List of the top 15 procedures reported by those who were Part II candidates and those who are MOC diplomates (10 plus years in practice) in 2012
Part II candidates:
29881 Arthroscopy, knee, surgical; with meniscectomy (medial or lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed
64721 Neuroplasty and/or transposition; median nerve at carpal tunnel
29826 Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (i.e., arch) release, when performed
20680 Removal of implant; deep (e.g., buried wire, pin, screw, metal band, nail, rod, or plate)
27447 Arthroplasty, knee, condyle and plateau; medial and lateral compartments with or without patella resurfacing (total knee arthroplasty)
29877 Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)
29888 Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction
27236 Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement
11012 Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (e.g., excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone for Grade I, II, IIIA and Grade IIIB)
27130 Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft
27245 Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage
29827 Arthroscopy, shoulder, surgical; with rotator cuff repair
29880 Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed
26055 Tendon sheath incision (e.g., for trigger finger)
27244 Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage
MOC diplomats top 15 procedures:
29881 Arthroscopy, knee, surgical; with meniscectomy (medial or lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed
27447 Arthroplasty, knee, condyle and plateau; medial and lateral compartments with or without patella resurfacing (total knee arthroplasty)
29826 Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (i.e., arch) release, when performed
29877 Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)
27130 Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft
64721 Neuroplasty and/or transposition; median nerve at carpal tunnel
29880 Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed
29827 Arthroscopy, shoulder, surgical; with rotator cuff repair
20680 Removal of implant; deep (e.g., buried wire, pin, screw, metal band, nail, rod, or plate)
29888 Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction
29824 Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)
63047 Laminectomy, facetectomy, and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina, and/or nerve root[s] [e.g., spinal or lateral recess stenosis]), single vertebral segment; lumbar
26055 Tendon sheath incision (e.g., for trigger finger)
22612 Arthrodesis, posterior or posterolateral technique, single level; lumbar (with lateral transverse technique, when performed)
29823 Arthroscopy, shoulder, surgical; debridement, extensive
Defining the scope of capabilities for an orthopaedic surgeon is important for credentialing, board certification, and educational content. Recently, Kellam et al. surveyed practicing general orthopaedic surgeons as part of a General Orthopaedic Competency Task Force (GOCTF) to help determine just what practice skills a general orthopaedic surgeon should have to be safe in practice [33]. The authors described two areas. First, what medical knowledge or office skills should an orthopaedic surgeon have to evaluate a patient and to either treat or refer a patient? Second, what procedures should a general orthopaedic surgeon be capable of performing? The authors compared their results of a survey of 150 practicing “general orthopaedic surgeons” to procedures reported by candidates on the initial Part II Board Certification. The authors found a strong correlation between what a self-identified general orthopaedic surgeon reported to those reported with the Part II examinations. The authors are recommending a content of practice for general orthopaedic surgeons which is the educational goal of an orthopaedic surgery residency program.
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