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Study: Increase in operative variability among surgical residents since 80-hour workweek

Editor's Note In this study of surgical residents after implementation of the 80-hour workweek in 2003, researchers found a significant increase in operative variability, including an increase in the variability of total major cases between the resident completing the most and fewest cases per class. This may suggest a growing disparity…

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By: Judy Mathias
March 24, 2016
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Dedication, determination help tame PPC beast

Even the most experienced OR leaders often view physician preference cards (PPCs) as a beast that acts out and demands attention at the most inconvenient times. Two organizations that have managed to tame the PPC beast shared their experiences with OR Manager. Updating cards saves more than $3.2 million Tresa…

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By: OR Manager
February 19, 2016
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Physician burnout linked to regulatory changes

Editor's Note A Studer Group survey finds that nearly 90% of physicians have experienced burnout, and almost two-thirds say they are thinking about leaving the profession, the February 2 EHR Intelligence reports. Among the major causes of burnout cited were overcompensating for low staffing levels and the regulatory burdens of…

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By: Judy Mathias
February 3, 2016
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Study: ‘July phenomenon’ concerns unfounded

Editor's Note Referred to as the “July phenomenon,” the influx of new surgical residents and interns at the beginning of the academic year is assumed to be associated with poor outcomes. This study of nearly 1.5 million patients who had emergency general surgery either early (July-August)  or late (September-June) in…

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By: Judy Mathias
November 5, 2015
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Shared-savings program for surgical supplies decreases costs

Editor's Note Incentivizing surgeons to standardize surgical supplies led to dramatic cost savings in this study. A shared-savings program that returned 50% of money saved on surgical supplies to the surgery division realized a total cost-savings of $893,865. A total of $446,932 was shared with 15 surgery divisions. Quality of…

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By: Judy Mathias
September 23, 2015
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ACS launches new career center for surgeons

Editor's Note The American College of Surgeons on September 2 announced the launch of its Surgery Career Connection, a new career center that connects surgeons across all specialties and career stages with employers offering career opportunities. Surgery Career Connection is powered by YourMembership. Among the benefits of the career center:…

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By: OR Manager
September 3, 2015
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Effect of surgeon sleep loss on patient outcomes

Editor's Note The risk of adverse outcomes in patients having elective daytime surgical procedures was similar whether the surgeon performed surgery the night before or not, this study finds. There were no significant differences in patient mortality, readmission, or complications when surgeons worked after midnight, compared to when surgeons did…

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By: OR Manager
September 1, 2015
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ACS Advocating for Critical Access Hospital Relief Act

Editor's Note A central issue discussed at the US House Committee on Ways and Means on July 28 was the Critical Access Hospital (CAH) Relief Act, HR 169, which is supported by the American College of Surgeons (ACS). Currently, for CAHs to receive Medicare Part A reimbursement, physicians must certify…

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By: OR Manager
July 31, 2015
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ACS comments on surgeon rating websites

Editor's Note The AmericanCollege of Surgeons calls the usefulness of surgeon rating systems released last week by two public interest group websites questionable. The groups use differing methodologies (ie, years of Medicare data reviewed, procedures studied, and rating scales used) to determine their rankings, and a patient visiting both sites…

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By: OR Manager
July 23, 2015
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Surgical resident work hours reform does not improve patient safety

Editor's Note Work-hour restrictions for surgical resident, revised nationally 4 years ago to protect patients against fatigue-related errors, have not had the desired effect of lowering postoperative complication rates, according to this new study. Researchers from the American College of Surgeons found no significant difference in surgical outcomes between 1…

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By: OR Manager
July 8, 2015
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