Academic Journal
Ambulatory Training Program to Expand Procedural Skills in Primary Care
| العنوان: | Ambulatory Training Program to Expand Procedural Skills in Primary Care |
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| المؤلفون: | Fortuna, Robert J., Marston, Bethany, Messing, Susan, Wagoner, Gunnar, Pulcino, Tiffany L., Bingemann, Todd, Caiola, Enrico, Scofield, Steven, Nead, Karen, Robbins, Brett W |
| المصدر: | Journal of Medical Education and Curricular Development ; volume 6, page 238212051985929 ; ISSN 2382-1205 2382-1205 |
| بيانات النشر: | SAGE Publications |
| سنة النشر: | 2019 |
| الوصف: | 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 < .0001) and faculty physicians (61.5 to 94.8; P < .0001). Similarly, mean comfort with performing procedures increased for both resident (32.1 to 62.3; P < .0001) and faculty physicians (42.2 to 85.4; P < .0001). Residents’ comfort level performing procedures increased for all individual procedures measured. The mean number of procedures performed per year increased for resident (1.9 to 8.2; P < .0001) and faculty physicians (14.7 to 25.2; P = .087). 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. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1177/2382120519859298 |
| الاتاحة: | http://dx.doi.org/10.1177/2382120519859298 http://journals.sagepub.com/doi/pdf/10.1177/2382120519859298 http://journals.sagepub.com/doi/full-xml/10.1177/2382120519859298 |
| Rights: | http://journals.sagepub.com/page/policies/text-and-data-mining-license |
| رقم الانضمام: | edsbas.5C02341B |
| قاعدة البيانات: | BASE |
| DOI: | 10.1177/2382120519859298 |
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