Senior surgical resident autonomy and teaching assistant cases: A prospective observational study

Senior surgical resident autonomy and teaching assistant cases: A prospective observational study

Teaching assistant (TA) cases allow senior residents (SR) to gain autonomy. We compared the safety profiles of TA cases performed under direct vs. indirect staff supervision. Prospective observational study of operative cases where a SR served as the TA between 7/2014-6/2017 (n = 161). Patient/opera...

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Veröffentlicht in:The American journal of surgery 2020-05, Vol.219 (5), p.846-850
Hauptverfasser: Do, Woo S., Sheldon, Rowan R., Phillips, Cody J., Eckert, Matthew J., Sohn, Vance Y., Martin, Matthew J.
Format: Artikel
Sprache:eng
Schlagworte:
Appendectomy
Autonomy
Cardiovascular disease
Cholecystectomy
Complications
Gastrointestinal surgery
Hernia
Hernias
Laparoscopy
Medical education
Observational studies
Patient safety
Resident education
Safety
Studies
Supervision
Surgical outcomes
Surgical training
Teaching assistants
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Zusammenfassung:Teaching assistant (TA) cases allow senior residents (SR) to gain autonomy. We compared the safety profiles of TA cases performed under direct vs. indirect staff supervision. Prospective observational study of operative cases where a SR served as the TA between 7/2014-6/2017 (n = 161). Patient/operative characteristics, 30-day outcomes, and SR survey data were compared by level of supervision. Case mix included 68 laparoscopic appendectomies (42%), 49 laparoscopic cholecystectomies (30%), 10 I&Ds (6%), 10 umbilical hernia repairs (6%), 4 port placements (3%), and 11 others. Indirectly supervised cases were shorter (61 vs. 76 min, p 
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2020.02.039