The impact of resident teaching on total hip arthroplasty.
The author asked whether THA cases performed with major resident participation in a private practice setting were associated with greater use of health care resources, higher rates of technical errors, or a reduction in quality of outcome compared to THA cases performed without major resident involvement. Eighty-eight primary THA cases performed with major resident participation were compared to 61 cases without major resident participation. Resident cases took 20 minutes longer, required a second assistant more frequently (92% versus 23%) but did not have higher transfusion rates or result in a longer hospital stay. Resident cases did not have more complications or increased technical errors. Resident cases also did not have lower Harris hip scores or inferior Short Form SF-12 physical ratings at minimum 1-year followup.
Robinson
Raymond P
RP
University of Washington, Section of Orthopaedics, Virginia Mason Medical Center, Seattle, WA 98101, USA. ortrpr@vmmc.org
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000193:education*; D002983:Clinical Competence; D003479:Curriculum; D004503:Education, Medical, Graduate; D005260:Female; D006621:Hip Joint / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation; D011787:Quality of Health Care; D020127:Recovery of Function; D012189:Retrospective Studies; D016896:Treatment Outcome