J Schmitt1, T J Heyse, M D Schofer, T Efe. 1. Klinik für Orthopädie und Rheumatologie, Universitätsklinikum Giessen und Marburg GmbH Standort Marburg, Baldinger Strasse, 35033, Marburg, Deutschland. schmitt@med.uni-marburg.de
Abstract
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. MATERIAL AND 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. CONCLUSION: There is an increased surgical time required for surgical training. It is the responsibility of health care policy to ensure an appropriate financial compensation.
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. MATERIAL AND 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. CONCLUSION: There is an increased surgical time required for surgical training. It is the responsibility of health care policy to ensure an appropriate financial compensation.
Authors: Timothy J Babineau; James Becker; Gary Gibbons; Stephen Sentovich; Donald Hess; Sharon Robertson; Michael Stone Journal: Arch Surg Date: 2004-04