Elhadidi Amro, Abdel Raouf Samira, Salama Hamdi, Fadl Amged, Abdelhalim Mohamed
Surgery, Mansoura University, Mansoura, EGY.
Surgery, Al-Azhar University, Cairo, EGY.
Cureus. 2024 Jan 30;16(1):e53239. doi: 10.7759/cureus.53239. eCollection 2024 Jan.
This retrospective study aims to analyze the impact of standardized rules for teaching in university hospitals on surgical resident autonomy and patient safety, as measured by patient outcomes, and also examines the learning curves for residents and their impact on patient outcomes in a non-teaching hospital.
The data for the study was collected retrospectively from medical records of 2000 adult patients who went through surgical procedures from January 2020 to December 2022. Participants were categorized into two groups based on the supervision level provided by attending surgeons and residents. Appropriate statistical methods were used to analyze the data.
It was observed that operative times of cases handled by both attending and resident surgeons were less than those handled by residents alone. On the other hand, the former group had a significantly higher burden of comorbidities and higher rate of perioperative complications than the latter. These results have important implications for the training of medical residents and the overall delivery of healthcare services in university hospitals.
The findings will also help towards better understanding of the effectiveness of these rules and their potential for improving the quality of care provided by residents in these settings.
本回顾性研究旨在分析大学医院标准化教学规则对外科住院医师自主性和患者安全的影响（以患者结局衡量），并研究非教学医院中住院医师的学习曲线及其对患者结局的影响。
本研究数据是从2020年1月至2022年12月接受外科手术的2000名成年患者的病历中回顾性收集的。根据主治医生和住院医师提供的监督水平，将参与者分为两组。使用适当的统计方法分析数据。
观察到，由主治医生和住院医师共同处理的病例的手术时间比仅由住院医师处理的病例短。另一方面，前一组的合并症负担明显更高，围手术期并发症发生率也高于后一组。这些结果对医学住院医师的培训以及大学医院医疗服务的整体提供具有重要意义。
这些发现也将有助于更好地理解这些规则的有效性及其在改善这些环境中住院医师提供的护理质量方面的潜力。
