ACGME and ABOS Changes for the Orthopaedic Surgery PGY-1 (Intern) Year

CORR ® Curriculum — Orthopaedic Education: Developing Safe, Independent Practitioners

“…Allowing for greater exposure and ''hands on'' experience earlier in the course of the residency might allow for even better surgical skills later in the residency program. The American Board of Orthopaedic Surgery (ABOS) moved toward this direction when it mandated intern surgical skills modules for all PGY1 residents beginning in the 2013-2014 year [6]. Regarding how we teach our residents, surgical simulation in the laboratory may accelerate the identification of those who need extra attention to develop certain surgical skills [13].…”

National trends in otolaryngology intern curricula following Accreditation Council for Graduate Medical Education changes

“…The ACGME mandate affords extra time to include this experience during the intern year, but educational benefits compete with clinical service needs, and the feasibility of this or similar rotations should be evaluated at other institutions. Although other surgical subspecialties have mandated completion of a surgical skills curriculum, a similar requirement for otolaryngology interns has not taken effect …”

“…The authors identify that ORL‐HNS programs consistently reported a need for new assessment tools that assess competency in both technical and nontechnical skills. A similar ACGME change requiring 6 months on service during the intern year was instated for orthopedic surgery residencies in 2013, which also included participation and evaluation of a mandatory surgical skills curriculum comprised of 18 defined modules . These types of interventions and evaluations would be feasible in otolaryngology given the additional 3 months on service, though would require deliberation regarding the appropriate modules to include for our specialty.…”

“…Other surgical subspecialties have previously undergone similar transformations, such as the ACGME and American Board of Orthopaedic Surgery–mandated major changes to PGY‐1 curriculum in 2013 . Under these new requirements, PGY‐1 residents in orthopedic surgery spend a requisite 6 months on orthopedic surgery rotations, 6 months of non‐orthopedic surgery rotations, and complete a mandatory skills curriculum…”

CORR ® Curriculum — Orthopaedic Education: Operative Assessment and the ACGME Milestones: Time for Change

“…We have discussed the new AC-GME changes in this space before [4,5]. How effective have these changes been for both improving patient safety and resident education?…”