Impact of resident training on operative time and safety in hemithyroidectomy

Craig Folsom, Kimberly Serbousek, William Lydiatt, Katherine Rieke, Harlan Sayles, Russell Smith, Aru Panwar

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Background: The purpose of this study was to present our assessment of the impact of resident participation on operative duration and outcomes after hemithyroidectomy, which may identify opportunities for optimization of educational programs, reduction in cost of healthcare delivery, and maximizing patient safety, while continuing to train a competent physician workforce for the future. Methods: The American College of Surgeons' National Surgical Quality Improvement Program (ACS NSQIP) dataset from 2006 to 2012 identified 13,151 adult patients who underwent hemithyroidectomy. Differences in operative duration, postoperative complications, reoperation, and readmission rates were assessed based on stratification by resident participation in surgery. Results: Compared with operations performed by attending surgeons alone, resident participation with attending supervision prolonged the operative duration by 10.5% (82.5 minutes vs 91.2 minutes; p <.0001). The incidence of readmission and wound complications was higher for patients who underwent surgery with resident participation. Conclusion: Resident participation in hemithyroidectomy may be associated with increased operative duration, higher incidence of wound complications, and readmission.

Original languageEnglish (US)
Pages (from-to)1212-1217
Number of pages6
JournalHead and Neck
Volume39
Issue number6
DOIs
Publication statusPublished - Jun 2017

Keywords

  • complications
  • hemithyroidectomy
  • length of stay
  • operative duration
  • outcomes
  • resident participation
  • thyroid surgery

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Folsom, C., Serbousek, K., Lydiatt, W., Rieke, K., Sayles, H., Smith, R., & Panwar, A. (2017). Impact of resident training on operative time and safety in hemithyroidectomy. Head and Neck, 39(6), 1212-1217. https://doi.org/10.1002/hed.24742