{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T15:28:56Z","timestamp":1787671736990,"version":"build-2736575974"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J Am Acad Orthop Surg","JAAOS"],"published-print":{"date-parts":[[2024,1,15]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The COVID-19 pandemic negatively affected surgical training in the United States. We hypothesized that reported case volume during pediatric orthopaedic surgery fellowship training would decrease markedly during the 2019 to 2020 academic year, which corresponded with the COVID-19 outbreak.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The Accreditation Council for Graduate Medical Education provided nationwide case logs for accredited pediatric orthopaedic surgery fellows (2017 to 2021). Annual reported case volumes were extracted and summarized as means \u00b1 SD. Parametric tests were used to compare annual case volumes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 149 pediatric orthopaedic fellows from 23 accredited fellowships were included. A 16% year-over-year (YoY) decrease was noted in the reported case volume during the 2019 to 2020 academic year (238 \u00b1 80 vs. 255 \u00b1 60,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Nonacute case categories had the most notable YoY percentage decreases: Soft Tissue: Transfer, Lengthen, Release (\u221242%); Clubfoot (\u221234%); and Foot and Ankle Deformity (\u221231%). Acute case categories had the most notable YoY percentage increases: Trauma Lower Limb (12%) and Trauma Upper Limb (10%). A subsequent 42% YoY increase was noted in the reported case volume during the 2020 to 2021 academic year.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>A 16% YoY decrease was noted in the reported case volume during the 2019 to 2020 academic year, which corresponded to widespread economic shutdowns during the initial COVID-19 outbreak. Nonacute cases experienced the greatest negative effect. The results from this study may inform the orthopaedic surgery community on the effect of future national emergencies, such as viral outbreaks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5435\/jaaos-d-22-00340","type":"journal-article","created":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T17:03:50Z","timestamp":1695402230000},"page":"92-97","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Nationwide Effect of COVID-19 on Cases Performed During Pediatric Orthopaedic Surgery Fellowship Training in the United States"],"prefix":"10.5435","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5831-0760","authenticated-orcid":false,"given":"Jason","family":"Silvestre","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terry L.","family":"Thompson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John M.","family":"Flynn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,9,19]]},"reference":[{"key":"R1-20250503","doi-asserted-by":"crossref","first-page":"e86","DOI":"10.2106\/JBJS.20.00521","article-title":"How to manage pediatric orthopaedic patients: Strategies to provide safer care during the COVID-19 outbreak in Wuhan, People's Republic of China","volume":"102","author":"Li","year":"2020","journal-title":"J Bone Joint Surg"},{"key":"R2-20250503","doi-asserted-by":"crossref","first-page":"e477","DOI":"10.5435\/JAAOS-D-20-00391","article-title":"Recommendations for the care of pediatric orthopaedic patients during the COVID pandemic","volume":"28","author":"Farrell","year":"2020","journal-title":"J Am Acad Orthop Surg"},{"key":"R3-20250503","doi-asserted-by":"crossref","first-page":"e402","DOI":"10.1097\/BPO.0000000000001575","article-title":"COVID-19 and pediatric orthopaedics: What's different?","volume":"40","author":"Liang","year":"2020","journal-title":"J Pediatr Orthop"},{"key":"R4-20250503","doi-asserted-by":"crossref","first-page":"937","DOI":"10.2106\/JBJS.20.00557","article-title":"Economic impacts of the COVID-19 crisis: An orthopaedic perspective","volume":"102","author":"Anoushiravani","year":"2020","journal-title":"J Bone Joint Surg"},{"key":"R5-20250503","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1016\/j.jamcollsurg.2020.06.020","article-title":"The American College of Surgeons responds to COVID-19","volume":"231","author":"Rusch","year":"2020","journal-title":"J Am Coll Surg"},{"key":"R6-20250503","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1016\/j.jss.2021.01.017","article-title":"COVID-19 impact on surgical resident education and coping","volume":"264","author":"Wise","year":"2021","journal-title":"J Surg Res"},{"key":"R7-20250503","doi-asserted-by":"crossref","first-page":"e65","DOI":"10.2106\/JBJS.20.01948","article-title":"COVID-19: Impact on orthopaedic graduate medical education in the US: AOA critical issues symposium","volume":"103","author":"Van Heest","year":"2021","journal-title":"J Bone Joint Surg"},{"key":"R8-20250503","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1302\/2633-1462.110.BJO-2020-0149.R1","article-title":"Quantifying the impact of the COVID-19 pandemic on orthopaedic trainees: A national perspective","volume":"1","author":"Sheridan","year":"2020","journal-title":"Bone Joint Open"},{"key":"R9-20250503","doi-asserted-by":"crossref","first-page":"e456","DOI":"10.5435\/JAAOS-D-20-00292","article-title":"Orthopaedic education during the COVID-19 pandemic","volume":"28","author":"Kogan","year":"2020","journal-title":"J Am Acad Orthop Surg"},{"key":"R10-20250503","doi-asserted-by":"crossref","first-page":"e94","DOI":"10.2106\/JBJS.M.01340","article-title":"ACGME accreditation of orthopaedic surgery subspecialty fellowship training programs","volume":"96","author":"Daniels","year":"2014","journal-title":"J Bone Joint Surg"},{"key":"R12-20250503","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1097\/BPO.0000000000000452","article-title":"Early career experience of pediatric orthopaedic fellows: What to expect and need for their services","volume":"36","author":"Glotzbecker","year":"2016","journal-title":"J Pediatr Orthop"},{"key":"R13-20250503","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1177\/1457496920968014","article-title":"Reduced number of pediatric orthopedic trauma requiring operative treatment during COVID-19 restrictions: A nationwide cohort study","volume":"110","author":"Raitio","year":"2021","journal-title":"Scand J Surg"},{"key":"R14-20250503","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1097\/BPO.0000000000001600","article-title":"Where have all the fractures gone? The epidemiology of pediatric fractures during the COVID-19 pandemic","volume":"40","author":"Bram","year":"2020","journal-title":"J Pediatr Orthop"},{"key":"R15-20250503","doi-asserted-by":"crossref","first-page":"e286","DOI":"10.3928\/19382359-20220504-07","article-title":"Changing patterns of pediatric trauma during the COVID-19 pandemic","volume":"51","author":"Wieck","year":"2022","journal-title":"Pediatr Ann"},{"key":"R16-20250503","doi-asserted-by":"crossref","first-page":"S26","DOI":"10.1097\/BPO.0000000000000540","article-title":"Simulation in pediatric orthopaedic surgery","volume":"35","author":"Bae","year":"2015","journal-title":"J Pediatr Orthop"},{"key":"R17-20250503","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1016\/j.jse.2020.03.024","article-title":"Orthopedic surgery post COVID-19: An opportunity for innovation and transformation","volume":"29","author":"Menendez","year":"2020","journal-title":"J Shoulder Elbow Surg"},{"key":"R18-20250503","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1089\/tmj.2020.0255","article-title":"The use and acceptance of telemedicine in orthopedic surgery during the COVID-19 pandemic","volume":"27","author":"Hurley","year":"2021","journal-title":"Telemed J E Health"},{"key":"R19-20250503","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/s12178-021-09693-9","article-title":"Orthopedic surgery and telemedicine in times of COVID-19 and beyond: A review","volume":"14","author":"Moisan","year":"2021","journal-title":"Curr Rev Musculoskelet Med"},{"key":"R20-20250503","doi-asserted-by":"crossref","first-page":"e22","DOI":"10.2106\/JBJS.L.01689","article-title":"Variability in accreditation council for graduate medical education resident case log system practices among orthopaedic surgery residents","volume":"96","author":"Salazar","year":"2014","journal-title":"J Bone Joint Surg"},{"key":"R21-20250503","doi-asserted-by":"crossref","first-page":"e329","DOI":"10.1097\/BPO.0000000000000977","article-title":"Variation in national ACGME case log data for pediatric orthopaedic fellowships: Are fellow coding practices responsible?","volume":"37","author":"McClure","year":"2017","journal-title":"J Pediatr Orthop"},{"key":"R22-20250503","doi-asserted-by":"crossref","first-page":"1048","DOI":"10.1016\/j.jpedsurg.2020.02.044","article-title":"Impact of consolidation of cases on post-operative outcomes for index pediatric surgery cases","volume":"55","author":"Pruitt","year":"2020","journal-title":"J Pediatr Surg"}],"container-title":["Journal of the American Academy of Orthopaedic Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.5435\/JAAOS-D-22-00340","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T14:47:51Z","timestamp":1787669271000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.5435\/JAAOS-D-22-00340"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,19]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.5435\/jaaos-d-22-00340","relation":{},"ISSN":["1067-151X","1940-5480"],"issn-type":[{"value":"1067-151X","type":"print"},{"value":"1940-5480","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,19]]},"assertion":[{"value":"2022-03-31","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-21","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}