The impact of surgical trainee participation on sinus surgery outcomes

Abstract

2b.

Sino‐Nasal outcome test‐22 outcomes after sinus surgery: A systematic review and meta‐analysis

“…A total of 31 studies were considered to be duplicates from the same cohort, and an additional 53 failed to meet inclusion/exclusion criteria. The final study list included 40 unique patient cohorts published from 2008 to 2016 and representing institutions from North America (n = 14), Europe (n = 12), Middle East (n = 6), Australia (n = 3), Asia (n = 3), and South America (n = 2) . The majority of studies were prospective observational cohorts (n =2 3), with the remainder being surgical arms from randomized clinical trials (n = 7), retrospective cohorts (n = 7), or case‐control studies (n = 3).…”

Impact of resident involvement in outpatient otolaryngology procedures: An analysis of 17,647 cases

“…These multivariate findings concerning resident involvement in surgery agree with the previously published literature examining resident impact on outcomes in otolaryngology procedures. 11,12,17 Most importantly, these data add further support to the contention that patient safety is not compromised by resident involvement in cases. Our findings are consistent with published data from other surgical subspecialties.…”

“…Even after controlling for confounding factors, total operative time remained significantly higher with resident involvement than without (B = 31.2 [25.7–36.7], P < 0.001). These multivariate findings concerning resident involvement in surgery agree with the previously published literature examining resident impact on outcomes in otolaryngology procedures . Most importantly, these data add further support to the contention that patient safety is not compromised by resident involvement in cases.…”

“…Vieira et al indicated an increase in operative time for otolaryngology procedures in a univariate analysis between junior resident, senior resident, and fellow level involvement . Further agreeing with our findings of increased operative time, Meier et al indicated that resident participation led to increased operative time in specifically endoscopic sinus surgery; however, no increase in estimated blood loss or complication rates was observed . It is expected that operative times, complexity of cases, and comorbidities would be higher in the attending with resident group, which is confirmed in our analysis.…”

Association Between Surgical Trainee Daytime Sleepiness and Intraoperative Technical Skill When Performing Septoplasty

“…2,3 Sleep deprivation in surgical trainees is associated with cognitive dysfunction, including attention failures and impaired working memory and decision making, 4,5 all of which can adversely affect trainees' performance and learning in the operating room. Resident participation increases the duration of outpatient otolaryngology-head and neck surgical procedures, but does not seem to negatively affect patient outcomes, [6][7][8][9] perhaps owing to adequate supervision.…”