Author: Ma. I, Chapelsky. S, Bhavsar. S, Connors. W, Fisher. M, Schaefer. J and Bacchus. M Publication Year: 2012
Summary: Residents are frequently asked to supervise bedside procedures. This study aims to evaluate the effectiveness of the Procedural Certification Program in improving residents’ procedural teaching skills.
Description: The ability to safely perform bedside procedures such as lumbar puncture, thoracentesis, and paracentesis is a core competency (Dressler et al., 2006) for physicians involved in the delivery of general medical care of hospitalized patients (Society of Hospital Medicine, 2009). For some certifying bodies in Internal Medicine, knowledge and technical competency in bedside procedures are an expectation (American Board of Internal Medicine, 2012, Royal College of Physicians and Surgeons of Canada, 2011). As such, according to the Accreditation Council for Graduate Medical Education (ACGME), residents in internal medicine are expected to demonstrate sufficient knowledge to “appropriately use and perform diagnostic and therapeutic procedures”(ACGME, 2009).

In this study twelve resident-teachers taught seven procedures to 82 learners in a longitudinal fashion using simulation in 65 training sessions. Resident-teachers taught a minimum of two sessions supervised by a faculty physician and once deemed competent to teach independently, did so for a minimum of two additional sessions. Sessions scores were rated out of five by learners and faculty using a 10-item teaching effectiveness assessment tool.

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