Residents' care resulted mostly in similar patient outcomes compared with faculty when dedicated supervision and additional operation time were arranged¶

Claim · All claims
Evidence · 1 study (2 entries) · quant-synthesis r2 · q2
Currency · newest study 2012 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? In 43 studies using faculty as a gold standard, 31 reported no statistically significant differences between faculty and residents on outcomes including mortality, morbidity and length of stay. → van der Leeuw Renée M 2012 q2 i? Twelve of the 31 studies reporting similar outcomes did report a significantly longer operation time for residents. → van der Leeuw Renée M 2012 (2)

Evidence¶

van der Leeuw Renée M 2012¶

van der Leeuw Renée M, Lombarts Kiki MJMH, Arah Onyebuchi A, Heineman Maas Jan. (2012). A systematic review of the effects of residency training on patient outcomes. BMC Medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3391170/

q2 · i? · review · r3

Narrative synthesis of 43 studies comparing faculty and residents, mostly in surgical disciplines. The review reports "no statistically significant differences between faculty and residents" on mortality, morbidity and length of stay in 31 studies; equivalence was not formally tested.

"Thirty-one studies reported no statistically significant differences between faculty and residents on a wide variety of outcomes including mortality, morbidity and length of stay [52,54,56-58,61,63,67-69,73-90,92-94]."

van der Leeuw Renée M 2012 (2)¶

van der Leeuw Renée M, Lombarts Kiki MJMH, Arah Onyebuchi A, Heineman Maas Jan. (2012). A systematic review of the effects of residency training on patient outcomes. BMC Medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3391170/

q2 · i? · quant-synthesis · r2

Same synthesis of faculty-versus-resident comparisons. The review reports that despite similar patient outcomes, "12 of these 31 studies did report a significantly longer operation time for residents", indicating a time cost of training.

"Although patient outcomes were similar, 12 of these 31 studies did report a significantly longer operation time for residents [61,67,69,74,77,78,81,83,84,87-89]."

Discussion¶

Related Claims¶

• The start of the academic year is not without risk for patient outcomes, with five of 19 studies reporting negative findings around July — related
• Supervised resident training reduced operative time after 30–50 cases, approximating senior benchmarks — related