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Decrease in Resident Arthroscopic Case Volume After 2013 Implementation of Minimum Case Requirements.

Samir Sabharwal¹, Gregory R Toci¹, Adam A D'Sa¹

¹Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A.

Arthroscopy, Sports Medicine, and Rehabilitation

|February 22, 2021

Summary

This summary is machine-generated.

Orthopaedic residents logged fewer knee and shoulder arthroscopy cases after 2013, following new Accreditation Council for Graduate Medical Education (ACGME) minimum case requirements. This change also reduced the disparity in caseloads between high-volume and low-volume trainees.

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Area of Science:

Orthopaedic Surgery
Medical Education
Surgical Training

Background:

The Accreditation Council for Graduate Medical Education (ACGME) implemented minimum case requirements for orthopaedic surgery residents in 2013.
These requirements aimed to standardize resident training and ensure adequate procedural experience.

Purpose of the Study:

To analyze temporal trends in arthroscopic knee and shoulder case volumes among graduating U.S. orthopaedic residents.
To assess changes in caseload variability following the 2013 ACGME case minimum implementation.

Main Methods:

Retrospective comparative study analyzing ACGME-published case log data from 2007-2013 (pre-minimums) and 2014-2019 (post-minimums).
Compared mean arthroscopic knee and shoulder cases per resident between the two periods using unpaired t-tests.
Level III evidence.

Main Results:

Mean knee arthroscopy cases per resident decreased from 164 to 107 (P < .001).
Mean shoulder arthroscopy cases per resident decreased from 98 to 66 (P < .001).
The ratio of 90th percentile to 10th percentile caseloads significantly decreased, indicating reduced disparity.

Conclusions:

Implementation of ACGME case minimums in 2013 led to a significant decrease in reported knee and shoulder arthroscopic cases.
Caseloads became more uniform across residents, narrowing the gap between high-volume and low-volume practitioners.