288 Impact of Trainee Surgeons Performing Thyroid Procedure on Patient Safety

Abstract Introduction Impact of trainee surgeons performing thyroid procedure on patient safety Aim The primary aim was to evaluate the impact as principal operator in surgery. Method data extracted from a single consultant’s 2009 2020 British Association Endocrine and Thyroid Surgeons (BAETS) National audit. Multivariable analysis predictive factors (including operator) for temporary permanent hypocalcaemia performed. Results There were 507 cases. After excluding cases with missing variables analysed 378 (74.5%) analysed. Vocal cord palsy occurred 5/378 (1.3%), postoperative bleeding 3/378 (0.8%), 68/378 (18.0%) 20/378 (5.3%). Predictive included hyperthyroidism 117/378 (31%), retrosternal goitre 33/378 (8%), reoperation, 43/378 (11%), total thyroidectomy 184/378 (49%), nodal dissection 21/378 (6%) 15/378 (4%). analyses found only two significantly affected incidence (OR 7.82, 95% CI 3.41-17.92, p < 0.001) 3.53, 1.20-10.38, = 0.02), these reoperation 5.05, 1.09-23.25, 0.04) 5.76, 1.35-24.54, 0.018). Conclusions no evidence that adversely outcome thyroidectomy; it is worth noting 4% operations done by trainees so this study would support undertaking more thyroidectomies surgeon.