Not only does this study confirm prior studies demonstrating similar short-term outcomes such as positive margin rates and surgical complication rates, but it also demonstrates equivalent long-term biochemical recurrence rates, potency, and continence for both teaching and nonteaching cases.
Meanwhile, residents continue to pine for more and more surgical autonomy, just as we did when we were residents. I hoped that this study would demonstrate that they may be doing more than they think. Based on our data, I believe they are. Examining our data during different time periods demonstrates increasing resident involvement. Currently, their involvement increases each case by 60 minutes (39%), indicating that they are doing a significant portion of the procedure based on time.
We are hopeful that this study will add to available evidence-based literature that surgeries performed in a teaching setting are safe and efficacious while providing ample teaching to the next generation of surgeons.
Written by: Joseph Wagner, MD, Jacob Baber, MD, Ilene Staff, Ph.D., Tara McLaughlin, Ph.D., Joseph Tortora, MS, Alison Champagne, MPH, Akshay Gangakhedkar, BS, Kevin Pinto, BS, the Urology Division, Hartford Healthcare Medical Group, Hartford Hospital, Hartford, CT
Read the Abstract