Is surgical education associated with additional costs?
The German DRG matrix results in higher profits accounted to the learning surgeon by increased PCCL relevant status and grouping the case to a more profitable DRG. Hereby, the additional costs are only partly redeemed. Surgical education of residents is associated with additional costs for the hospital. These costs have to be redeemed to allow good surgical training for hospitals having good teaching conditions.
Most participants were inexperienced, lacked concern for injury or hyponatremia, and were not using methods of hydration assessment.