   Hammel, Jeff ^a   Isik, Ozgen ^a   Hull, Tracy ^a   Remzi, Feza H ^a  

^a LERNER RESEARCH INSTITUTE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; COLORECTAL SURGERY; FEMALE; HOSPITAL COST; HUMAN; LAPAROSCOPIC SURGERY; LENGTH OF STAY; MALE; MIDDLE AGED; MORBIDITY; OPERATION DURATION; OUTCOME ASSESSMENT; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RESIDENCY EDUCATION; SURGICAL MORTALITY; AGED; CLINICAL COMPETENCE; ECONOMICS; EDUCATION; EVALUATION STUDY; HEALTH CARE QUALITY; LAPAROSCOPY; MEDICAL EDUCATION; METHODOLOGY; MORTALITY; STANDARD; STATISTICAL MODEL; STATISTICS; TREATMENT OUTCOME; UNITED STATES;

ADULT; AGED; CLINICAL COMPETENCE; COLORECTAL SURGERY; FEMALE; HUMANS; INTERNSHIP AND RESIDENCY; LAPAROSCOPY; LENGTH OF STAY; LOGISTIC MODELS; MALE; MIDDLE AGED; OPERATIVE TIME; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); POSTOPERATIVE COMPLICATIONS; QUALITY INDICATORS, HEALTH CARE; UNITED STATES;

EID: 84909644167     PISSN: 00396060     EISSN: 15327361     Source Type: Journal    
DOI: 10.1016/j.surg.2014.06.072     Document Type: Article

References (23)

1. B. Kerr, and J.P. O'leary The training of the surgeon: Dr. Halsted's greatest legacy Am Surg 65 1999 1101 1102
2. C.Y. Kang, W.J. Halabi, R. Luo, A. Pigazzi, N.T. Nguyen, and M.J. Stamos Laparoscopic colorectal surgery: a better look into the latest trends Arch Surg 147 2012 724 731
3. S.R. Steele, S.L. Stein, L.G. Bordeianou, E. Johnson, D.O. Herzig, and B.J. Champagne The impact of practice environment on laparoscopic colectomy utilization following colorectal residency: a survey of the ASCRS Young Surgeons Colorectal Dis 14 2012 374 381
4. C.S. Hwang, K.A. Wichterman, and E.J. Alfrey The cost of resident education J Surg Res 163 2010 18 23
5. S.F. Khuri, W.G. Henderson, J. Daley, O. Jonasson, R.S. Jones, and Campbell DA Jr. et al. Successful implementation of the Department of Veterans Affairs' National Surgical Quality Improvement Program in the private sector: the Patient Safety in Surgery study Ann Surg 248 2008 329 336
6. J. Daley, M.G. Forbes, G.J. Young, M.P. Charns, J.O. Gibbs, and K. Hur et al. Validating risk-adjusted surgical outcomes: site visit assessment of process and structure J Am Coll Surg 185 1997 341 351
7. R.P. Kiran, U. Ahmed Ali, J.C. Coffey, J.D. Vogel, N. Pokala, and V.W. Fazio Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program Ann Surg 256 2012 469 475
8. M.V. Raval, X. Wang, M.E. Cohen, A.M. Ingraham, D.J. Bentrem, and J.B. Dimick et al. The influence of resident involvement on surgical outcomes J Am Coll Surg 212 2011 889 898
9. J.C. Iannuzzi, A.S. Rickles, A.P. Deeb, A. Sharma, F.J. Fleming, and J.R. Monson Outcomes associated with resident involvement in partial colectomy Dis Colon Rectum 56 2013 212 218
10. D. Papandria, D. Rhee, G. Ortega, Y. Zhang, A. Gorgy, and M.A. Makary et al. Assessing trainee impact on operative time for common general surgical procedures in ACS-NSQIP J Surg Educ 69 2012 149 155
11. W.H. Tseng, L. Jin, R.J. Canter, S.R. Martinez, V.P. Khatri, and J. Gauvin et al. Surgical resident involvement is safe for common elective general surgery procedures J Am Coll Surg 213 2011 19 26
12. H.S. Kazaure, S.A. Roman, and J.A. Sosa The resident as surgeon: an analysis of ACS-NSQIP J Surg Res 178 2012 126 132
13. S.S. Davis Jr., F.A. Husain, E. Lin, K.C. Nandipati, S. Perez, and J.F. Sweeney Resident participation in index laparoscopic general surgical cases: impact of the learning environment on surgical outcomes J Am Coll Surg 216 2013 96 104
14. K.S. Rowell, F.E. Turrentine, M.M. Hutter, S.F. Khuri, and W.G. Henderson Use of national surgical quality improvement program data as a catalyst for quality improvement J Am Coll Surg 204 2007 1293 1300
15. M. Shiloach, S.K. Frencher Jr., J.E. Steeger, K.S. Rowell, K. Bartzokis, and M.G. Tomeh 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 210 2010 6 16
16. American College of Surgeons-National Surgical Quality Improvement Program. ACS-NSQIP User guide for the 2010 participant data use file. Available at: http://site.acsnsqip.org/wp-content/uploads/2012/03/2010-User-Guide-FINAL.pdf. Accessed October 29, 2013.
17. S.G. Mattar, A.A. Alseidi, D.B. Jones, D.R. Jeyarajah, L.L. Swanstrom, and R.W. Aye et al. General surgery residency inadequately prepares trainees for fellowship: results of a survey of fellowship program directors Ann Surg 258 2013 440 449
18. E. Lin, S. Szomstein, T. Addasi, L. Galati-Burke, J.W. Turner, and H.I. Tiszenkel Model for teaching laparoscopic colectomy to surgical residents Am J Surg 186 2003 45 48
19. J.H. Peters, G.M. Fried, L.L. Swanstrom, N.J. Soper, L.F. Sillin, and B. Schirmer et al. Development and validation of a comprehensive program of education and assessment of the basic fundamentals of laparoscopic surgery Surgery 135 2004 21 27
20. M.L. Hafford, K.R. Van Sickle, R.E. Willis, T.D. Wilson, K. Gugliuzza, and K.M. Brown et al. Ensuring competency: are fundamentals of laparoscopic surgery training and certification necessary for practicing surgeons and operating room personnel? Surg Endosc 27 2013 118 126
21. C.S. Hwang, C.R. Pagano, K.A. Wichterman, G.L. Dunnington, and E.J. Alfrey Resident versus no resident: a single institutional study on operative complications, mortality, and cost Surgery 144 2008 339 344
22. K.M. Itani, R.G. DePalma, T. Schifftner, K.M. Sanders, B.K. Chang, and W.G. Henderson et al. Surgical resident supervision in the operating room and outcomes of care in Veterans Affairs hospitals Am J Surg 190 2005 725 731
23. T.J. Babineau, J. Becker, G. Gibbons, S. Sentovich, D. Hess, and S. Robertson et al. The "cost" of operative training for surgical residents Arch Surg 139 2004 366 369 discussion 369-70