Recently graduated residents recommend more case exposure to achieve independence
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Despite reporting a high self-perceived independence in performing common adult and pediatric orthopedic surgical procedures, recently graduated residents recommended the number of case exposures to achieve independence should be greater than the Accreditation Council for Graduate Medical Education minimum numbers, according to published results.
In a web survey, Charles L. Saltzman, MD, and colleagues had 727 recently graduated U.S. orthopedic residents sitting for the American Board of Orthopaedic Surgery Part 1 Examination in July 2018 assess their ability to independently perform 26 common adult and pediatric orthopedic procedures. Researchers also had participants recommend the number of cases to achieve independence at the end of training. Data were compared to the Accreditation Council for Graduate Medical Education (ACGME) minimum numbers, as well as the average ACGME resident experience data from residents who graduated from 2010 to 2012.
Results showed more than 80% of respondents reported the ability to perform 78% of the 18 adult procedures independently, while more than 90% of respondents reported the ability to perform 88% of the pediatric procedures independently. Researchers found residents recommended a greater number of cases for independence for all but one adult procedure compared with the ACGME minimum numbers. Compared with the mean minimum number of cases suggested by the residents who graduated in 2018, researchers noted 2010 to 2012 trainees performed significantly fewer cases for 56% of the adult procedures and 100% of the pediatric procedures.
“Recently graduated orthopedic residents reported a high perceived ability to independently perform common adult and pediatric procedures at the end of training,” Saltzman told Healio Orthopedics. “However, they did recommend a greater numbers of case repetitions to achieve independence at the end of training for core procedures.” – by Casey Tingle
Disclosures: Saltzman reports no relevant financial disclosures. Please see the study for all other authors’ relevant financial disclosures.
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