Table 2.
Operative procedures listed in the ACGME milestones
| Injury | Procedure(s) | Level |
|---|---|---|
| ACL reconstruction | Diagnostic arthroscopy, notchplasty, graft harvest | 2 |
| ACL reconstruction | ACL tunnel placement, graft passage, fixation | 4 |
| Ankle/mid-foot/hindfoot reconstruction | Surgically treating simple complications (incision and drainage) | 4 |
| Ankle fracture | Surgical reduction and fixation of a simple fracture | 3 |
| Ankle fracture | Surgical reduction and fixation of moderately complex fracture-trimalleolar or simple plafond | 4 |
| Carpal tunnel syndrome | Carpal tunnel release, either open or endoscopic. | 4 |
| Degenerative spine | Anterior, posterior, and posterior lumbar exposure and assist with hardware placement | 3 |
| Degenerative spine | Completion of decorticating for posterior lateral fusion, placing grafts. | 4 |
| Diabetic foot | One basic surgical approach to the diabetic foot-medial or lateral | 2 |
| Diabetic foot | Multiple approaches to the diabetic foot-plantar, medial, lateral | 4 |
| Distal radius fracture | Closed reduction and casting of distal radius fracture | 2 |
| Distal radius fracture | Operative exposure and surgical stabilization of uncomplicated extraarticular fracture | 3 |
| Distal radius fracture | Operative exposure and surgical stabilization of moderate interarticular fracture | 4 |
| Elbow fracture | Basic surgical approach | 2 |
| Elbow fracture | Surgical reduction and fixation of simple elbow fracture | 3 |
| Elbow fracture | Surgical reduction of moderately complex elbow fracture | 4 |
| Femoral or tibial shaft fractures | Surgical repair of simple tibia or femur fracture | 3 |
| Femoral or tibial shaft fractures | Surgical repair of moderately complex tibia or femur fracture | 4 |
| Hip fracture | Surgical repairs for complex fractures | 4 |
| Meniscal injury | Diagnostic knee arthroscopy and meniscal shaving | 3 |
| Meniscal injury | Meniscal repair (inside out or outside in technique) | 4 |
| Pediatric septic hip | Hip and drainage | 4 |
| Rotator cuff disease | Basic surgical approaches to the shoulder, including arthroscopy portals | 2 |
| Rotator cuff disease | Arthroscopic evaluation of the shoulder, biceps tendon pieces, subacromial decompression | 3 |
| Rotator cuff disease | Rotator cuff repair | 4 |
| Pediatric supercondylar fracture | Closed reduction and pinning of supercontinent fracture | 4 |
| Tumor | One basic surgical approach to a distructive lesion | 2 |
| Tumor | Prophylactic surgical stabilization (nails, plates, screws) | 4 |
| Tumor | Internal fixation on pending or actual pathologic fractures | 4 |
Reprinted with permission from the Accreditation Council for Graduate Medical Education and American Board of Orthopaedic Surgery.