1. The impact of surgery resident training on the duration of tibial plateau leveling osteotomy surgery.
- Author
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Niida A, Chou PY, Filliquist B, Marcellin-Little DJ, Kapatkin AS, and Kass PH
- Subjects
- Animals, Dogs surgery, Retrospective Studies, Female, Male, Operative Time, Education, Veterinary methods, Dog Diseases surgery, Clinical Competence, Surgery, Veterinary education, Osteotomy veterinary, Osteotomy education, Osteotomy methods, Internship and Residency, Tibia surgery
- Abstract
Objective: To investigate the impact of surgery resident training on surgery duration in tibial plateau leveling osteotomy (TPLO) and evaluate whether surgery duration differs with each year of residency training., Study Design: Retrospective medical record review., Animals: A total of 256 client-owned dogs underwent TPLO., Methods: Records of dogs that underwent TPLO between August 2019 and August 2022 were reviewed. The effects of the surgeon (faculty/resident) and the procedure (arthrotomy/arthroscopy) on TPLO surgery duration were examined with an analysis of variance, and geometric least squares means (GLSM) were compared. A linear mixed effects model (LMM) was fitted to quantify fixed and random effects., Results: Four faculty surgeons performed 74 (29%) TPLOs, while 10 residents performed 182 (71%) TPLOs under the direct supervision of a faculty surgeon. All TPLOs were conducted with arthrotomy (109; 43%) or arthroscopy (147; 57%). Overall, residents (GLSM, 153 min) required 54% more surgery duration than faculty surgeons (GLSM, 99 min). Surgery duration among first-year residents (GLSM, 170 min) was 15% longer than second- (GLSM, 148 min) and third-year (GLSM, 147 min) residents, whereas the duration did not differ statistically between second- and third-year residents. Arthroscopy, meniscal tear treatment, surgery on the right stifle, and increasing patient weight were also associated with longer surgery duration., Conclusion: The duration of TPLO surgery significantly decreased after the first year of residency, but did not decrease afterward., Clinical Significance: The results will aid with resource allocation, curricula planning, and cost management associated with resident training., (© 2024 The Authors. Veterinary Surgery published by Wiley Periodicals LLC on behalf of American College of Veterinary Surgeons.)
- Published
- 2024
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