Few studies have investigated the influence of trainee involvement on inpatient satisfaction scores in the postoperative joint arthroplasty setting. This study compares Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey scores at academic and private health care centers to assess the impact of trainees on patient satisfaction. From 2013 to 2017, 3454 HCAHPS surveys were collected at the investigating institution from patients who underwent primary total hip and total knee arthroplasty. Surveys were categorized based on the inpatient practice setting—academic hospitals included orthopedic residents and medical students who were involved in perioperative care, whereas private settings did not have trainee involvement. Patient demographics, including age, body mass index, sex, and American Society of Anesthesiologists score, were retrospectively collected. A total of 2454 HCAHPS surveys from 2 academic hospitals and 1000 surveys from a private hospital were collected. Patients at the academic hospitals were more likely to report that symptoms to look out for were clearly explained (odds ratio, 1.882; P=.001), whereas patients from the private hospital were more likely to report that the hospital was always quiet at night (odds ratio, 1.271; P=.005). The overall satisfaction score was not significantly different between the academic and private settings (78.9 vs 80.2, respectively; P=.111). The overall hospital satisfaction score for patients undergoing primary total hip and knee arthroplasty was not significantly different between private and academic medical facilities. Thus, this study supports the idea that training future orthopedic surgeons will not negatively impact patient satisfaction scores in a way that affects reimbursement. [Orthopedics. 20XX;XX(X):xx–xx.]

很少有研究调查实习生参与对关节置换术后住院患者满意度评分的影响。本研究比较了学术和私人医疗保健中心对医疗保健提供者和系统的医院消费者评估 (HCAHPS) 调查得分，以评估学员对患者满意度的影响。从 2013 年到 2017 年，调查机构从接受初次全髋关节和全膝关节置换术的患者中收集了 3454 份 HCAHPS 调查。调查是根据住院实践环境分类的——学术医院包括参与围手术期护理的骨科住院医师和医学生，而私人环境没有实习生参与。患者人口统计数据，包括年龄、体重指数、性别、和美国麻醉医师协会的评分，是回顾性收集的。共收集了来自 2 家学术医院的 2454 份 HCAHPS 调查和来自一家私立医院的 1000 份调查。学术医院的患者更有可能报告需要注意的症状得到了明确解释（优势比，1.882；P =.001），而来自私立医院的患者更有可能报告说医院在晚上总是很安静（优势比，1.271；P =.005）。学术和私人环境的总体满意度得分没有显着差异（分别为 78.9 和 80.2；P =.111）。接受初次全髋关节和膝关节置换术的患者的总体医院满意度评分在私人和学术医疗机构之间没有显着差异。因此，本研究支持这样一种观点，即培训未来的整形外科医生不会以影响报销的方式对患者满意度评分产生负面影响。[骨科。20XX;XX(X):xx–xx.]