Ambulatory Training Program to Expand Procedural Skills in Primary Care
| Autor: | Todd Bingemann, Gunnar Wagoner, Karen Nead, Tiffany Pulcino, Steven Scofield, Brett W. Robbins, Bethany Marston, Enrico Caiola, Robert J. Fortuna, Susan Messing |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
020205 medical informatics
Procedural training ambulatory 02 engineering and technology Primary care Education 03 medical and health sciences Outpatient procedures primary care 0302 clinical medicine Procedural skill Component (UML) 0202 electrical engineering electronic engineering information engineering Medicine joint injection 030212 general & internal medicine procedures Curriculum Original Research Medical education lcsh:LC8-6691 lcsh:R5-920 lcsh:Special aspects of education business.industry ultrasound Ambulatory Training program business lcsh:Medicine (General) |
| Zdroj: | Journal of Medical Education and Curricular Development, Vol 6 (2019) Journal of Medical Education and Curricular Development |
| ISSN: | 2382-1205 |
| Popis: | Introduction: Outpatient procedures are an important component of primary care, yet few programs incorporate procedural training into their curriculum. We examined a 4-year procedural curriculum to improve understanding of ambulatory procedures and increase the number of procedures performed. Methods: A total of 56 resident and 8 faculty physicians participated in a procedural curriculum directed at joint injections (knee, shoulder, elbow, trochanteric bursa, carpal tunnel, wrist, and ankle), subdermal contraceptive insertion/removal, skin biopsies, and ultrasound use in primary care. We administered annual surveys and used generalized estimating equations to model changes. Results: Across the 4 years, there was an average 96% response rate. Mean comfort level with the indications for procedures increased for both resident (62.5 to 78.8; P Conclusions: A longitudinal ambulatory-based procedural curriculum can increase resident and faculty physician understanding and comfort performing primary-care-based procedures. This, in turn, increased the total number of procedures performed. |
| Databáze: | OpenAIRE |
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