Is Initial Board Certification Associated With Better Early Career Surgical Outcomes?

Daniel E. Kendrick, Xilin Chen, Andrew T. Jones, Michael Clark, Zhaohui Fan, Hoda Bandeh-Ahmadi, Greg Wnuk, Jason P. Kopp, Beatriz Ibanez Moreno, John W. Scott, Gurjit Sandhu, Jo Buyske, Justin B. Dimick, Brian C. George

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: To determine if initial American Board of Surgery certification in general surgery is associated with better risk-adjusted patient outcomes for Medicare patients undergoing partial colectomy by an early career surgeon. BACKGROUND: Board certification is a voluntary commitment to professionalism, continued learning, and delivery of high-quality patient care. Not all surgeons are certified, and some have questioned the value of certification due to limited evidence that board-certified surgeons have better patient outcomes. In response, we examined the outcomes of certified versus noncertified early career general surgeons. METHODS: We identified Medicare patients who underwent a partial colectomy between 2008 and 2016 and were operated on by a non-subspecialty trained surgeon within their first 5 years of practice. Surgeon certification status was determined using the American Board of Surgery data. Generalized linear mixed models were used to control for patient-, procedure-, and hospital-level effects. Primary outcomes were the occurrence of severe complications and occurrence of death within 30 days. RESULTS: We identified 69,325 patients who underwent a partial colectomy by an early career general surgeon. The adjusted rate of severe complications after partial colectomy by certified (n = 4239) versus noncertified (n = 191) early-career general surgeons was 9.1% versus 10.7% (odds ratio 0.83, P = 0.03). Adjusted mortality rate for certified versus noncertified early-career general surgeons was 4.9% versus 6.1% (odds ratio 0.79, P = 0.01). CONCLUSION: Patients undergoing partial colectomy by an early career general surgeon have decreased odds of severe complications and death when their surgeon is board certified.

Original languageEnglish (US)
Pages (from-to)220-226
Number of pages7
JournalAnnals of surgery
Volume274
Issue number2
DOIs
StatePublished - Aug 1 2021
Externally publishedYes

Bibliographical note

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Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

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