Fecha de publicación: -- Fuente: PubMed "essential OR oil extract" Surgery. 2026 Sep 10:110645. doi: 10.1016/j.surg.2026.110645. Online ahead of print.ABSTRACTBACKGROUND: Appropriate trauma team staffing is essential for managing high patient volumes while supporting provider well-being. Although expanding attending surgeon coverage is a common strategy to address physician workload, the impact of additional faculty and team structure on advanced practice providers is not well defined. This study evaluates the effect of implementing a 2-surgeon trauma staffing model on patient outcomes and advanced practice provider-reported perceptions.METHODS: We performed a retrospective review of adult trauma patients before (January 2018-March 2020) and after (March 2021-January 2023) implementation of a 2-surgeon staffing model. Outcomes, including mortality, complications, intensive care unit and hospital length of stay, and operative metrics, were compared between single- and 2-attending periods. Trauma advanced practice providers completed a 6-point Likert survey assessing workload, communication, job satisfaction, burnout, and overall satisfaction.RESULTS: A total of 6,146 patients were treated under the single-attending model and 10,936 under the 2-attending model. Median patient census per surgeon decreased from 31 (interquartile range, 14; maximum, 80) to 21 (interquartile range, 6; maximum, 36). Advanced practice provider survey responses showed modest, nonsignificant improvements in workload, communication, job satisfaction, and burnout following implementation. Clinical outcomes remained similar between models, including hospital length of stay and complication rates (deep vein thrombosis: 0.26% vs 0.37%; pulmonary embolism: 0.46% vs 0.61%; and surgical site infection: 0.70% vs 0.75%).CONCLUSION: A 2-surgeon trauma staffing model maintained clinical outcomes but did not significantly improve advanced practice provider-reported workload, communication, or well-being. Attending-level expansion alone may be insufficient to enhance advanced practice provider experience, highlighting the need for interventions targeting advanced practice provider-specific workflows and system-level contributors to workload.PMID:42816226 | DOI:10.1016/j.surg.2026.110645