0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Academia and the Profession |

Procedural Skills Training in Internal Medicine Residencies: A Survey of Program Directors

Robert S. Wigton, MD; Linda L. Blank, BA; Jo A. Nicolas, BA; and Thomas G. Tape, MD
[+] Article and Author Information

Parts of this study were presented in April 1989 at the Twelfth Annual Meeting of the Society of General Internal Medicine, Arlington, Virginia, and in April 1989 at the meeting of the Association of Program Directors in Internal Medicine, San Francisco, California.

This study was funded in part by and conducted under the auspices of the Clinical Privileges Project Steering Committee of the American College of Physicians.

Requests for Reprints: Robert S. Wigton MD, Department of Internal Medicine, University of Nebraska Medical Center, 42nd and Dewey Avenue, Omaha, NE 68105.

Current Author Addresses: Drs. Wigton and Tape and Ms. Nicolas: Section of General Internal Medicine, University of Nebraska Medical Center, 42nd and Dewey Avenue, Omaha, NE 68105.

Ms. Blank: American Board of Internal Medicine, 200 Southwest Market St., Portland, OR 97201.


©1989 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1989;111(11):932-938. doi:10.7326/0003-4819-111-11-932
Text Size: A A A

Study Objective: To obtain the opinions of internal medicine residency program directors about which procedural skills residents master during training and the amount of training needed to attain and maintain competence in each procedure.

Design: A mailed survey to all program directors in the United States.

Respondents: Program directors or their designees from 389 of 431 (90%) internal medicine residency programs.

Results: For several procedures, 40% more respondents said all residents should master the procedure than said all their residents do master the procedure. Some procedures commonly done in practice were perceived as mastered by all residents in fewer than half of the programs. There were few differences in procedures learned by size or type of program. A fellowship program did affect exposure to some procedures in the field covered by the program. Median recommendations of training needed to master each procedure were similar to those of practicing internists for most procedures.

Conclusions: Current residency training does not assure competency in all of the procedures the general internist does in practice. Program directors should examine which skills are adequately taught, test competence, and ways to improve residents' skills. Practicing general internists should have access to supervised training in procedural skills.

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Journal Club
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)