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Teaching procedural skills

  • Teaching Skills
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Conclusions

Procedures are an important component of the practice of medicine. Students and residents must be trained to perform procedures safely and well. Simultaneously, we must seek consensus on what procedures should be taught, and we must develop better, safer techniques to teach them. Finally, we must develop objective measures of initial and continuing competency for those who perform procedures. We must try to overcome the “turf” battles in this area and focus on what is best for patients, students, and residents.

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References

  1. Larimore WL, Sapolsky BS. Maternity care in family medicine: economics and malpractice. J Fam Pract. 1995;40(2):153–60.

    PubMed  CAS  Google Scholar 

  2. Webb JM, Rye B, Fox L, Smith SD, Cash J. State of dermatology training: the residents' perspective. J Am Acad Dermatol. 1996; 34(6):1067–71.

    Article  PubMed  CAS  Google Scholar 

  3. Harper MB, Mayeaux EJ Jr, Pope JB, Goel R. Procedural training in family practice residencies: current status and impact on resident recruitment. J Am Board Fam Pract. 1995;8(3):189–94.

    PubMed  CAS  Google Scholar 

  4. Wigton RS. Training internists in procedural skills. Ann Intern Med. 1992;116(12):1091–3.

    PubMed  CAS  Google Scholar 

  5. Ruby ST, Robinson D, Lynch JT, Mark H. Outcome analysis of carotid endarterectomy in Connecticut: the impact of volume. Ann Vasc Surg. 1996;10(1):22–6.

    Article  PubMed  CAS  Google Scholar 

  6. Clark RE. Outcomes as a function of annual coronary artery bypass graft volume. Ann Thorac Surg. 1996;61:21–6.

    Article  PubMed  CAS  Google Scholar 

  7. Segal AH, Rummel L. Wu B. The utility of PRO data on surgical volume: the example of carotid endarterectomy. Qual Rev Bull. May 1993.

  8. Ferris DG, Miller MD. Culposcopic accuracy in a residency training program. J Fam Pract. 1993;36(5):515–20.

    PubMed  CAS  Google Scholar 

  9. Deutchman M, Connor P, Gobbo R, Fitzsimmons R. Outcomes of caesarean sections performed by family physicians and the training they received. J Am Board Fam Pract. 1995;8(2):81–90.

    PubMed  CAS  Google Scholar 

  10. Rodney WM, Deutchman ME, Hartman KJ, Hahn RG. Obstetric ultrasound by family physicians. J Fam Pract. 1992;34(2):186–9.

    PubMed  CAS  Google Scholar 

  11. Rodney WM, Weber JR, Swedberg, JA, et al. Esophogogastroduadenoscopy by family physicians phase 2: a national multisite study of 2500 procedures. Fam Pract Res J. 1993;13(2):120–31.

    Google Scholar 

  12. Hocutt JE, Rodney WM, Žurad EG, et al. Esophogoduadenoscopy for the family physician. AFP. 1994;49(1):109–16.

    Google Scholar 

  13. Wigton RS, Blank LL, Nicolas JA, Tape TG. Procedural skills training in internal medicine residencies: a survey of program directors. Ann Intern Med. 1989;111(11):932–8.

    PubMed  CAS  Google Scholar 

  14. American Academy of Family Physicians. Minutes of the Task Force on Procedures. Kansas City, MO: American Academy of Family Physicians: 1994.

    Google Scholar 

  15. Smith MD, Klinkman MS. The future of procedural training in family practice residency programs. Fam Med. 1995;27(8):535–8.

    PubMed  CAS  Google Scholar 

  16. Saad JA, Pirie P, Sprafka JM. Relationship between flexible sigmoidoscopy training during residency and subsequent sigmoidoscopy performance in practice. Fam Med. 1994;26(4):250–3.

    PubMed  CAS  Google Scholar 

  17. Eliason BC, Lofton SA, Monte DH. Influence of demographics and profitability on physician selection of family practice procedures. J Fam Pract. 1994:39(4):341–7.

    PubMed  CAS  Google Scholar 

  18. Goeschel DP, Gilbert CS, Crabtree BF. Geographic variation in exercise testing by family physicians. J Fam Pract. 1994;38(2):132–7.

    PubMed  CAS  Google Scholar 

  19. Norris TE, Felmar E, Tolleson G. Which procedures should be currently taught in family practice residency programs. Fam Med. 1997;29:99–104.

    PubMed  CAS  Google Scholar 

  20. Wigton RS, Nicolas JA, Blank LL. Procedural skills of the general internist: a survey of 2500 physicians. Ann Intern Med 1989; 111(12):1023–34.

    PubMed  CAS  Google Scholar 

  21. Elnicki DM, Shumway JM, Halbritter KA, Morris DK. Interpretive and procedural skills of the internal medicine clerkship. South Med J. 1996;89(6):603–8.

    PubMed  CAS  Google Scholar 

  22. Rodney WM, Richards E, Ounanian LL, Morrison JD. Constraints on the performance of minor surgery by family physicians: study of a ‘mock’ skin biopsy procedure. Fam Pract. 1987;4(1):36–40.

    Article  PubMed  CAS  Google Scholar 

  23. Sinclair MJ, Peifer JW, Haleblian R, Luxenberg MN, Green K. Computer simulated eye surgery. A novel teaching method for residents and practitioners. Ophthalmology. 1995;102(3):517–21.

    PubMed  CAS  Google Scholar 

  24. Connor PD, Deutchman ME, Hahn RG. Training in obstetric ultrasound in family medicine residencies: results of a nationwide survey and suggestions for a teaching strategy. J Am Board Fam Pract. 1994;7(2):124–9.

    PubMed  CAS  Google Scholar 

  25. Brotzman GL, Mark DH, Wolkomir MS. Influences on teaching culposcopy and treatment modalities in family practice programs. Fam Med. 1995;27(5):310–13.

    PubMed  CAS  Google Scholar 

  26. Hawes R, Lehman G, Hast J, et al. Training resident physicians in fiberoptic sigmoidoscopy: how many supervised examinations are required to achieve competence? Am J Med. 1986;80:465–70.

    Article  PubMed  CAS  Google Scholar 

  27. Norris TE, Susman JL. Beyond the battlefield: bringing science and rationality to competency assessment, privileging and credentialing. Am Fam Physician. 1995;52(3):785–90.

    PubMed  CAS  Google Scholar 

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Norris, T.E., Cullison, S.W. & Fihn, S.D. Teaching procedural skills. J Gen Intern Med 12 (Suppl 2), S64–S70 (1997). https://doi.org/10.1046/j.1525-1497.12.s2.9.x

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  • DOI: https://doi.org/10.1046/j.1525-1497.12.s2.9.x

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