The Cost of Intraoperative Plastic Surgery Education

Sasor, Sarah E.; Flores, Roberto L.; Wooden, William A.; Tholpady, Sunil S.

doi:10.1016/j.jsurg.2013.04.008

Cited by 34 publications

(32 citation statements)

References 10 publications

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“…However, these cost analyses are highly variable: Based on past studies, estimated cost per minute in the OR ranged from $4 to $42 per minute . These differential costs highlight the variability across hospital systems and identify a potential oversimplification of actual OR or “opportunity” costs …”

Section: Discussionmentioning

confidence: 99%

“…9,10,12 These differential costs highlight the variability across hospital systems and identify a potential oversimplification of actual OR or "opportunity" costs. 17 It is also unclear whether the time saved by limiting resident participation would translate into real differences in cost. Babineau et al offer a sophisticated economic analysis of these various costs, arguing that even if the time of resident involvement was "saved," the vast majority of OR costs are fixed and thus would not change.…”

Section: Discussionmentioning

confidence: 99%

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Impact of resident surgeons on procedure length based on common pediatric otolaryngology cases

et al. 2014

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Background Surgical education remains an important mission of academic medical centers. Financial pressures, however, may favor improved operating room (OR) efficiency at the expense of surgical education. We aim to characterize resident impact on the duration of procedural time using common pediatric otolaryngologic cases which do not necessitate a surgical assistant and assess whether other factors modify the extent to which residents impact OR efficiency. Study Design We retrospectively reviewed resident and attending surgeon total OR and procedural times for isolated tonsillectomy, adenoidectomy, tonsillectomy with adenoidectomy (T&A) and bilateral myringotomy with tube insertion between 2009 and 2013. We included cases supervised or performed by one of four teaching surgeons in children with ASA < 3. Regression analyses were used to identify predictors of procedural time. Results We identified a total of 3,922 procedures. Residents had significantly longer procedure times for all four procedures compared to an attending surgeon (range: 4.9 to 12.8 minutes, p<0.001). These differences were proportional to case complexity. When comparing mean procedural times, similar differences between the resident surgeon and attending surgeon cohorts were appreciated (p<0.0001). In T&A patients, older patient age, and attending surgeon identity were also significant predictors of increased mean procedural time (p<0.05). Conclusions Resident participation contributes to increased procedure time for common otolaryngology procedures. While residents may increase operative times, addressing other system-wide issues may decrease impact of time needed for education and added efficiencies of resident participation may exist throughout the perioperative period. Our model is applicable to surgical education across specialties. Level of Evidence 4

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impact of resident surgeons on procedure length based on common pediatric otolaryngology cases

et al. 2014

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“…Finally, we document here for the first time the time burden associated with educating an inexperienced scanner. Similar excess cost related to education has been demonstrated in certain surgical specialties, 11,12 but no such data exist for diagnostic imaging modalities such as echocardiography.…”

Section: Discussionmentioning

confidence: 81%

Determinants of Resource Utilization in a Tertiary Pediatric and Congenital Echocardiographic Laboratory

Banka

Schaetzle

Geva

2015

The American Journal of Cardiology

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“…Just as Sasor and colleagues 9 identified that all plastic surgery residents need to participate in cleft lip repair, although most will not perform this surgery in their practices, it is equally important for plastic surgery residents to have exposure to distal radius repair and other complex upper extremity procedures that may be beyond the comfort level of the surgeon who has completed plastic surgery training but not a hand fellowship. Higgins 5 specifically recommended that integrated plastic surgery residents should receive at least 4 months of hand surgery rotations by the middle of the fourth year of a 6-year program.…”

Section: Discussionmentioning

confidence: 99%

The Scope of Practice of Hand Surgery Within Plastic Surgery

Lifchez¹,

Friedrich²,

Hultman³

2015

Annals of Plastic Surgery

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In many residency programs, hand surgery exposure is in the setting of trauma and emergencies. The inclusion of complex elective hand surgeries within a plastic surgery practice and residency program allows residents to see the full spectrum of hand surgery. This allows them to make an informed decision regarding whether to seek subspecialty training and continue the participation of plastic surgeons in the full spectrum of hand surgery.

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The Cost of Intraoperative Plastic Surgery Education

Cited by 34 publications

References 10 publications

Impact of resident surgeons on procedure length based on common pediatric otolaryngology cases

Impact of resident surgeons on procedure length based on common pediatric otolaryngology cases

Determinants of Resource Utilization in a Tertiary Pediatric and Congenital Echocardiographic Laboratory

The Scope of Practice of Hand Surgery Within Plastic Surgery

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