The Resident-Run Minor Surgery Clinic: A Four-Year Analysis of Patient Outcomes, Satisfaction, and Resident Education.

Journal of Surgical Education
Brandon M WojcikRoy Phitayakorn

Abstract

A resident-run minor surgery clinic was developed to increase resident procedural autonomy. We evaluated whether 1) there was a significant difference between complications and patient satisfaction when procedures were independently performed by surgical residents vs. a surgical attending and 2) if participation was associated with an increase in resident procedural confidence. Third year general surgery residents participated in a weekly procedure clinic from 2014-2018. Post-procedure complications and patient satisfaction were compared between patients operated on by residents vs. the staff surgeon. Residents were surveyed regarding their confidence in independently performing a variety of clinic-based patient care tasks. Massachusetts General Hospital General in Boston, MA; an academic tertiary care general surgery residency program. Post-graduate year three general surgery residents that ran the clinic as part of a general surgery rotation. 1230 patients underwent 1592 procedures (612 in resident clinic, 980 in attending clinic). There was no significant difference in the 30-day complication rate between patients operated on by the resident vs. attending (2.5% vs. 1.9%, p = 0.49). 459 patient satisfaction surveys were admin...Continue Reading

References

Feb 4, 2006·Quality & Safety in Health Care·H J MurffG B Hickson
Sep 10, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·K Anders Ericsson
Oct 31, 2008·The New England Journal of Medicine·Ashish K JhaArnold M Epstein
Oct 1, 2009·Surgery·Richard H Bell
Feb 25, 2010·Circulation. Cardiovascular Quality and Outcomes·Seth W GlickmanKevin A Schulman
Aug 17, 2011·Archives of Surgery·Emily M BucholzJulie A Sosa
May 9, 2012·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Rajeshvar K ShardaKeith D Mann
Aug 9, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·W Jonathan FillmoreKevin Arce
Jun 1, 2011·Malawi Medical Journal : the Journal of Medical Association of Malawi·P RajanT J Crofts
Jan 23, 2013·Journal of Surgical Education·Debra A DaRosaJonathan P Fryer
Nov 12, 2013·Journal of Surgical Education·Mark A MalangoniFrank R Lewis
Dec 5, 2013·Advances in Surgery·Mary E Klingensmith, Frank R Lewis
Mar 22, 2014·The New England Journal of Medicine·Scott D Halpern, Allan S Detsky
Aug 28, 2014·Journal of the American College of Surgeons·Nicholas R TemanRebecca M Minter
Sep 7, 2014·Journal of Surgical Education·Brian C GeorgeJonathan P Fryer
Apr 22, 2015·Journal of Surgical Education·Timothy C CounihanJacqueline J Wu
May 31, 2016·Journal of the American College of Surgeons·Leisha C ElmoreIsaiah R Turnbull
Sep 25, 2016·Journal of Surgical Education·Jason W KempenichDaniel L Dent
Nov 26, 2016·Journal of Surgical Education·Brandon M WojcikRoy Phitayakorn
Apr 20, 2017·JAMA Surgery·Rebecca L Gunter, Jacob A Greenberg
Sep 9, 2017·Journal of the American College of Surgeons·Brandon M WojcikRoy Phitayakorn
Nov 7, 2017·Journal of the American College of Surgeons·Carter C LebaresElissa S Epel
Feb 15, 2018·The Journal of Thoracic and Cardiovascular Surgery·George TolisThoralf M Sundt
Feb 22, 2018·JAMA Surgery·Gurjit SandhuRebecca M Minter
Apr 25, 2018·Journal of Graduate Medical Education·Alyssa L BogetzCaroline Rassbach
Sep 10, 2018·Journal of Surgical Education·Sophia K McKinleyRoy Phitayakorn
Mar 19, 2019·The Annals of Thoracic Surgery·Jordan P BloomGeorge Tolis
Aug 17, 2019·Journal of the American College of Surgeons·James R BarrettJohn E Scarborough
May 29, 2020·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Al-Faraaz KassamRalph C Quillin
Jun 24, 2020·Journal of Surgical Education·Grace J KimBrian George
Oct 7, 2020·Journal of the American College of Surgeons·Karen J DickinsonKevin Y Pei
Oct 31, 2020·American Journal of Surgery·Douglas J CassidyMichael J Kim
Jan 13, 2021·American Journal of Surgery·Cristina NituicaJohn Blebea

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