Publications
We work hard to attract, retain, and support the most outstanding faculty, and are proud of their accomplishments, in areas ranging from clinical care to research, from systems improvement to medical education, and in locations that include our clinical sites in San Francisco and others around the globe. Since 2008, over 1600 articles have been published.
2014
1088. Assessing the impact of nurse post-discharge telephone calls on 30-day hospital readmission rates.
2014
1096. Meta-analysis on effectiveness of hydroxyurea to treat transfusion-dependent beta-thalassemia.
2014
2014
2014
PURPOSE
In addition to excellent patient care, the focus of academic medicine has traditionally been resident training. The changing landscape of health care has placed increased focus on objective outcomes. As a result, the surgical training process has come under scrutiny for its influence on patient care. We elucidated the effect of resident involvement on patient outcomes.
MATERIALS AND METHODS
We retrospectively analyzed data from the 2005 to 2011 NSQIP® participant use database. Patients were separated into 2 cohorts by resident participation vs no participation. The cohorts were compared based on preoperative comorbidities, demographic characteristics and intraoperative factors. Confounders were adjusted for by propensity score modification and complications were analyzed using perioperative variables as predictors.
RESULTS
A total of 40,001 patients met study inclusion criteria. Raw data analysis revealed that cases with resident participation had a higher rate of overall complications. However, after propensity score modification there was no significant difference in overall, medical or surgical complications in cases with resident participation. Resident participation was associated with decreased odds of overall complications (0.85). Operative time was significantly longer in cases with resident participation (159 vs 98 minutes).
CONCLUSIONS
Urology resident involvement is not associated with increased overall and surgical complications. It may even be protective when adjusted for appropriate factors such as case mix, complexity and operative time.
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