National Trends in Carpal Tunnel Release and Hand Fracture Procedures Performed During Orthopaedic Residency: An Analysis of ACGME Case Logs

Hinds, Richard M.; Gottschalk, Michael B.; Capo, John T.

doi:10.4300/jgme-d-15-00317.1

Cited by 11 publications

(6 citation statements)

References 20 publications

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“…In contrast, Hinds et al. 17 found no significant change in the number of carpal tunnel release and hand fracture cases performed from graduation years 2007 to 2014 (32.8-28.9, P = .79). This suggests that ACGME case minimums may not always have an effect on the number of cases performed or reported.…”

Section: Discussionmentioning

confidence: 88%

“…Klimstra et al 4 demonstrated a significant increase in the reporting of closed manipulation of forearm and wrist fractures after implementation of case minimums (30.0 to 45.0, P < .001). In contrast, Hinds et al 17 found no significant change in the number of carpal tunnel release and hand fracture cases performed from graduation years 2007 to 2014 (32.8-28.9, P ¼ .79). This suggests that ACGME case minimums may not always have an effect on the number of cases performed or reported.…”

Section: Discussionmentioning

confidence: 89%

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ACGME Case Volume Minimums Decrease the Number of Shoulder and Knee Arthroscopies Performed by Residents

Clark

Miskimin

Mulcahey

2021

Arthroscopy, Sports Medicine, and Rehabilitation

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The purpose of this study was to examine how the implementation of Accreditation Council of Graduate Medical Education (ACGME) case minimums in 2013 has affected the number of shoulder and knee arthroscopies performed by orthopaedic surgery residents during their clinical training. Methods: The ACGME orthopaedic surgery case log data from graduation years 2007 to 2019 was used to evaluate the number of shoulder and knee arthroscopies performed. The mean and median number of cases performed per resident were compared for the years prior to implementation of the ACGME case minimum (2007-2012) and after (2013-2019). Results: The ACGME orthopaedic surgery case minimums resulted in a significant decrease in the mean number of shoulder and knee arthroscopies performed. The mean number of shoulder arthroscopies performed in the years before and after the case minimum requirement were 109.8 and 82.0 (P ¼ .025), respectively. The mean number of knee arthroscopies performed in the years before and after the case minimum requirement were 178.6 and 124.8 (P ¼ .006), respectively. Residents in the tenth percentile of cases performed still met the required ACGME case minimums each year. The mean total of all cases performed in the years before and after the case minimum requirement were 2045.5 and 1699.3 (P ¼ .038), respectively. Conclusions: The number of shoulder and knee arthroscopies performed by orthopaedic surgery residents significantly decreased after the implementation of ACGME case minimums, which may be due to underreporting of cases. Clinical Relevance: This study may demonstrate the effect of the implementation of the ACGME case minimums on the number of shoulder and knee arthroscopies performed by orthopaedic surgery residents.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 89%

ACGME Case Volume Minimums Decrease the Number of Shoulder and Knee Arthroscopies Performed by Residents

Clark

Miskimin

Mulcahey

2021

Arthroscopy, Sports Medicine, and Rehabilitation

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“… 1 Although resident training consists of didactic education, preoperative and postoperative patient care, non-operative care and educational courses, repetitive surgical experience in the operating room continues to be essential. 2 , 7 , 8 When analyzing self reported surveys of case volume and the objective ACGME case log data of general surgery residents, it was found that increasing surgical volume correlates with resident comfort level in the operating room. 9 Therefore the more experience a resident can obtain in a given procedure or subspecialty, the more comfortable and knowledgeable the resident will be with the intricacies of the case when he or she encounters it in independent practice.…”

Section: Discussionmentioning

confidence: 99%

Variability in trauma case volume in orthopedic surgery residents

et al. 2017

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Orthopedic trauma surgery is a critical component of resident education. Surgical case logs obtained from the Accreditation Council of Graduate Medical Students from 2009 to 2013 for orthopedic surgery residents were examined for variability between the 90th and 10th percentiles in regards to the volume of cases performed. There was an upward trend in the mean number of cases performed by senior residents from 484.4 in 2009 to 534.5 in 2013, representing a 10.3% increase. There was a statistically significant increase in the number of cases performed for humerus/elbow, forearm/wrist, and pelvis/hip during this period (P<0.05). Although the difference between the 10th and 90th percentile case volumes narrowed over the study period, the difference between these groups remained significant in 2013 (P=0.02). In 2013, all categories of trauma cases had a greater than 2.2-fold difference between the 10th and 90th percentile of residents for numbers of trauma cases performed. Although case volume is not the sole determinant of residency education and competency, evidence suggests that case volume plays a crucial role in surgeon confidence and efficiency in performing surgery. Further studies are needed to better understand the effect of this variability seen among residents performing orthopedic trauma surgery.

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“… 3 Previous studies have assessed case volume and variability of various orthopaedic procedures. 4 , 5 , 6 , 7 , 8 , 9 , 10 However, continued analyses are critical for implementing standardized training expectations that reflect changes in the orthopaedic landscape and reduce discrepancy in resident education. 11 …”

Section: Introductionmentioning

confidence: 99%

Hip Arthroscopy Procedural Volume Is Low Among Graduating Orthopaedic Surgery Residents

Sudah¹,

Michel²,

Nasra³

et al. 2022

Arthroscopy, Sports Medicine, and Rehabilitation

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National Trends in Carpal Tunnel Release and Hand Fracture Procedures Performed During Orthopaedic Residency: An Analysis of ACGME Case Logs

Abstract: Background Mastery in performing carpal tunnel release (CTR) and hand fracture procedures is an essential component of orthopaedic residency training.

Cited by 11 publications

References 20 publications

ACGME Case Volume Minimums Decrease the Number of Shoulder and Knee Arthroscopies Performed by Residents

ACGME Case Volume Minimums Decrease the Number of Shoulder and Knee Arthroscopies Performed by Residents

Variability in trauma case volume in orthopedic surgery residents

Hip Arthroscopy Procedural Volume Is Low Among Graduating Orthopaedic Surgery Residents

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