[Primary hip and knee replacement: time required for surgical training].
BACKGROUND
The aim of the present study is to analyse the increased surgical time required due to supervised surgery as an element of costs of education.


METHODS
Incision to closure times of 353 primary hip and knee prostheses were evaluated according to educational level. Differences between planned and real operation times were recorded, and the mean DRG proceeds per minute of surgical time were determined.


RESULTS
The difference between incision to closure times of the board certified surgeons for the respective surgical interventions and that of the supervised surgery is statistically significant (p<0.01) and clinically relevant (+15 min for THA, +13 min for TKA). The correlation between planned and real operation time was significantly lower in the category of supervised surgery.


CONCLUSIONS
There is an increased surgical time required for surgical training. It is the responsibility of health care policy to ensure an appropriate financial compensation.
Klinik für Orthopädie und Rheumatologie, Universitätsklinikum Giessen und Marburg GmbH Standort Marburg, Baldinger Strasse, 35033, Marburg, Deutschland. schmitt@med.uni-marburg.de
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Schmitt
T J
TJ
Heyse
M D
MD
Schofer
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D019644:Arthroplasty, Replacement, Hip / Q000193:education* / Q000706:statistics & numerical data*; D019645:Arthroplasty, Replacement, Knee / Q000193:education* / Q000706:statistics & numerical data*; D004521:Educational Measurement; D005858:Germany / Q000453:epidemiology; D006801:Humans; D010820:Physicians / Q000706:statistics & numerical data; D011361:Professional Competence / Q000706:statistics & numerical data*; D013997:Time Factors; D013996:Time and Motion Studies; D016526:Workload / Q000706:statistics & numerical data*