The financial impact of teaching surgical residents in the operating room
The financial impact of teaching surgical residents in the operating room
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DOI：
10.1016/s0002-9610(98)00289-x
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发表时间：
1999-01-01
影响因子：
3
通讯作者：
Diamond, DL
中科院分区：
文献类型：
--
作者：
Bridges, M;Diamond, DL
方法：在田纳西大学诺克斯维尔分校的医学中心，除了由住院医师实施的教学案例外，还有一些案例是在没有住院医师协助的情况下，由相同的院系进行的。结果：比较了62个病例类别，共14,452例，仅就手术次数进行了比较。在46个病例类别(10,787个手术)中，住院医生的手术时间比教师本身长。在16个病例类别中，住院医生的手术时间短于教职员工的时间。从1993年7月到1997年3月，净增加的手术时间成本为2050小时，假设对11名即将毕业的住院医师进行4年的手术培训，每个毕业住院医生的成本为47970美元。结论：以1997学年完成培训的1014名普外科住院医生的全国年成本推算，在手术室培训住院医生的年成本为5300万美元。这一高昂的货币成本表明，需要数字技能、选择标准、开发培训课程和资源设施、手术前需要缝合和缝合技术，或许还需要购买虚拟手术培训模块。《外科杂志》1999；177：28-32。(C)1999年，由Excerpta Medica，Inc.
BACKGROUND: There have been no published data regarding the cost of training surgical residents in the operating room.METHODS: At the University of Tennessee Medical Center-Knoxville, in addition to resident-performed teaching cases, some cases are performed without the assistance of residents by the same faculty.RESULTS: Sixty-two case categories involving 14,452 cases were compared for operative times alone. In 46 case categories (10,787 procedures), resident operative times were longer than faculty alone. In 16 case categories, resident operating times were shorter than faculty times. The net incremental operative time cost was 2,050 hours between July 1993 and March 1997, Assuming 4 years of operative training for 11 graduating chief residents, the cost per graduating resident was $47,970,CONCLUSION: Extrapolated to a national annual cost for the 1,014 general surgery residents who completed training in the 1997 academic year, the annual cost of training residents in the operating room is $53 million. This high monetary cost suggests the need for digital skills, selection criteria, the development of training curriculum and resource facilities, the pre-operating room need for suturing and stapling techniques, and perhaps the acquisition of virtual surgery training modules. Am J Surg. 1999;177:28-32. (C) 1999 by Excerpta Medica, Inc.