JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (5)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Davis, E. A.
Right arrow Articles by Barash, P. G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Davis, E. A.
Right arrow Articles by Barash, P. G.
Related Collections
Right arrow Economics and Health Care Research
Right arrow Operating Rooms

Anesth Analg 2006;103:932-937
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ane.0000232444.52274.7a

ECONOMICS, EDUCATION, AND POLICY

Resident Teaching Versus the Operating Room Schedule: An Independent Observer-Based Study of 1558 Cases

Elizabeth A. Davis, RDCS*, Alejandro Escobar, MD*, Jan Ehrenwerth, MD*, Gail A. Watrous, RN*, Gene S. Fisch, PhD{dagger}, Zeev N. Kain, MD, MBA*, and Paul G. Barash, MD*

From the *Department of Anesthesiology, {dagger}General Clinical Research Center, Yale University School of Medicine and Yale-New Haven Hospital, New Haven, Connecticut.

Address correspondence and reprint requests to Paul G. Barash, MD, Department of Anesthesiology, Yale University School of Medicine, 333 Cedar Street, PO Box 208051, New Haven, CT 06520-8051. Address e-mail to paul.barash{at}yale.edu.

Abstract

Efforts to improve operating room efficiency may threaten clinician training. Therefore, we designed a prospective, observational study to determine the actual time spent teaching anesthesiology residents during the interval from patient-on-table to skin incision and to determine whether anesthesia teaching in the peri-induction period increases the time to surgical incision. This study was conducted in an inpatient operating room suite of a tertiary academic medical center. Of 1558 cases examined, 75% had an element of teaching (mean percent teaching per case = 46.4). A 33% decrease in teaching occurs when the attending anesthesiologist concurrently directed care in 2 rooms (P < 0.001). The percent teaching significantly increased as a function of ASA physical status classification and time of day of surgical case (P = 0.001). Teaching accounted for a mean increase of time to incision of 4.5 ± 3.2 min, but represented only 3% of the mean surgical case length (207 ± 132 min). We conclude that teaching occurs in the majority of cases in the operating room and although it contributes to increased time to incision, this increase is insignificant compared with the time required to complete the surgical procedure.




This article has been cited by other articles:


Home page
 Br J AnaesthHome page
M. Schuster, T. Kotjan, M. Fiege, and A. E. Goetz
Influence of resident training on anaesthesia induction times
Br. J. Anaesth., November 1, 2008; 101(5): 640 - 647.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
E. G. Pivalizza, S. I. Abramson, R. Gebhard, P. Szmuk, and R. D. Warters
Teaching and Operating Room Efficiency
Anesth. Analg., April 1, 2007; 104(4): 992 - 992.
[Full Text] [PDF]

Home page
 Anesth. Analg.Home page
E. A. Davis and P. Barash
Teaching and Operating Room Efficiency
Anesth. Analg., April 1, 2007; 104(4): 992 - 993.
[Full Text] [PDF]

Home page
 Anesth. Analg.Home page
F. Dexter and R. E. Wachtel
Economic, Educational, and Policy Perspectives on the Preincision Operating Room Period
Anesth. Analg., October 1, 2006; 103(4): 919 - 921.
[Full Text] [PDF]

Home page
 Anesth. Analg.Home page
A. Escobar, E. A. Davis, J. Ehrenwerth, G. A. Watrous, G. S. Fisch, Z. N. Kain, and P. G. Barash
Task Analysis of the Preincision Surgical Period: An Independent Observer-Based Study of 1558 Cases
Anesth. Analg., October 1, 2006; 103(4): 922 - 927.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
J. Ehrenwerth, A. Escobar, E. A. Davis, G. A. Watrous, G. S. Fisch, Z. N. Kain, and P. G. Barash
Can the Attending Anesthesiologist Accurately Predict the Duration of Anesthesia Induction?
Anesth. Analg., October 1, 2006; 103(4): 938 - 940.
[Abstract] [Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2006 by the International Anesthesia Research Society.