Implications of Surgical Training on Operating Room Throughput at Wilford Hall Medical Center

摘要

The U.S. has the highest overall healthcare expenditures of any country in the world. In a cost-conscious, competitive environment the Operating Room (OR) is a major focus of change. OR patient throughput has become an issue for most hospitals across the United States, even more so for Academic Medical Centers (AMCs). All hospitals are bearing the burden of the BBA mandated cuts, however AMCs are also faced with increasing volumes, higher acuity, and, as a consequence, capacity issues, coupled with an increase in OR time due to the training of surgical residents. The purpose of this study is to determine if there is an increase in operative time due to medical education, and if so, how much. Using Wilford Hall Medical Center (WHMC) as the AMC and Nix Medical Center (NMC) as the Non-AMC a comparison of three categories identified for study: Inguinal Hernia Repair; Laparoscopic Cholecystectomy; and Carotid Endarterectomy was completed. The final results of the two-way factorial analysis of variance (ANOVA) conducted showed a significant main effect for facility (F(5,354))= 76.05,p.