Carlo Melloni
The surgeon is obviously considered as an important prognostic factor for patient's outcome and several studies investigated on quality and outcomes of cares of patients that o?en look for expert surgical teams and centers of excellence.
Be a team of excellence means high-volume practice of complex surgery but there is also sufficient evidence from the literature to indicate that equally good results can be obtained in smaller regional hospitals by some surgeons who only operate on a low volume of cases.
What does it mean? Is it possible for residents to reach a high level of expertise operating on low volume of cases and without enough resources?