Results. A Total Of 614 Patients Underwent Superficial

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†¦show more content†¦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 A R, 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, generalShow MoreRelatedCase Studies67624 Words   |  271 Pagesteaching tool.1 A key reason is that cases provide active learners with opportunities to use the strategic management process to identify and solve organisational problems. Thus, by analysing situations that are described in cases and presenting the results, active learners (that is, students) become skilled at effectively using the tools, techniques and concepts that combine to form the strategic management process. The cases that follow are concerned with actual companies. Presented within the casesRead MoreExploring Corporate Strategy - Case164366 Words   |  658 Pagesmarket. Barclaycard – a market leader’s strategic options for maintaining market domin ance. GSK – the wisdom of mergers for a global pharmaceutical giant. Brewery Group Denmark – how a small player survives in a globalising market. ST Electronics – total quality management for business excellence. Sony (A) – a diverse hi-tech multinational responds to change with repeated reorganisations. Arts Council – changes in structure and responsibilities in funding the arts in the UK. Tetra Pak – success throughRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 Pagescan take the self-assessments an unlimited number of times, and they can save and print their scores for class discussion. Scoring key—The key to the self-assessments has been edited by Steve Robbins to allow students to quickly make sense of the results of their score. Instructor’s manual—An Instructor’s Manual guides instructors in interpreting self-asses sments and helps facilitate better classroom discussion. Acknowledgments Getting this book into your hands was a team effort. It took faculty