Johns Hopkins Medicine - ACCM: Caseload
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Caseload: Learn by Doing

Hopkins residents are exposed to a wide variety of challenging cases during their training. As you may know, the ACGME requires each resident to do a certain number of each type of case before they may sit for the board exam. If you'd like to know the specifics about what the ACGME requires, click here to check out the requirements on the ACGME website. The pertinent information can be found on page 15 of the document.

2012-2013 Data:

Case Type Number Required National Average Hopkins Average
Anesthesia for Vaginal Delivery including High-Risk OB 40 98 86.8
Anesthesia for Cesarean Section 20 65 40
Anesthesia for Children 3-12YO 75 95 88.7
Anesthesia for Children 3 months-3YO 20 65 64.5
Anesthesia for Children <3 months old 5 14 9.4
Anesthesia for Cardiac Surgery including CPB 20 48 54.1
Anesthesia for Major Vascular Surgery 20 40 29.8
Anesthesia for Non-Cardiac Intrathoracic Surgery 20 31 25.3
Anesthesia for Intracranial Surgery 20 40 35
Patients Undergoing Anesthesia in which Epidural
Analgesia/Anesthesia is Used
40 170 190.2
New Acute or Chronic Pain Patient Evaluation 20 74 64.5
Anesthesia for Patients with Complex,
Life-Threatening Injuries (Trauma)
20 40 21.7
Patients Undergoing Anesthesia in which Spinal Anesthesia is Used 40 68 34.5
Peripheral Nerve Blocks 40 126 97.5
Total Cases 400 1333 1114.7

Other Case/Procedure National Average Hopkins Average
Ambulatory 129 93.2
Deliberate Hypotension 4 3.3
Insertion of Peripheral Arterial Catheters 182 191.7
Insertion of Pulmonary Artery Catheters 34 18
Insertion of Central Venous Catheters 82 98.9
Fiberoptic Intubation 34 40.6
Transesophageal Echocardiography 41 43.6
Double Lumen ETT Placement 21 19
LMA Placement 124 121.9
Electrophysiologic Monitoring 20 26.9
Total Other Cases/Procedures 671 657.1

In addition, residents are required to demonstrate experience in the care of acute postoperative pain, patients in the preoperative evaluation clinic, and critically ill patients in the ICU. At Hopkins, we have required rotations that are designed to meet these requirements and train exceptionally capable and well-rounded consultant anesthesiologists.

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