1. The Opportunity Cost of Resident Involvement in Adult Craniofacial Surgery: An Analysis of Relative Value Units
- Author
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Joseph Lopez, Yassmin Parsaei, Connor J. Peck, Sumun Khetpal, Adnan Prsic, and Sarah Phillips
- Subjects
Facial trauma ,Adult ,Reoperation ,medicine.medical_specialty ,Opportunity cost ,medicine.medical_treatment ,Operative Time ,Orthognathic surgery ,Postoperative Complications ,Medicine ,Humans ,Craniofacial ,Craniofacial surgery ,Retrospective Studies ,Relative value ,business.industry ,General surgery ,Internship and Residency ,General Medicine ,medicine.disease ,Quality Improvement ,Otorhinolaryngology ,Current Procedural Terminology ,Operative time ,Surgery ,Clinical Competence ,business - Abstract
PURPOSE Within the academic surgical setting resident involvement may confer longer operative times. The increasing pressures to maximize clinical productivity and decreasing reimbursement rates, however, may conflict with these principles. This study calculates the opportunity cost of resident involvement in craniofacial surgery. METHODS Retrospective analysis was conducted with patients who underwent craniofacial procedures from the American College of Surgeons National Surgical Quality Improvement Program database from 2005 to 2012. Patients were selected based on relevant Current Procedural Terminology codes for craniofacial pathologies (ie, trauma, head and neck reconstruction, orthognathic surgery, and facial reanimation). Variables included patient demographics, operative time, and presence or absence of resident trainee. Average relative value units were calculated to determine the opportunity cost of resident involvement for each craniofacial procedure. RESULTS In total, 2096 patients were identified through the American College of Surgeons National Surgical Quality Improvement Program database from 2005 to 2012. Resident involvement was associated with a statistically significant higher operative time (P
- Published
- 2021