title: Trends in Arthroscopic Procedures Performed During Orthopaedic Residency: An Analysis of Accreditation Council for Graduate Medical Education Case Log Data.
abstract: OBJECTIVE
  To analyze orthopaedic resident case log data to report temporal trends in performing arthroscopic procedures and to assess variability in arthroscopic case volume among residents.
  
  
  METHODS
  Accreditation Council for Graduate Medical Education orthopaedic surgery resident case logs were reviewed from 2007 to 2013. The mean number of wrist, elbow, shoulder, knee, and ankle arthroscopic procedures performed by graduating residents was analyzed. The median number of arthroscopic procedures reported by the 70th and 30th percentiles of graduating residents (by arthroscopic case volume) was also recorded. Temporal trends were assessed using a linear regression model.
  
  
  RESULTS
  From 2007 to 2013, there were significant increases in the mean number of wrist (5.8 to 6.3; P = .038), elbow (2.5 to 3.2; P < .001), shoulder (93.5 to 133.8; P < .001), knee (170.6 to 185.1; P = .011), and ankle (5.8 to 7.4; P < .001) arthroscopies performed per resident. Residents in the 70th percentile of caseload performed significantly more wrist (7 v 2; P < .001), elbow (3.3 v 1; P < .001), shoulder (134.1 v 70.6; P < .001), knee (205 v 128.7; P < .001), and ankle (7.9 v 2.9; P < .001) arthroscopies than residents in the 30th percentile.
  
  
  CONCLUSIONS
  Our findings indicate that arthroscopic caseload is increasing among orthopaedic residents. However, resident experience performing arthroscopic procedures is substantially disparate. Although the educational implications of this disparity are not well understood, our findings may aid in efforts to optimize arthroscopic training during orthopaedic residency.
authors.affiliation: Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York, U.S.A.. Electronic address: RichardHindsResearch@gmail.com.
authors.forename: Richard M
authors.initials: RM
authors.lastname: Hinds
authors.affiliation: Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York, U.S.A.
authors.forename: Michael B
authors.initials: MB
authors.lastname: Gottschalk
authors.affiliation: Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York, U.S.A.
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Strauss
authors.affiliation: Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York, U.S.A.
authors.forename: John T
authors.initials: JT
authors.lastname: Capo
mesh_terms: D000068:Accreditation / Q000706:statistics & numerical data*; D001182:Arthroscopy / Q000193:education / Q000639:trends*; D004503:Education, Medical, Graduate / Q000592:standards*; D006801:Humans; D007396:Internship and Residency; D009985:Orthopedics / Q000193:education*; D012189:Retrospective Studies; D014481:United States