Resident and Fellow Participation in Breast Surgery: An American College of Surgeons NSQIP Clinical Outcomes Analysis

The Impact of Resident and Fellow Participation in Transsphenoidal Pituitary Surgery

“…Intuitively, residents and fellows' operative times shorten as they advance in their training. 6,13 As evidenced in our data, of the 315 total residents and fellows, 210 of them were PGY4 or greater. These results support that the current otolaryngology and neurosurgery residency agenda ensures graded responsibility based on skill set of the resident and complexity of the procedure.…”

“…This may be attributed to the possibility that pituitary surgeries typically involve more senior‐level residents and fellows whose surgical competencies are closer to that of the attending surgeon. Intuitively, residents and fellows' operative times shorten as they advance in their training . As evidenced in our data, of the 315 total residents and fellows, 210 of them were PGY4 or greater.…”

Does resident involvement in thyroid surgery lead to increased postoperative complications?

“…Due to this worry, the medical community has recently started investigating the topic. Studies in general, plastic, orthopedic, urologic, and head and neck surgery have yielded inconsistent results regarding the potentially adverse influence resident participation in surgery has on postoperative outcomes.…”

The impact of resident involvement in breast reconstruction surgery outcomes by modality: An analysis of 4,500 cases

“…The literature has examined resident involvement in patient outcomes among different subspecialties and procedure types. While some of these studies resulted in poorer outcomes with resident involvement (Advani, Ahad, Gonczy, Markwell, Hassan, ; Davis, Husain, Lin, Nandipati, Perez, Sweeney, ; Hernández‐Irizarry, Zendejas, Ali, Lohse, Farley, ; Iannuzzi et al, ,b; Kern, Lustik, McMann, Thibault, Sterbis, ; Papandria et al, ; Schoenfeld, Serrano, Waterman, Bader, Belmont, ), others reported no detrimental results (Jordan et al, ; Chatterjee et al, ; Jan, Riggs, Orlando, Khan, ; Saliba et al, ; Kiran et al, ; Hirche et al, ). The impact of resident involvement in breast surgery (Chatterjee et al, ) and breast reduction surgery (Fischer, Wes, Kovach, ) has been studied.…”

“…Similarly, Jordan and colleagues examined 2006 through 2010 NSQIP data with respect to reconstructive plastic surgery cases and found that resident involvement resulted in modestly increased morbidity and similar or decreased mortality(Jordan et al, 2012). On the other hand, the analysis by Chatterjee et al demonstrated no significant difference in complication rates with trainee participation in breast cancer surgery including partial and complete mastectomy(Chatterjee et al, 2015). Patel and colleagues examined resident involvement in reduction mammoplasty and demonstrated that resident participation did not negatively influence outcomes(Patel et al, 2010).Sebai et al also reported no increased morbidity, reoperation, or readmission with resident involvement in immediate breast reconstruction(Sebai et al, 2016).…”