Results:. A Total Of 614 Patients Underwent Superficial

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Results:

A total of 614 patients underwent superficial parotidectomy by attending surgeons operating alone without resident assistance (AA group). There were 621 patients who underwent the procedure with participation by resident surgeons under direct supervision by an attending surgeon (AR group).

The mean age was similar for the two groups (AA versus AR, mean age ± standard deviation, 57.2 ± 15.0 versus 56.9 ± 15.2 years, p=0.21). There were 302 (49.2%) men in AA group and 292 (47.1%) men in AR group (p=0.46). A majority of patients in both groups were Caucasian (AA and AR, 479 [92.3%] and 479 [89.2%], p=0.17). Both groups demonstrated comparable body mass indices (mean BMI ± standard deviation, 30.0 ± 8.6 and 29.7 ± 7.3, respectively
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The risk of requiring a return trip to the operating room was similar and small in the two groups (AA versus AR, 5 [0.8%] versus 5 [0.8%], p=1.00). The mean length of hospital stay in the two groups (AA versus AR) was 1.3 versus 1.1 days (p=0.81) (Table 3). Information related to readmission within 30 days of the operation was available for procedures performed in years 2011 and 2012 (n=181). Incidence of readmission was infrequent in the two groups and the difference was insignificant (AA versus AR, 0 [0%] versus 2 [1.9%], p=0.52) (Table 3).

Discussion:

The composition of the surgical team may be a significant determinant of operative outcomes including operative time and associated burdens on resource utilization. Particularly, the impact of supervised resident participation in the operating room has been examined in a variety of specialties including urology, neurosurgery, gynecology, general surgery and otorhinolaryngology.3, 8-13 Since training in performance of superficial parotidectomy is a core component of surgical resident education, it is important to assess the effect of resident participation on operative time, resource utilization and outcomes in these procedures.

In this study, resident participation in superficial parotidectomy resulted in prolongation of mean operative time by 17%. Similarly, total time in the operating room was increased by 18%. Our results parallel similar findings in urology, orthopedics, general

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