# Examining the Applicability of Surgical Coaching Rules for Resident Autonomy in Non-teaching Hospitals

## TL;DR

This study examines how surgical coaching rules in teaching hospitals affect resident autonomy and patient outcomes, especially in non-teaching settings.

## Contribution

The study evaluates the impact of surgical coaching rules on resident autonomy and patient safety in non-teaching hospitals.

## Key findings

- Cases with both attending and resident surgeons had shorter operative times but more comorbidities and complications.
- Resident autonomy was associated with fewer complications but longer operative times.
- The findings suggest implications for resident training and healthcare delivery in university hospitals.

## Abstract

Introduction: This retrospective study aims to analyze the impact of standardized rules for teaching in university hospitals on surgical resident autonomy and patient safety, as measured by patient outcomes, and also examines the learning curves for residents and their impact on patient outcomes in a non-teaching hospital.

Methods: The data for the study was collected retrospectively from medical records of 2000 adult patients who went through surgical procedures from January 2020 to December 2022. Participants were categorized into two groups based on the supervision level provided by attending surgeons and residents. Appropriate statistical methods were used to analyze the data.

Results: It was observed that operative times of cases handled by both attending and resident surgeons were less than those handled by residents alone. On the other hand, the former group had a significantly higher burden of comorbidities and higher rate of perioperative complications than the latter. These results have important implications for the training of medical residents and the overall delivery of healthcare services in university hospitals.

Conclusion: The findings will also help towards better understanding of the effectiveness of these rules and their potential for improving the quality of care provided by residents in these settings.