Impact of Resident Involvement on Urological Surgery Outcomes: An Analysis of 40,000 Patients from the ACS NSQIP Database

Abstract

Urology resident involvement is not associated with increased overall and surgical complications. It may even be protective when adjusted for appropriate factors such as case mix, complexity and operative time.

Increase in Cesarean Operative Time Following Institution of the 80-Hour Workweek

“…Others have demonstrated that inclusion of residents in surgical cases increased operative time compared to attending physicians performing the procedure alone. [10][11][12][13] The effect of the duty hour restrictions on patient outcomes in the surgical literature is conflicting. [14][15][16] Studies in general surgery and obgyn suggest that laboratory-based training leads to more rapid improvement in technical skills and that residents who participate in laboratory-based/simulation training achieve greater competency during patient procedures.…”

Rhabdomyolysis After Major Urologic Surgery: Epidemiology, Risk Factors, and Outcomes

“…16,17 Although operative time was not available for analysis, urologic procedures with resident involvement have been shown to have longer operative times but lower overall complication rates. 18 In addition, teaching hospitals tend to be highervolume facilities, which is also associated with lower rates of surgical complications. 19,20 This may also contribute to the finding that teaching hospital status was not an independent risk factor for RM.…”

Impact of Resident Participation on Outcomes After Single-Level Anterior Cervical Diskectomy and Fusion

“…3,4 Numerous studies were conducted to elucidate the relationship between resident involvement and postoperative complications with conflicting results. [5][6][7][8][9][10][11][12] Several studies have demonstrated that resident involvement was not a risk factor for increased complications in neurosurgery, orthopedic surgery, or urology. [5][6][7][8] Meanwhile, other studies have shown increased operative durations and post-operative complications when residents were involved in surgery.…”