Evaluating the Impact of Resident Participation and the July Effect on Outcomes in Autologous Breast Reconstruction

Annals of Plastic Surgery
Winona W WuSamuel J Lin

Abstract

Although resident involvement in surgical procedures is critical for training, it may be associated with increased morbidity, particularly early in the academic year-a concept dubbed the "July effect." Assessments of such phenomena within the field of plastic surgery have been both limited and inconclusive. We sought to investigate the impact of resident participation and academic quarter on outcomes for autologous breast reconstruction. All autologous breast reconstruction cases after mastectomy were gathered from the 2005-2012 American College of Surgeons National Surgical Quality Improvement Program database. Multivariable logistic regression models were constructed to investigate the association between resident involvement and the first academic quarter (Q1 = July-September) with 30-day morbidity (odds ratios [ORs] with 95% confidence intervals). Medical and surgical complications, median operation time, and length of stay (LOS) were also compared. Overall, 2527 cases were identified. Cases with residents (n = 1467) were not associated with increased 30-day morbidity (OR, 1.20; 0.95-1.52) when compared with those without (n = 1060), although complications including transfusion (OR, 2.08; 1.39-3.13) and return to the operat...Continue Reading

References

Jun 25, 2008·The Annals of Thoracic Surgery·Jeffrey H ShuhaiberSamer A M Nashef
Sep 16, 2008·American Journal of Surgery·Amandeep S DhaliwalFaisal G Bakaeen
Oct 10, 2008·Circulation·Serban C StoicaRoger J F Baskett
Oct 15, 2009·BMJ : British Medical Journal·Guy HallerChristopher L Wu
Jun 1, 2010·Journal of General Internal Medicine·David P Phillips, Gwendolyn E C Barker
Aug 31, 2010·Journal of the American College of Surgeons·Shaun P PatelPaul S Cederna
Mar 4, 2011·American Journal of Surgery·Hishaam IsmaelIlan S Rubinfeld
Mar 15, 2011·Journal of the American College of Surgeons·Mehul V RavalClifford Y Ko
Apr 13, 2011·Journal of the American College of Surgeons·Damien J LaparGorav Ailawadi
Apr 16, 2011·Journal of the American College of Surgeons·Warren H TsengSteven L Chen
May 28, 2011·Plastic and Reconstructive Surgery·Joseph M SerlettiLouis P Bucky
Jul 13, 2011·Annals of Internal Medicine·John Q YoungAndrew D Auerbach
Feb 15, 2012·Annals of Surgery·John E ScarboroughTheodore N Pappas
Mar 1, 2012·Journal of Surgical Education·Dominic PapandriaFizan Abdullah
Jun 16, 2012·The Annals of Thoracic Surgery·Faisal G BakaeenWilliam L Holman
Aug 23, 2012·Journal of Surgical Education·Azam JanFawad J Khan
Jan 31, 2013·Journal of Neurosurgery. Spine·Jennifer S McDonaldDavid F Kallmes
Jun 6, 2013·The Laryngoscope·Patrick T HennesseyChristine G Gourin
Aug 30, 2013·Plastic and Reconstructive Surgery·Anita R KulkarniAmy K Alderman
Sep 11, 2013·Journal of Surgical Education·Farah KaripineniJorge Ortiz
Feb 1, 2014·Journal of Plastic Surgery and Hand Surgery·John P FischerStephen J Kovach
Mar 7, 2014·JAMA Surgery·Rebecca A SnyderD Brandon Williams
Mar 29, 2014·Canadian Journal of Surgery. Journal Canadien De Chirurgie·Praful RaviQuoc-Dien Trinh
Apr 4, 2014·The Journal of Bone and Joint Surgery. American Volume·Jane S HoashiPatrick J Cahill
Apr 11, 2015·Journal of Neurosurgery. Spine·Michael J DurkinDeverick J Anderson
Oct 16, 2015·American Journal of Surgery·Zhobin MoghadamyeghanehMichael J Stamos
Dec 17, 2015·Journal of Neurosurgery·Bryan A LieberE Sander Connolly
Feb 26, 2016·International Journal of Spine Surgery·Rafael De la Garza-RamosDaniel M Sciubba
Mar 5, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ammara A WatkinsTara S Kent
May 29, 2016·Aesthetic Plastic Surgery·Benjamin B MassenburgPeter J Taub
Dec 5, 2016·Journal of Shoulder and Elbow Surgery·Allison J RaoAnthony A Romeo
Dec 31, 2016·Bladder Cancer·Keegan ZukEugene K Lee

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Citations

Apr 11, 2019·The Laryngoscope·Amishav Y BreslerRichard Chan Woo Park
Sep 7, 2019·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Hossein E JazayeriZachary S Peacock
Oct 1, 2019·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Hossein E JazayeriZachary S Peacock
Mar 19, 2019·Annals of Plastic Surgery·William Y ZhuFernando A Herrera

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