Resident participation slightly increases complication rate and slightly lowers mortality rate

Participation of residents in procedures including general surgery, vascular surgery, pancreatectomy or esophagectomy, and colorectal resections is associated with slightly higher rates of complications, but slightly lower mortality rates, according to a study in the Journal of the American College of Surgeons. 

For the study, researchers examined data from American College of Surgeons National Surgical Quality Improvement Program between 2006 – 2009 and compared outcomes of cases with resident involvement to cases without resident involvement.

After adjusting for risk, resident intraoperative involvement is associated with approximately 6.1 additional morbidity events but 1.4 fewer deaths per 1,000 general and vascular surgery procedures.

 (Sources: The Journal of the American College of Surgeons, March 14, 2011; Patient Safety Monitor Alert,,. April 11, 2011)