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Volume of arthroscopy cases performed by orthopedic residents increased from 2007 to 2013
Recently published results showed a significant increase in the volume of arthroscopy cases performed by graduating orthopedic surgery residents, with substantial variability in knee and shoulder arthroscopy case volumes between residents in the 10th and 90th percentiles.
Researchers assessed Accreditation Council for Graduate Medical Education surgical case logs from 2007 to 2013 for variability in orthopedic surgery residency and case volume trends in shoulder, elbow, wrist, hip, knee and ankle arthroscopy. Researchers directly compared the national average number of procedures performed in each arthroscopy category reported from 2009 to 2013. For shoulder and knee arthroscopy procedures, researchers compared the 10th and 90th percentile arthroscopy case volumes between 2007 and 2013. They also compared the difference between the 10th and 90th percentile arthroscopy case volumes in each category in 2007 with the difference between the 10th and 90th percentile arthroscopy case volumes in each category in 2013.
Alan H. Daniels
Results showed an increase in procedures performed per resident of 43.1% for shoulder arthroscopy, 28% for elbow arthroscopy, 8.6% for wrist arthroscopy, 588.9% for hip arthroscopy, 8.5% for knee arthroscopy and 27.6% for ankle arthroscopy. Researchers found no significant difference in knee and shoulder arthroscopy volumes between residents in the 10th and 90th percentiles in 2007 and residents in the 10th and 90th percentiles in 2013. However, in 2007, there was a 3.66-fold difference in knee arthroscopy volume between residents in the 10th and 90th percentiles vs. a 3.36-fold difference in 2013, according to results. For shoulder arthroscopy case volume, researchers noted a 5.86-fold difference between residents in the 10th and 90th percentiles in 2007 vs. a 4.96-fold difference in 2013. – by Casey Tingle
Disclosures: Gil reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.