Surgical Resident Education – Operations Take Longer with Residents
One of my favorite surgery related bloggers Skeptical Scalpel posted an article on General Surgery News. This post brought to my attention the JACS article in the January Issue that points out that based on a NSQIP query, resident involvement in cases increased the length of the procedure. There are many reasons why this may be and I’m sure it will be argued about to great lengths. We need to weigh out what an acceptable educational cost is and try to ensure that we do not exceed this cost. I think that much could be done in our current training model to ensure that operating time is used effectively.
I am reminded of an article that I came across that surveyed residents about the quality of teaching in the OR and that “faculty help to identify the resident’s personal educational operative goals preoperatively” in 18% of the cases, and “discuss areas of improvement with residents” in 37% of cases. I believe we need better education pre-op and post-op to make the intra-op teaching more efficient.