{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T09:29:39Z","timestamp":1773826179649,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T00:00:00Z","timestamp":1595289600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"national institute on aging","doi-asserted-by":"publisher","award":["R01AG034676"],"award-info":[{"award-number":["R01AG034676"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p>Stapedectomy remains a joint key\u2010indicator case with ossiculoplasty for otolaryngology residents in the United States. Yet, residents consistently report feeling inadequately prepared to perform stapes surgery following graduation. Applying recently described age\u2010 and sex\u2010standardized incidence rates of surgically confirmed cases of otosclerosis to the US populace, upper and lower estimates of residents\u2019 case exposure to stapedectomy can be approximated. With this, uppermost projections estimate 6484\u00a0new cases of stapes surgery are performed annually nationwide. With approximately 1424 otolaryngology residents nationally, the average case exposure is 7.8 stapedectomies throughout their training, with upper and lower estimates of 17.1 and 4.2 cases, respectively. As such, proficiency in stapedectomy is no longer a realistic expectation for US graduating residents. This reality supports the removal of \u201cstapedectomy\u201d from the list of 14 key\u2010indicator case requirements, leaving ossiculoplasty as its own key\u2010indicator case, thereby reinforcing true competence in this fundamental procedure for the graduating otolaryngologist.<\/jats:p>","DOI":"10.1177\/0194599820941836","type":"journal-article","created":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T04:03:47Z","timestamp":1595304227000},"page":"1070-1072","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["With the Incidence of Otosclerosis Declining, Should Stapedectomy Remain a Key\u2010Indicator Case for Otolaryngology Residents?"],"prefix":"10.1002","volume":"163","author":[{"given":"Douglas J.","family":"Totten","sequence":"first","affiliation":[{"name":"Vanderbilt University School of Medicine Nashville Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John P.","family":"Marinelli","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery San Antonio Uniformed Services Health Education Consortium San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel A.","family":"Spear","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery San Antonio Uniformed Services Health Education Consortium San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah N.","family":"Bowe","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery San Antonio Uniformed Services Health Education Consortium San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew L.","family":"Carlson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Mayo Clinic Rochester Minnesota USA"},{"name":"Department of Neurologic Surgery Mayo Clinic Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,7,21]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.274"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1990.01870030106019"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000002763"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1236"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31816e2ede"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wjorl.2019.12.001"},{"key":"e_1_2_4_8_1","unstructured":"HowdenLM MeyerJA.Age and sex composition: 2010. 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