title: Outcomes of hysterectomies performed by supervised residents vs those performed by attendings alone.
abstract: OBJECTIVE
  The objective of the study was to compare the outcomes of hysterectomies performed by residents under supervision of a teaching physician with those performed by attendings alone.
  
  
  METHODS
  This was a retrospective cohort analysis of hysterectomies performed at the Greater Baltimore Medical Center from 2004 to 2006.
  
  
  RESULTS
  Of 159 nonteaching and 265 teaching cases, there was no significant difference in any of the surgical outcomes, except mean operating room time in minutes (94.8 [+/- 47.0] vs 107.4 [+/- 42.4]; P = .005), seromas (2.5% vs 0%; P = .02), and others (5% vs 0.8%; P = .007) in nonteaching vs teaching cases, respectively. The demographics and comorbidities were similar. The mean operating room time difference of 13 minutes was not clinically significant.
  
  
  CONCLUSIONS
  Although teaching hysterectomies take a bit longer to perform, there were no greater adverse outcomes.
authors.affiliation: Division of Urogynecology, Department of Gynecology, Greater Baltimore Medical Center, Towson, MD, USA.
authors.forename: Danita H
authors.initials: DH
authors.lastname: Akingba
authors.forename: Tatiana V
authors.initials: TV
authors.lastname: Deniseiko-Sanses
authors.forename: Clifford F
authors.initials: CF
authors.lastname: Melick
authors.forename: R Mark
authors.initials: RM
authors.lastname: Ellerkmann
authors.forename: Koji
authors.initials: K
authors.lastname: Matsuo
mesh_terms: D000328:Adult; D002983:Clinical Competence; D015331:Cohort Studies; D004503:Education, Medical, Graduate; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000193:education; D019538:Health Care Surveys; D006784:Hospitals, Teaching; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods*; D007396:Internship and Residency / Q000379:methods*; D007902:Length of Stay / Q000639:trends; D008505:Medical Staff, Hospital; D008875:Middle Aged; D009934:Organization and Administration; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000453:epidemiology; D011336:Probability; D012189:Retrospective Studies; D018570:Risk Assessment; D016896:Treatment Outcome