ACGME Operative Case Log Accuracy Varies Among Surgical Programs

Collins, Courtney; Dudas, Lauren; Johnson, Mason; Davenport, Daniel L.; Bernard, Andrew C.; Beck, Sandra J.; Muchow, Ryan D.; Pittman, Thomas; Talley, Cynthia L.

doi:10.1016/j.jsurg.2020.08.045

Cited by 30 publications

(28 citation statements)

References 17 publications

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“…First, resident operative volume is self-reported and the accuracy and completeness of ACGME resident log has been previously contested. 52 , 68 , 69 , 70 Nonetheless, this national dataset represents the largest, most complete, and nationally standardized reference to assess trends and changes in logged case volume. Secondly, summary data for each of the graduating cohorts does not reliably reflect the operative experience of each resident; inevitably, some residents and programs were more substantially impacted by the pandemic.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Did Not Stop the Rising Tide: Trends in Case Volume Logged by Surgical Residents

Beaulieu‐Jones¹,

Geus²,

Rasic³

et al. 2023

Journal of Surgical Education

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Section: Discussionmentioning

confidence: 99%

COVID-19 Did Not Stop the Rising Tide: Trends in Case Volume Logged by Surgical Residents

Beaulieu‐Jones¹,

Geus²,

Rasic³

et al. 2023

Journal of Surgical Education

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“…However, we were interested in understanding the impact of COVID-19 on total annual case volume during joint arthroplasty fellowship training. Third, ACGME case logs are self-reported and susceptible to bias and mis-reporting [ 30 , 31 ]. However, given the increasing importance of accuracy for these case logs in accreditation and job placement after fellowship, there is high scrutiny on this data.…”

Section: Discussionmentioning

confidence: 99%

The Impact of COVID-19 on Total Joint Arthroplasty Fellowship Training

Silvestre

Thompson

Nelson³

2022

The Journal of Arthroplasty

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“…Finally, the reported case volume is susceptible to reporting biases including coding inaccuracies and misrepresentation. [15][16][17] Given the comparative nature of our study, these limitations would apply equally to orthopaedic and plastic surgery residents.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Strengths in Exposure to Cases During Plastic and Orthopaedic Hand Surgery Fellowships

Silvestre

Thomson

Thompson

et al. 2022

J Am Acad Orthop Surg

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Introduction: Prospective residents interested in hand surgery must decide to apply for hand surgery fellowships sponsored by different specialties. This study compares case volumes reported during plastic surgery and orthopaedic hand surgery fellowships. Methods: The American Council for Graduate Medical Education case logs of accredited hand surgery fellowships were analyzed for hand surgery cases (2012 to 2013 to 2020 to 2021). The reported case volume was compared by specialty. Temporal trends were described, intrapathway variabilities calculated, and interpathway differences calculated with Student t-tests. Results: Two hundred plastic surgery (13%) and 1,323 orthopaedic (87%) hand surgery fellows were included. The number of orthopaedic hand surgery fellowships increased from 58 in 2012 to 2013 to 70 in 2020 to 2021 (21% increase), whereas the number of plastic surgery fellowships was stable at 16. Orthopaedic hand surgery fellows reported more hand surgery cases (764 6 22 versus 628 6 226), arthroscopy cases (53 6 54 versus 23 6 38), and miscellaneous hand surgery cases (42 6 23 versus 31 6 18) than plastic surgery hand fellows. Plastic surgery hand fellows reported more cases in wound closure with graft, wound reconstruction with flap, nerve injury, and vascular repair. Overall, orthopaedic surgery offered more experience in 15 case categories (58%), while plastic surgery offered more experience in five case categories (19%). Six case categories (23%) had no difference between specialties. Discussion: Although orthopaedic hand surgery fellowship affords more cases overall, plastic surgery hand fellowships have unique strengths in wound reconstruction with grafts and flaps, nerve injury, and vascular repair. Ultimately, results from this study create a benchmark to improve future training opportunities for hand surgery fellows and orthopaedic surgery residents.

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ACGME Operative Case Log Accuracy Varies Among Surgical Programs

Cited by 30 publications

References 17 publications

COVID-19 Did Not Stop the Rising Tide: Trends in Case Volume Logged by Surgical Residents

COVID-19 Did Not Stop the Rising Tide: Trends in Case Volume Logged by Surgical Residents

The Impact of COVID-19 on Total Joint Arthroplasty Fellowship Training

Analysis of Strengths in Exposure to Cases During Plastic and Orthopaedic Hand Surgery Fellowships

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