Variations in Residency Surgical Training Across Institutions and Impact on Quality of Training.

Sgromolo, Nicole M · Hand Clin · 2025

review · Level V

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Abstract

Residencies in the United States follow standards from the Accreditation Council of Graduate Medical Education, but training quality varies widely. Early surgical education relied on apprenticeships without set standards. As medical education adapts to tech-savvy trainees, concerns have risen about effective training, especially with the 80 hour work week. Surgical autonomy in orthopedic procedures relies on sufficient case exposure, yet surgeons must balance teaching with maintaining an efficient and safe operating room. This situation raises questions about how different training methods affect the quality of education and surgical independence for orthopedic residents.

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