Author Affiliations: Division of Plastic Surgery (Dr Carty), Department of General Surgery (Dr Ashley), Brigham and Women's Hospital, Boston, Massachusetts.
The relationship between surgical volume and performance continues to be a subject of considerable interest to surgeons, patients, and payors. In general, studies to date have made the intuitive observation that with increasing procedure frequency and/or surgeon experience, there is a proportional—and sometimes logarithmic—decline in operative time, operative time variability, and complication rate.1-3 These findings are relevant in their implications for the allocation of finite operative resources, as well as for approaches to surgical education and continuing professional development.
Carty MJ, Ashley SW. Too Much of a Good Thing or Operating at the Fringe: Comment on “National Register Study of Operating Time and Outcome in Hernia Repair”. Arch Surg. 2011;146(10):1203. doi:10.1001/archsurg.2011.260
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