ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2026
Shoulder Procedure Volumes in Orthopaedic Residency: Long-Term Disparities and a Case for Arthroplasty Minimums.
Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTotal shoulder arthroplasty (TSA) has experienced rapid growth. Yet graduating orthopaedic surgery resident (GOSR) TSA volumes are not individually reported due to its exclusion from the Accreditation Council for Graduate Medical Education (ACGME) case minimum list. Rather, TSAs are grouped within the shoulder repair/revision/reconstruction (RRR) category. This study evaluated long-term trends and identified disparities in GOSR shoulder case volumes since the inception of case minimums in 2013.
methodsPublicly available ACGME case logs of 8247 GOSRs were analyzed from 2014 to 2024. Average case volumes were compared between 2014 and 2024. Trends in case volume differences between the 10th and 90th percentile GOSRs were assessed. Changes in the proportions of each procedure category relative to overall shoulder procedures were analyzed.
resultsGOSRs performed more shoulder RRR and overall shoulder cases in 2024 than in 2014 (RRR: 46.4 vs. 24.2 cases [+91.7%]; overall: 174.9 vs. 125.9 cases [+38.9%]; P < 0.001). Differences in shoulder RRR and overall shoulder procedures between the 10th and 90th percentiles increased year-over-year (+2.86 and +5.11 cases/year, respectively; P < 0.001), with the gap between percentile groups demonstrating consistent expansion (RRR: ρ = 0.975; overall: ρ = 0.961; P < 0.001). Relative to overall shoulder procedures, the proportion of shoulder RRRs increased from 2014 to 2024 (19.2% to 26.5%, P = 0.045).
conclusionAlthough average GOSR shoulder case volumes increased over the long term, interresident disparities widened. Shoulder RRRs expanded to more than one fourth of resident shoulder procedures, paralleling TSA growth nationally. Residency governance bodies should consider implementing a resident TSA case minimum to ensure experience in this important procedure.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.