Residents in nonuniversity programs more likely to perform outpatient surgery — 5 insights

Nonuniversity-based residency trained surgeons and university-based residency trained surgeons have different practice patterns, according to a study in JAMA Surgery.

1. This observational cohort study of 3,638 general surgeons trained at NUBR and UBR programs found significant differences in the types and proportion of procedures performed between the inpatient and outpatient setting.

2. The study noted significant differences in the types and proportion of procedures that NUBR-trained and UBR-trained surgeons performed between the inpatient and outpatient setting. The authors did not, however, observe significant differences in inpatient outcomes between the two groups.

3. NUBR-trained surgeons performed more procedures than UBR-trained surgeons and performed a greater portion of those procedures in the outpatient setting.

4. The mean proportion of patients with complications and prolonged length of stay was lower for NUBR-trained surgeons.

5. A greater proportion of NUBR-trained surgeons practiced in small hospitals, not-for-profit rural hospitals and investor-owned hospitals. Patients treated by NUBR-trained surgeons had fewer comorbidities and a greater proportion of these patients were white.

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