Hand Surgery (Surgery) ACGME case minimums
Fellows in Hand Surgery (Surgery) have a published ACGME minimum in all 20 case categories, and the largest single minimum is 250. Each row below cites the ACGME requirement it was read from.
By Chris, CA-1, anesthesiology
Hand Surgery (Surgery) minimums by category
| Category | Cases | Cases (ceiling, not a floor) |
|---|---|---|
| Amputations | 5 | — |
| Carpal tunnel decompression | 20 | — |
| Extensor tendon repair | 10 | — |
| Finger arthrodesis or arthroplasty | 8 | — |
| Fixation of metacarpal fractures | 10 | — |
| Fixation of phalangeal fractures | 12 | — |
| Flexor tendon repair | 10 | — |
| Nerve repair | 10 | — |
| ORIF/CREF distal radius fractures | 12 | — |
| Scaphoid fracture | 5 | — |
| Soft tissue reconstruction | 18 | — |
| Tendon transfers | 6 | — |
| Thumb CMC reconstruction | 16 | — |
| Ulnar nerve decompression, with or without transposition | 15 | — |
| Vascular repair | 5 | — |
| Wrist arthroplasty/arthrodesis, limited or complete | 8 | — |
| Wrist arthroscopy | 5 | — |
| Wrist instability or dislocation | 10 | — |
| TOTAL Minimum # cases | 250 | — |
| TOTAL Maximum # cases | — | 1200 |
An em-dash means the ACGME publishes no minimum on that row — not a minimum of zero.
Hand Surgery (Surgery) · ACGME specialty 443.
Capnolog counts these live for anesthesiology and neurological surgery; other specialties are reference only.
What counts toward a minimum?
- Fellows log each case against its CPT procedure codes, and the ACGME sorts those codes into the categories below.
- Each minimum is read in its own column: “Cases” and “Cases (ceiling, not a floor)”.
- The Review Committees for Orthopaedic Surgery, Plastic Surgery, and Surgery sets these requirements.
Where do these numbers come from?
Capnolog is independent of the ACGME; where a number here differs from the ACGME's own document, the document is right.