Journal of Surgical Research
Volume 163, Issue 1 , Pages 18-23 , September 2010

The Cost of Resident Education1

  • Christine S. Hwang, M.D.

      Affiliations

    • Department of Surgery, Stanford University School of Medicine, Stanford, California
    • ,
  • Keith A. Wichterman, M.D.

      Affiliations

    • Springfield Clinic, Springfield, Illinois
    • ,
  • Edward J. Alfrey, M.D.

      Affiliations

    • Department of Surgery, Southern Illinois University School of Medicine, Springfield, Illinois
    • Corresponding Author InformationTo whom correspondence and reprint requests should be addressed at Division of General Surgery, Southern Illinois University School of Medicine, 701 N. First Street, P.O. Box 19638, Springfield, IL. 62794-9638.

Received 21 December 2009

References 

  1. Taylor DH, Whellan DJ, Sloan FA. Effects of admission to a teaching hospital on the cost and quality of care for medicare beneficiaries. NEJM. 1999;340:293
  2. Rosenthal GE, Harper DC, Quinn LM, et al. Severity-adjusted mortality and length of stay in teaching and nonteaching hospitals. JAMA. 1997;278:485
  3. Duggirala AV, Chen FM, Gergen PJ. Postoperative adverse events in teaching and nonteaching hospitals. Fam Med. 2004;36:508
  4. Khuri SF, Najjar SF, Daley J, et al. Comparison of surgical outcomes between teaching and nonteaching hospitals in the Department of Veterans Affairs. Ann Surg. 2001;234:370
  5. Itani KMF, DePalma RG, Schifftner T, et al. Surgical resident supervision in the operating room and outcomes of care in Veterans Affairs hospitals. Am J Surg. 2005;190:725
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  14. Davis EA, Escobar A, Ehrenwerth J, et al. Resident Teaching versus the operating room schedule: An independent observer-based study of 1558 cases. Anesth Analg. 2006;193:932
  15. Babineau TJ, Becker J, Gibbons G, et al. The cost of operative training for surgical residents. Arch Surg. 2004;139:366
  16. Lavernia CJ, Sierra RJ, Hernandez RA. The cost of teaching total knee arthroplasty surgery to orthopaedic surgery residents. Clin Orthop Relat Res. 2000;380:99
  17. Harrington DT, Roye GD, Ryder BA, et al. A Time-cost analysis of teaching a laparoscopic entero-enterostomy. J Surg Educ. 2007;64:342
  18. Lee SL, Sydorak RM, Applebaum H. Training general surgery residents in pediatric surgery: Educational value versus time and cost. J Pediatr Surg. 2009;44:164
  19. Bridges M, Diamond DL. The financial impact of teaching surgical residents in the operating room. Am J Surg. 1999;177:28
  20. Hwang CS, Pagano CR, Wichterman KA, et al. Resident versus no resident: A single institutional study on operative complications, mortality, and cost. Surgery. 2008;144:339
  21. Cothren CC, Moore EE, Johnson JL, et al. Can we afford to do laparoscopic appendectomy in an academic hospital?. Am J Surg. 2005;190:950
  22. Jones T. The cost of outpatient training of residents in a community health center. Fam Med. 1997;29:347
  23. Khuri SF, Daley J, Henderson W, et al. The national Veterans Administration surgical risk study: Risk adjustment for the vomparative assessment of the quality of surgical care. J Am Coll Surg. 1995;180:519
  24. Hutter MM, Lancaster RT, Henderson WG, et al. Comparison of risk-adjusted 30-day postoperative mortality and morbidity in department of Veterans Affairs hospitals and selected university medical centers: Vascular Surgical Operations in Men. J Am Coll Surg. 2007;204:1115
  25. Lancaster RT, Tanabe KK, Schifftner TL, et al. Liver resection in Veterans Affairs and selected university medical centers: Results of the patient safety in surgery study. J Am Coll Surg. 2007;204:1242–1251
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PII: S0022-4804(10)00176-9

doi: 10.1016/j.jss.2010.03.013

Journal of Surgical Research
Volume 163, Issue 1 , Pages 18-23 , September 2010

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