ArticleLangenbeck's archives of surgery2011
Contribution of final-year medical students to operation room performance--economical and educational implications.
Article in Langenbeck's archives of surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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0 citing papers in PubMed, 2 citations in OpenAlex.
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe so-called "practical year" is the last part of medical students' education in Germany. Without being paid, final-year medical students have to work for 1 year under supervision in academic teaching hospitals. It is mandatory for every student to rotate to a surgical department for 4 months. The aim of the present study was to assess the working time contribution of final-year medical students on operation room performance at the surgical department of a university hospital.
methodsOver an 8-year period, purely surgical times of 24,214 operations in 2,792 days were analyzed with special regard to final-year medical students' participation rate. Students' cumulative workload in the operating room was compared to that of surgical residents.
resultsMean participation rate of final-year medical students was 47.8%, being higher in elective surgery than in emergency surgery (53.9% vs. 24.7%; p < 0.001). When students participated in operations, mean daily cumulative working time of student's cohort was 10.3 ± 0.12 h. Daily cumulative workload of medical students in the operating room strongly correlated with both medical doctors' cumulative workload (r (2) = 0.573) and daily workload of the team (r (2) = 0.740, p < 0.001 each). Final-year medical students assisted significantly more often in time-consuming operations.
conclusionFinal-year medical students contribute significantly to surgical operation room performance, similarly but less intensively than residents. Employment of students may counterbalance staff shortage in operating rooms. Therefore, it is likely that the German health care system relies on unpaid medical students to minimize the total cost of surgery. According to the extent of workload accomplished by final-year medical students, a remuneration of the "practical year" seems reasonable.
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