title: Impact of resident training on operative time and safety in hemithyroidectomy.
abstract: The purpose of this study was to present our assessment of the impact of resident participation on operative duration and outcomes after hemithyroidectomy, which may identify opportunities for optimization of educational programs, reduction in cost of healthcare delivery, and maximizing patient safety, while continuing to train a competent physician workforce for the future.
  
  
  
  The American College of Surgeons' National Surgical Quality Improvement Program (ACS NSQIP) dataset from 2006 to 2012 identified 13,151 adult patients who underwent hemithyroidectomy. Differences in operative duration, postoperative complications, reoperation, and readmission rates were assessed based on stratification by resident participation in surgery.
  
  
  
  Compared with operations performed by attending surgeons alone, resident participation with attending supervision prolonged the operative duration by 10.5% (82.5 minutes vs 91.2 minutes; p < .0001). The incidence of readmission and wound complications was higher for patients who underwent surgery with resident participation.
  
  
  
  Resident participation in hemithyroidectomy may be associated with increased operative duration, higher incidence of wound complications, and readmission. © 2017 Wiley Periodicals, Inc. Head Neck 39: 1212-1217, 2017.
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia.
authors.forename: Craig
authors.initials: C
authors.lastname: Folsom
authors.affiliation: Division of Head and Neck Surgery, Department of Otolaryngology - Head and Neck Surgery, University of Nebraska Medical Center, Omaha, Nebraska.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Serbousek
authors.affiliation: Head and Neck Surgical Oncology, Nebraska Methodist Hospital, Omaha, Nebraska.
authors.forename: William
authors.initials: W
authors.lastname: Lydiatt
authors.affiliation: College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska.
authors.forename: Katherine
authors.initials: K
authors.lastname: Rieke
authors.affiliation: College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska.
authors.forename: Harlan
authors.initials: H
authors.lastname: Sayles
authors.affiliation: Head and Neck Surgical Oncology, Nebraska Methodist Hospital, Omaha, Nebraska.
authors.forename: Russell
authors.initials: R
authors.lastname: Smith
authors.affiliation: Division of Head and Neck Surgery, Department of Otolaryngology - Head and Neck Surgery, University of Nebraska Medical Center, Omaha, Nebraska.|Head and Neck Surgical Oncology, Nebraska Methodist Hospital, Omaha, Nebraska.
authors.forename: Aru
authors.identifier: 0000-0002-0781-4555
authors.initials: A
authors.lastname: Panwar
mesh_terms: D000328:Adult; D015331:Cohort Studies; D004503:Education, Medical, Graduate / Q000379:methods*; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008505:Medical Staff, Hospital; D008875:Middle Aged; D061646:Operative Time; D010348:Patient Care Team; D010359:Patient Readmission / Q000706:statistics & numerical data; D061214:Patient Safety / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000453:epidemiology / Q000503:physiopathology; D011786:Quality Control; D018570:Risk Assessment; D013965:Thyroidectomy / Q000009:adverse effects / Q000379:methods*; D055815:Young Adult
keywords: complications; hemithyroidectomy; length of stay; operative duration; outcomes; resident participation; thyroid surgery