Orthopedic Oncology Caseload Among Orthopedic Surgery Residents
Despite educational focus regarding orthopedic oncology during residency, assessment of resident orthopedic oncology caseload has not been performed. The purpose of this study was to evaluate orthopedic oncology caseload trends and variation among residents. The Accreditation Council for Graduate Medical Education case log reports for orthopedic surgery residents were reviewed for graduating years 2007 to 2013. Trends in orthopedic oncology cases and variation in the median number of cases performed by residents in the 90th, 50th, and 10th percentiles of caseload were evaluated. The proportion of orthopedic oncology caseload among all cases performed by residents increased significantly (P = 0.005) from 2007 to 2013. Likewise, the mean number of adult (P = 0.002), pediatric (P = 0.003), and total orthopedic oncology cases increased significantly (P = 0.002). On average, residents in the 90th, 50th, and 10th percentiles performed 83, 28, and 3 cases, respectively. The current study demonstrates a significant increase in adult, pediatric, and total orthopedic oncology caseload. There is also evidence of substantial caseload variation among residents. Caseload variation may influence the education and technical proficiency of orthopedic residents.
KeywordsCaseload Education Oncology Orthopedic Resident
Compliance with Ethical Standards
Conflict of Interests
The authors declare that they have no competing interests.
Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements) that might pose a conflict of interest in connection with the submitted article.
- 5.Accreditation Council for Graduate Medical Education (2014) ACGME orthopaedic surgery minimum numbers. https://www.acgme.org/acgmeweb/Portals/0/PFAssets/ProgramResources/260_ORS_Case_Log_Minimum_Numbers.pdf. Accessed 12 June 2015
- 6.Stern PJ, Albanese S, Bostrom M, Day CS, Frick SL, Hopkinson W, Hurwitz S, Kenter K, Kirkpatrick JS, Marsh JL, Murthi AM, Taitsman LA, Toolan BC, Weber K, Wright RW, Derstine PL, Edgar L (2013) Orthopaedic surgery milestones. J Grad Med Educ 5(1 Suppl 1):36–58CrossRefPubMedPubMedCentralGoogle Scholar
- 7.Accreditation Council for Graduate Medical Education (2014) ACGME orthopaedic surgery case logs guidelines. http://www.acgme.org/acgmeweb/portals/0/pfassets/programresources/260_case_log_guidelines.pdf. Accessed 12 June 2015
- 8.Accreditation Council for Graduate Medical Education (2013) ACGME orthopaedic surgery case logs national data report. https://www.acgme.org/acgmeweb/Portals/0/ORSNatData1213.pdf. Accessed 12 June 2015
- 11.Enneking, WF (2000) An abbreviated history of orthopaedic oncology in North America. Clin Orthop Relat Res (374):115–124Google Scholar