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

      Objective

      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.

      Results

      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.

      Conclusion

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

      Key words

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