Publications by authors named "Adam A D'Sa"

In 2013, the Accreditation Council for Graduate Medical Education (ACGME) mandated orthopedic surgery residents to perform at least 1000 surgical cases during residency and specified "case minimums" for 15 core procedure categories. We assessed trends in the volume and variability of graduating orthopedic surgery resident caseload since the implementation of these case minimums. We performed a retrospective linear regression analysis of ACGME-published case log data of US orthopedic residents graduating from 2014 to 2019, with trend analysis, comparison of case volume between residents in 10th and 90th percentiles, and comparison of logged cases vs case minimums for core procedures.

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Article Synopsis
  • The study analyzes changes in case volumes of knee and shoulder arthroscopies performed by U.S. orthopaedic residents before and after the ACGME's minimum case requirements were introduced in 2013.
  • Results show that the average number of knee arthroscopies decreased from 164 to 107 and shoulder arthroscopies from 98 to 66 post-implementation, indicating significant reductions in surgical exposure.
  • Additionally, the study found that the gap between high-volume and low-volume caseloads narrowed, suggesting a more standardized training experience for residents across different programs.
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