Development of a Charting Method to Monitor the Individual Performance of Surgeons at the Beginning of Their Career 英文参考文献.docVIP

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Development of a Charting Method to Monitor the Individual Performance of Surgeons at the Beginning of Their Career 英文参考文献.doc

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Development of a Charting Method to Monitor the Individual Performance of Surgeons at the Beginning of Their Career 英文参考文献

DevelopmentofaChartingMethodtoMonitorthe IndividualPerformanceofSurgeonsattheBeginningof TheirCareer AntoineDuclos1,2.*, MatthewJ.Carty2.,Jean-LouisPeix3,CyrilleColin1,StuartR.Lipsitz2 ,Jean- LouisKraimps4,FabriceMenegaux5,Franc?oisPattou6,Fre′dericSebag7,NicolasVoirin8, SandrineTouzet1,Ste′phanieBourdy1,Jean-ChristopheLifante2,onbehalfoftheCATHYStudyGroup 1HospicesCivilsdeLyon,Po?leInformationMe′dicaleEvaluationRecherche,Lyon,France;Universite′ deLyon,EASante′-Individu-Socie′te′ 4129,Lyon,France,2Centerfor SurgeryandPublicHealth,BrighamandWomen’sHospital-HarvardMedicalSchool,Boston,Massachusetts,UnitedStatesofAmerica,3HospicesCivilsdeLyon,Centre HospitalierLyonSud,ServicedeChirurgieGe′ne′raleetEndocrinienne,PierreBe′nite,France,4DepartmentofEndocrineSurgery,PoitiersUniversity,JeanBernardHospital, Poitiers,France,5AssistancePublique-Ho?pitauxdeParis,Ho?pitallaPitie′-Salpe?trie`re, ServicedeChirurgieGe′ne′rale,Visce′raleetEndocrinienne,Paris,France,6CHRUde Lille,ChirurgieGe′ne′raleetEndocrinienne,Lille,France;Universite′LillenorddeFrance,INSERM,UMR859,Lille,France,7AssistancePublique-Ho?pitauxdeMarseille,CHUla Timone-Adulte,Marseille,France,8HospicesCivilsdeLyon,Ho?pitalEdouardHerriot,Serviced’Hygie`ne, Epide′miologieetPre′vention, Lyon,France;Universite′ deLyon; Universite′ Lyon1;CNRS,UMR5558,LaboratoiredeBiome′trieetBiologieEvolutive,Lyon,France Abstract Background:Effortstoprovideavalidpictureofsurgeons’individualperformanceevolutionshouldframetheiroutcomes in relation to what is expected depending on their experience. We derived the learning curve of young thyroidectomy surgeonsasabaselinetoenabletheaccurateassessmentoftheirindividualoutcomesandavoiderroneousconclusions thatmayderivefrommoretraditionalapproaches. Methods: Operative time and postoperative recurrent laryngeal nerve palsy of 2006 patients who underwent a thyroidectomyperformedby19youngsurgeonsinfiveacademichospitalsweremonitoredfromApril2008toDecember 2009. The database was ra