Table 1.

The general key features for procedure skills

To decide whether you are going to do a procedure consider
  • The indications and contraindications to the procedureClinical reasoningSkilled clinicianMedical expert
  • Your own skills and readiness to do the procedure (eg, your level of fatigue and any personal distractions)Clinical reasoning ProfessionalismSkilled clinicianMedical expert Professional
  • The context of the procedure, including the patient involved, the complexity of the task, the time needed, the need for assistance, and the locationClinical reasoning SelectivitySkilled clinicianMedical expert
Before deciding to go ahead with the procedure
  • Discuss the procedure with the patient, including a description of the procedure and possible outcomes, both positive and negative, as part of obtaining consentCommunication skills Clinical reasoningSkilled clinicianMedical expert Communicator
  • Prepare for the procedure by ensuring appropriate equipment is readyClinical reasoningSkilled clinicianMedical expert
  • Mentally rehearse the following:
  • -The anatomic landmarks necessary for procedure performance

  • -The technical steps necessary in sequential fashion, including any preliminary examination

  • -The potential complications and their management

Clinical reasoningSkilled clinicianMedical expert
During performance of the procedure
  • Keep the patient informed to reduce anxietyPatient-centred approachDoctor-patient relationshipMedical expert Communicator
  • Ensure patient comfort and safety alwaysPatient-centred approachDoctor-patient relationshipMedical expert Professional
When the procedure is not going as expected, reevaluate the situation, stop, or seek assistance as requiredClinical reasoning ProfessionalismSkilled clinicianMedical expert Collaborator
Develop a plan with your patient for aftercare and follow-up after completion of a procedurePatient-centred approachDoctor-patient relationshipMedical expert Professional