What does this research mean for the field?

Replacing an anesthesiology resident's essential clinical work with alternative nonphysician healthcare providers results in an incremental hospital cost of approximately $153,000 per resident across a 3-year residency. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

August 1, 1998Anesthesia & Analgesia

Valuing the Work Performed by Anesthesiology Residents and the Financial Impact on Teaching Hospitals in the United States of a Reduced Anesthesia Residency Program Size

Q: What is the clinical evidence from this study?

Study design: Other. Population: Anesthesiology residency staffing. Intervention: Replacing anesthesiology residents with alternative dependent providers vs. Anesthesiology residents. Primary outcome: Incremental cost to replace all essential clinical duties performed by an anesthesiology resident.

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Key result

Replacing anesthesiology residents with alternative providers costs hospitals ~$153,000 over a three-year residency.

Population

Anesthesiology residency program at a large university tertiary care hospital

Comparison

Replacing anesthesiology residents with… vs Maintaining anesthesiology residents

Design

Other

Authors

MPMichael A. PisetskyDuke University DLDavid A. LubarskyORCID BCBruce P. CapehartDuke University

Discussion

Member takes

Implication

Hospitals should factor resident replacement costs into workforce planning; this level-5 estimate leaves open net effects on education and care delivery.

Structured PICO

Population

Financial analysis at a large university tertiary care hospital and affiliated hospitals in the United States evaluating the cost of replacing anesthesiology residents with alternative providers.

Exposure

Replacing anesthesiology residents with alternative dependent providers (certified registered nurse anesthetists, advanced practice nurses, and physician assistants)

Comparator

Maintaining anesthesiology residents

Outcome

Incremental cost of replacing anesthesiology residents

Replacing anesthesiology residents with alternative nonphysician providers imposes a significant financial burden on teaching hospitals.

Cite This Study

Pisetsky et al. (1998) studied Anesthesiology residency staffing. Replacing anesthesiology residents with alternative dependent providers vs. Anesthesiology residents was evaluated on Incremental cost to replace all essential clinical duties performed by an anesthesiology resident. Replacing an anesthesiology resident's essential clinical work with alternative dependent providers costs hospitals approximately $153,000 over the course of a 3-year residency.

synapsesocial.com/papers/6aa65260c616a76b5feedc80 https://doi.org/10.1213/00000539-199808000-00003

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Implication

Hospitals should factor resident replacement costs into workforce planning; this level-5 estimate leaves open net effects on education and care delivery.

Valuing the Work Performed by Anesthesiology Residents and the Financial Impact on Teaching Hospitals in the United States of a Reduced Anesthesia Residency Program Size

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Valuing the Work Performed by Anesthesiology Residents and the Financial Impact on Teaching Hospitals in the United States of a Reduced Anesthesia Residency Program Size

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider