Lynette A Scherer1, Felix D Battistella. 1. Department of Surgery, University of California, Davis Health Sysytem, Sacramento, 95817, USA. lynette.scherer@ucdmc.ucdavis.edu
Abstract
BACKGROUND: The success of nonoperative management of injuries has diminished the operative experience of trauma surgeons. To enhance operative experience, our trauma surgeons began caring for all general surgery emergencies. Our objective was to characterize and compare the experience of our trauma surgeons with that of our general surgeons. METHODS: We reviewed records to determine case diversity, complexity, time of operation, need for intensive care unit care, and payor mix for patients treated by the trauma and emergency surgery (TES) surgeons and elective practice general surgery (ELEC) surgeons over a 1-year period. RESULTS: TES and ELEC surgeons performed 253 +/- 83 and 234 +/- 40 operations per surgeon, respectively (p = 0.59). TES surgeons admitted more patients and performed more after-hours operations than their ELEC colleagues. Both groups had a mix of cases that was diverse and complex. CONCLUSION: Combining the care of patients with trauma and general surgery emergencies resulted in a breadth and scope of practice for TES surgeons that compared well with that of ELEC surgeons.
BACKGROUND: The success of nonoperative management of injuries has diminished the operative experience of trauma surgeons. To enhance operative experience, our trauma surgeons began caring for all general surgery emergencies. Our objective was to characterize and compare the experience of our trauma surgeons with that of our general surgeons. METHODS: We reviewed records to determine case diversity, complexity, time of operation, need for intensive care unit care, and payor mix for patients treated by the trauma and emergency surgery (TES) surgeons and elective practice general surgery (ELEC) surgeons over a 1-year period. RESULTS: TES and ELEC surgeons performed 253 +/- 83 and 234 +/- 40 operations per surgeon, respectively (p = 0.59). TES surgeons admitted more patients and performed more after-hours operations than their ELEC colleagues. Both groups had a mix of cases that was diverse and complex. CONCLUSION: Combining the care of patients with trauma and general surgery emergencies resulted in a breadth and scope of practice for TES surgeons that compared well with that of ELEC surgeons.
Authors: Ashley M Tameron; Kevin B Ricci; Wendelyn M Oslock; Amy P Rushing; Angela M Ingraham; Vijaya T Daniel; Anghela Z Paredes; Adrian Diaz; Courtney E Collins; Victor K Heh; Holly E Baselice; Scott A Strassels; Heena P Santry Journal: J Crit Care Date: 2020-07-05 Impact factor: 3.425
Authors: Kevin B Ricci; Amy P Rushing; Angela M Ingraham; Vijaya T Daniel; Anghela Z Paredes; Adrian Diaz; Victor K Heh; Holly E Baselice; Wendelyn M Oslock; Scott A Strassels; Heena P Santry Journal: J Trauma Acute Care Surg Date: 2019-10 Impact factor: 3.313
Authors: Angela S Earley; John P Pryor; Patrick K Kim; Joseph H Hedrick; Jibby E Kurichi; Amy C Minogue; Seema S Sonnad; Patrick M Reilly; C W Schwab Journal: Ann Surg Date: 2006-10 Impact factor: 12.969
Authors: Wendelyn M Oslock; Anghela Z Paredes; Holly E Baselice; Amy P Rushing; Angela M Ingraham; Courtney Collins; Kevin B Ricci; Vijaya T Daniel; Adrian Diaz; Victor M Heh; Scott A Strassels; Heena P Santry Journal: Am J Surg Date: 2019-07-17 Impact factor: 2.565