BACKGROUND: Mastery in performing carpal tunnel release (CTR) and hand fracture procedures is an essential component of orthopaedic residency training. OBJECTIVE: To assess orthopaedic resident case log data for temporal trends in CTR and hand fracture cases and to determine the degree of variability in case volume among residents. METHODS: Accreditation Council for Graduate Medical Education orthopaedic surgery resident case logs were reviewed for graduation years 2007 through 2014. Annual data regarding the mean number of CTR and hand fracture/dislocation procedures were recorded, as well as the median number of procedures reported by the top and bottom 10% of residents (by case volume). Temporal trends were assessed using linear regression modeling. RESULTS: There was no change in the mean number of CTRs performed per resident. Over the 8-year period, the top 10% of residents performed a significantly greater number of CTRs than the bottom 10% (62.1 versus 9.3, P < .001). Similarly, no change was noted in the mean number of total hand fracture/dislocation cases performed, with the top 10% of residents performing significantly more hand fracture cases than the bottom 10% (47.1 versus 9.3, P < .001). CONCLUSIONS: Our results indicate no change in CTR and hand fracture caseload for orthopaedic residents. However, as resident experience performing both procedures varies significantly, this variability likely has important educational implications.
BACKGROUND: Mastery in performing carpal tunnel release (CTR) and hand fracture procedures is an essential component of orthopaedic residency training. OBJECTIVE: To assess orthopaedic resident case log data for temporal trends in CTR and hand fracture cases and to determine the degree of variability in case volume among residents. METHODS: Accreditation Council for Graduate Medical Education orthopaedic surgery resident case logs were reviewed for graduation years 2007 through 2014. Annual data regarding the mean number of CTR and hand fracture/dislocation procedures were recorded, as well as the median number of procedures reported by the top and bottom 10% of residents (by case volume). Temporal trends were assessed using linear regression modeling. RESULTS: There was no change in the mean number of CTRs performed per resident. Over the 8-year period, the top 10% of residents performed a significantly greater number of CTRs than the bottom 10% (62.1 versus 9.3, P < .001). Similarly, no change was noted in the mean number of total hand fracture/dislocation cases performed, with the top 10% of residents performing significantly more hand fracture cases than the bottom 10% (47.1 versus 9.3, P < .001). CONCLUSIONS: Our results indicate no change in CTR and hand fracture caseload for orthopaedic residents. However, as resident experience performing both procedures varies significantly, this variability likely has important educational implications.
Authors: Ann VanHeest; Bradley Kuzel; Julie Agel; Matthew Putnam; Loree Kalliainen; James Fletcher Journal: J Hand Surg Am Date: 2012-02 Impact factor: 2.230
Authors: Mark A Malangoni; Thomas W Biester; Andrew T Jones; Mary E Klingensmith; Frank R Lewis Journal: J Surg Educ Date: 2013-09-26 Impact factor: 2.891
Authors: Suleiman Y Sudah; Christopher R Michel; Matthew H Nasra; Robert D Faccone; David S Constantinescu; Mariano E Menendez; Ryan J Plyler Journal: Arthrosc Sports Med Rehabil Date: 2022-05-17
Authors: Michael F Levidy; Andrew Dobitsch; Justin Luis; Adam N Fano; Ashok Para; Michael Vosbikian; Kathleen Beebe; Neil Kaushal Journal: JB JS Open Access Date: 2021-09-07