Pediatric Anesthesiology ACGME case minimums
Fellows in Pediatric Anesthesiology have a published ACGME minimum in all 38 case categories, and the largest single minimum is 240. Each row below cites the ACGME requirement it was read from; the minimums are effective July 1, 2026.
By Chris, CA-1, anesthesiology
Pediatric Anesthesiology minimums by category
| Category | Fellow logged the case |
|---|---|
| Total Number of Patients | 240 |
| I | 25 |
| II | 50 |
| III | 60 |
| IV | 30 |
| < 45 weeks postmenstrual age (PMA) | 25 |
| 45 weeks PMA to 6 months old | 20 |
| 7 months to 2 years | 50 |
| 3 to 6 years | 30 |
| 7 to 12 years | 28 |
| 13 to 17 years | 15 |
| Difficult airway | 10 |
| Cardiac patient (repaired disease with residual effect) for non-cardiac procedure | 8 |
| Cardiac patient (unrepaired palliated, or severe disease) for non-cardiac procedure | 8 |
| Out of operating room / remote anesthesia | 20 |
| Shared airway case | 10 |
| Single lung ventilation | 5 |
| High volume blood loss or third space losses | 10 |
| Vasoactive infusion management | 15 |
| Neuromonitoring | 10 |
| Cardiac with bypass | 15 |
| Cardiac without bypass (e.g., catheterization lab, chest closure) | 10 |
| Spinal fusion | 5 |
| Craniofacial reconstruction | 5 |
| Airway surgery (including cleft palate) | 10 |
| Neurological surgery cases (excluding shunts and including brain, spinal cord, tumors, neurovascular, and interventional neuroradiology) | 10 |
| Surgical procedures in patients <45 weeks PMA (including tracheoesophageal fistula, congenital diaphragmatic hernia, tumor/mass, fetal/ex utero intrapartum treatment (EXIT) procedures) | 5 |
| Intestinal surgery in patients <45 weeks PMA (including necrotizing enterocolitis, pyloric stenosis, gastroschisis, and omphalocele) | 5 |
| Natural airway | 10 |
| Supraglottic airway | 20 |
| Direct laryngoscopy | 50 |
| Video laryngoscopy | 15 |
| Fiber optic scope use | 10 |
| Arterial line placement | 20 |
| Central venous line placement | 10 |
| Regional anesthesia/peripheral nerve block | 20 |
| Neuraxial block (including intrathecal, epidural, and caudal) | 20 |
| Perform pain consultation | 10 |
Pediatric Anesthesiology · ACGME specialty 042 · minimums effective July 1, 2026.
Capnolog counts these live for anesthesiology and neurological surgery; other specialties are reference only.
What counts toward a minimum?
- Fellows describe each case along several dimensions at once, so one case can count toward more than one row.
- Every number is a count in one column, “Fellow logged the case”.
- 37 rows are drawn from a larger row: those cases count toward that row too, never on top of it.
- The Review Committee for Anesthesiology sets these requirements.
Where do these numbers come from?
- Case Log categories and minimum numbers, July 1, 2026
- Program Requirements, July 1, 2026
Capnolog is independent of the ACGME. Where a number here and the ACGME's own document disagree, the document is right.