Abstract
July marks the beginning of the new academic medical year and brings excitement and anticipation as surgical trainees move on to the next postgraduate level. Newly minted interns, fellows, attending physicians, and even nurses and physician assistants must adjust to their new role and responsibilities. Recently, authors have hypothesized a “July Effect” or “July Phenomenon” in which patient morbidity and mortality may be increased during Quarter 3 due the transition and turnover among health care employees (1, 2). The purpose of this study was to explore the July effect on mandibular fracture treatment outcomes using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database.
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