Outcomes of hysterectomies performed by supervised residents vs those performed by attendings alone


      The objective of the study was to compare the outcomes of hysterectomies performed by residents under supervision of a teaching physician with those performed by attendings alone.

      Study Design

      This was a retrospective cohort analysis of hysterectomies performed at the Greater Baltimore Medical Center from 2004 to 2006.


      Of 159 nonteaching and 265 teaching cases, there was no significant difference in any of the surgical outcomes, except mean operating room time in minutes (94.8 [± 47.0] vs 107.4 [± 42.4]; P = .005), seromas (2.5% vs 0%; P = .02), and others (5% vs 0.8%; P = .007) in nonteaching vs teaching cases, respectively. The demographics and comorbidities were similar. The mean operating room time difference of 13 minutes was not clinically significant.


      Although teaching hysterectomies take a bit longer to perform, there were no greater adverse outcomes.

      Key words

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        • Keshavarz H.
        • Hillis S.D.
        • Kieke B.A.
        • et al.
        Hysterectomy surveillance—United States, 1994-1999.
        WWMR CDC Surveill Summ. 2002; 51: 1-8
        • Abouassaly R.
        • Steinberg J.R.
        • Lemieux M.
        • et al.
        Complications of tension-free vaginal tape surgery: a multi-institutional review.
        BJU Int. 2004; 94: 110-113
        • McLennan M.T.
        • Melick C.F.
        Bladder perforation during tension-free vaginal tape procedures: Analysis of learning curve and risk factors.
        Obstet Gynecol. 2005; 106: 1000-1004
        • Kim H.N.
        • Gates E.
        • Lo B.
        What hysterectomy patients want to know about the roles of residents and medical students in their care.
        Acad Med. 1998; 73: 339-341
        • Shaked A.
        • Calderom I.
        • Durst A.
        Safety of surgical procedures performed by residents.
        Arch Surg. 1991; 126: 559-560
        • Coates K.W.
        • Kuehl T.J.
        • Bachofen C.G.
        • Shull B.L.
        Analysis of surgical complications and patient outcomes in a residency training program.
        Am J Obstet Gynecol. 2001; 184: 1380-1383
        • Sorosky J.I.
        • Anderson B.
        Surgical experiences and training of residents: perspective of experienced gynecologic oncologists.
        Gynecol Oncol. 1999; 75: 222-223