[Financing and control of surgical training].

Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
W Schröder, K Welcker

Abstract

The present analyses of different surgical training systems show that training of surgical residents significantly contributes to hospital costs. These are predominantly caused by prolonged operation times of residents with increased work load for other staff members in the operating room. In addition, the productivity of surgical residents is less compared to experienced surgeons. On the other hand, hospital managements save money by the lower standard wages paid to the residents. The amount of educational costs is difficult to determine because surgical training takes place as on the job training. Therefore, from an economic point of view, the two products patient care and surgical training are difficult to separate. There are no reliable cost analyses available for the German training system. At present surgical training is indirectly financed by the DRG (diagnosis-related groups) flat rates of the health insurance. Possible options of financing the surgical training are additional funding from the health department or redistribution with supplemental payment for those surgical departments which contribute significantly more to the residents' training. Statements of medical associations, health departments and health insuran...Continue Reading

References

Feb 26, 1999·American Journal of Surgery·M Bridges, D L Diamond
Oct 3, 2000·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·B J LeiblR Bittner
Sep 8, 2001·The New England Journal of Medicine·C M Bell, D A Redelmeier
Apr 14, 2004·Archives of Surgery·Timothy J BabineauMichael Stone
Jul 28, 2004·The American Journal of Medicine·Peter CramGary E Rosenthal
May 4, 2005·The American Journal of Medicine·Mark L ZeidelM Dean Kinsey
Jun 21, 2005·Zentralblatt für Chirurgie·S FlohéC Waydhas
Jul 2, 2005·The American Journal of Medicine·Robert L KaneJonathan I Ravdin
Apr 6, 2006·The Laryngoscope·Orlando Guntinas-LichiusEberhard Stennert
Jun 25, 2008·The Annals of Thoracic Surgery·Jeffrey H ShuhaiberSamer A M Nashef
May 29, 2009·Annals of Surgery·Rachel R Kelz, Jon B Morris
May 29, 2009·Annals of Surgery·Michael J EnglesbeJohn D Birkmeyer

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Citations

Jul 10, 2016·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·W KneistH Lang

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