The costs and quality of operative training for residents in tympanoplasty type I

Acta Oto-laryngologica
Mao-Che WangChia-Yu Liu

Abstract

A teaching hospital would incur more operation room costs on training surgical residents. To evaluate the increased operation time and the increased operation room costs of operations performed by surgical residents. As a model we used a very common surgical otology procedure -- tympanoplasty type I. From January 1, 2004 to December 31, 2004, we included in this study 100 patients who received tympanoplasty type I in Taipei Veterans General Hospital. Fifty-six procedures were performed by a single board-certified surgeon and 44 procedures were performed by residents. We analyzed the operation time and surgical outcomes in these two groups of patients. The operation room cost per minute was obtained by dividing the total operation room expenses by total operation time in the year 2004. The average operation time of residents was 116.47 min, which was significantly longer (p<0.0001) than that of the board-certified surgeon (average 81.07 min). It cost USD $40.36 more for each operation performed by residents in terms of operation room costs. The surgical success rate of residents was 81.82%, which was significantly lower (p=0.016) than that of the board-certified surgeon (96.43%).

References

May 23, 1998·Clinical Otolaryngology and Allied Sciences·E Vartiainen
Feb 26, 1999·American Journal of Surgery·M Bridges, D L Diamond
Oct 26, 2001·The Journal of Surgical Research·W N WangR S Haluck
Mar 22, 2003·The Journal of Laryngology and Otology·Robert Mills, Patrick Lee
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Jun 8, 2007·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Simon D CharlettAnirvan Banerjee

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Citations

Oct 13, 2010·The Laryngoscope·Sunil P VermaTimothy M McCulloch
Dec 20, 2013·Clinical and Experimental Otorhinolaryngology·Sung Jae HeoJung Soo Kim
Oct 11, 2012·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Ashkan MonfaredNikolas H Blevins
Apr 19, 2012·ANZ Journal of Surgery·R James Aitken
Nov 22, 2019·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Asiya ZaidiSapna R Parab
May 6, 2009·Auris, Nasus, Larynx·Chia-Yu LiuMao-Che Wang

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