Outcomes of hysterectomies performed by supervised residents vs those performed by attendings alone.
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.
Akingba
Danita H
DH
Division of Urogynecology, Department of Gynecology, Greater Baltimore Medical Center, Towson, MD, USA.
Deniseiko-Sanses
Tatiana V
TV
Melick
Clifford F
CF
Ellerkmann
R Mark
RM
Matsuo
Koji
K
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