%0 Journal Article
%T Slower but safe? Resident involvement in urological surgeries
%A Keith Rourke
%J Archive of "Canadian Urological Association Journal".
%D 2016
%R 10.5489/cuaj.3840
%X Academic urologists have dual roles. We are required to educate residents while simultaneously providing excellent surgical care. This is of course done in a publicly funded healthcare system, where efficiency and fiscal responsibility is also necessary. All things considered, it seems very relevant to ask the question, ¡°What is the effect of resident involvement on surgical times, costs, and outcomes?¡± The manuscript by Welk et al assesses the effect of an academic environment on operative times in a cohort of 114 225 patients undergoing five urological procedures in Ontario.1 In a multivariate model, even when accounting for referral bias and patient comorbidity, all five procedures took significantly longer in academic hospitals when compared to non-teaching centres. Operative time increased by 10¨C21% and likely resulted in an estimated additional cost of $4.25 million dollars over the 11-year study period
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5045342/