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Variability in Trauma Case Volume in Orthopedic Surgery Residents

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 90(th) and 10(th) percentiles in regards to th...

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Autores principales: Blood, Travis D., Gil, Joseph A., Born, Christopher T., Daniels, Alan H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5337775/
https://www.ncbi.nlm.nih.gov/pubmed/28286621
http://dx.doi.org/10.4081/or.2017.6967
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author Blood, Travis D.
Gil, Joseph A.
Born, Christopher T.
Daniels, Alan H.
author_facet Blood, Travis D.
Gil, Joseph A.
Born, Christopher T.
Daniels, Alan H.
author_sort Blood, Travis D.
collection PubMed
description 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 90(th) and 10(th) 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 10(th) and 90(th) 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 10(th) and 90(th) 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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spelling pubmed-53377752017-03-10 Variability in Trauma Case Volume in Orthopedic Surgery Residents Blood, Travis D. Gil, Joseph A. Born, Christopher T. Daniels, Alan H. Orthop Rev (Pavia) Article 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 90(th) and 10(th) 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 10(th) and 90(th) 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 10(th) and 90(th) 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. PAGEPress Publications, Pavia, Italy 2017-02-20 /pmc/articles/PMC5337775/ /pubmed/28286621 http://dx.doi.org/10.4081/or.2017.6967 Text en ©Copyright T.D. Blood et al., 2017 http://creativecommons.org/licenses/by-nc/4.0/ This work is licensed under a Creative Commons Attribution NonCommercial 4.0 License (CC BY-NC 4.0).
spellingShingle Article
Blood, Travis D.
Gil, Joseph A.
Born, Christopher T.
Daniels, Alan H.
Variability in Trauma Case Volume in Orthopedic Surgery Residents
title Variability in Trauma Case Volume in Orthopedic Surgery Residents
title_full Variability in Trauma Case Volume in Orthopedic Surgery Residents
title_fullStr Variability in Trauma Case Volume in Orthopedic Surgery Residents
title_full_unstemmed Variability in Trauma Case Volume in Orthopedic Surgery Residents
title_short Variability in Trauma Case Volume in Orthopedic Surgery Residents
title_sort variability in trauma case volume in orthopedic surgery residents
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5337775/
https://www.ncbi.nlm.nih.gov/pubmed/28286621
http://dx.doi.org/10.4081/or.2017.6967
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