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Orthopaedic surgery residents report little subjective or objective familiarity with healthcare costs.
Sinkler, Margaret A; Flanagan, Christopher D; Joseph, Noah M; Vallier, Heather A.
Affiliation
  • Sinkler MA; Department of Orthopaedics, MetroHealth Medical Center, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH, 44106, USA. Margaret.sinkler@uhhospitals.org.
  • Flanagan CD; Department of Orthopaedics, MetroHealth Medical Center, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.
  • Joseph NM; Department of Orthopaedics, MetroHealth Medical Center, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.
  • Vallier HA; Department of Orthopaedic Surgery, Case Western Reserve School of Medicine, 2500 Metrohealth Drive, Cleveland, OH, USA.
Eur J Orthop Surg Traumatol ; 33(8): 3475-3481, 2023 Dec.
Article in En | MEDLINE | ID: mdl-37195307
ABSTRACT

PURPOSE:

Residents have limited education regarding the cost of orthopaedic interventions. Orthopaedic residents' knowledge was surveyed in three scenarios involving an intertrochanteric femur fracture 1) uncomplicated course with 2-day hospital stay; 2) complicated course necessitating ICU admission; and 3) readmission for pulmonary embolism management.

METHODS:

From 2018 to 2020, 69 orthopaedic surgery residents were surveyed. Respondents estimated hospital charges and collections; professional charges and collections; implant cost; and level of knowledge depending on the scenario.

RESULTS:

Most residents (83.6%) reported feeling "not knowledgeable". Respondents reporting "somewhat knowledgeable" did not perform better than those who reported "not knowledgeable". In the uncomplicated scenario, residents underestimated hospital charges and collections (p < 0.01; p = 0.87), and overestimated hospital charges and collections and professional collections (all p < 0.01) with an average percent error of 57.2%. Most residents (88.4%) were aware the sliding hip screw construct costs less than a cephalomedullary nail. In the complex scenario, while residents underestimated the hospital charges (p < 0.01), the estimated collections were closer to the actual figure (p = 0.16). In the third scenario, residents overestimated the charges and collections (p = 0.04; p = 0.04).

CONCLUSIONS:

Orthopaedic surgery residents receive little education regarding healthcare economics and feel unknowledgeable therefore a role for formal economic education during orthopaedic residency may exist.
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Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Orthopedics / Orthopedic Procedures / Internship and Residency Type of study: Health_economic_evaluation Limits: Humans Language: En Journal: Eur J Orthop Surg Traumatol Year: 2023 Type: Article Affiliation country: United States

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Orthopedics / Orthopedic Procedures / Internship and Residency Type of study: Health_economic_evaluation Limits: Humans Language: En Journal: Eur J Orthop Surg Traumatol Year: 2023 Type: Article Affiliation country: United States