Department of Otolaryngology, Head and Neck Surgery, New York University, New York, New York, USA.
Grossman School of Medicine, New York University, New York, New York, USA.
Laryngoscope. 2024 Jan;134(1):113-119. doi: 10.1002/lary.30807. Epub 2023 Jun 8.
The present study aims to quantify the opportunity cost of training residents and fellows for head and neck surgery.
A 2005-2015 review of ablative head and neck surgical procedures was performed using the National Surgical Quality Improvement Program (NSQIP). Work relative value units (wRVU) generated per hour were compared among procedures performed by attendings alone, attendings with residents, and attendings with fellows.
Among 34,078 ablative procedures, the rate of wRVU generation per hour was greatest for attendings alone (10.3), followed by attendings with residents (8.9) and attendings with fellows (7.0, p < 0.001). Resident and fellow involvement was associated with opportunity costs of $60.44 per hour (95% CI: $50.21-$70.66/h) and $78.98 per hour ($63.10-$94.87/h, 95% CI), respectively.
wRVU-based physician reimbursement does not consider or adjust for the extra effort involved in training future head and neck surgeons.
NA Laryngoscope, 134:113-119, 2024.
本研究旨在量化头颈部外科住院医师培训的机会成本。
利用国家外科质量改进计划（NSQIP）对 2005 年至 2015 年间的头颈部切除术进行回顾。比较单独由主治医生、主治医生带教住院医生和主治医生带教研究员进行的手术的每小时工作相对价值单位（wRVU）。
在 34078 例消融性手术中，主治医生单独操作的每小时 wRVU 生成率最高（10.3），其次是主治医生带教住院医生（8.9）和主治医生带教研究员（7.0，p<0.001）。住院医生和研究员的参与分别导致每小时机会成本为 60.44 美元（95%CI：50.21-70.66 美元/小时）和 78.98 美元（95%CI：63.10-94.87 美元/小时）。
基于 wRVU 的医生补偿没有考虑或调整培训未来头颈部外科医生所涉及的额外工作。
无。Laryngoscope, 134:113-119, 2024.
