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Procedure skill competence and certification in internal medicine residency training
Lannie J Cation1, Steven J Durning
1Department of Internal Medicine, University of Illinois College of Medicine, Peoria, Illinois, USA. cation@uic.edu
Teaching and Learning in Medicine
|July 12, 2003
Summary
This study validates the American Board of Internal Medicine (ABIM) procedure guidelines, finding that residency programs generally meet recommended competency standards. Residents achieved certification within expected parameters, suggesting guideline validity at the program level.
Area of Science:
- Medical Education
- Residency Training
- Procedural Competency
Background:
- Procedure skill training and competency certification are crucial components of internal medicine residency.
- Existing expert guidelines for minimum procedure numbers to achieve competence lack validation.
Purpose of the Study:
- To assess the validity of American Board of Internal Medicine (ABIM) procedure guidelines.
- To compare resident procedural experience with established ABIM recommendations.
Main Methods:
- Retrospective review of monthly procedure log sheets from internal medicine residency graduates.
- Recorded procedure attempts and time to competency certification for 13 procedures.
- Compared resident data against ABIM guidelines.
Main Results:
- Data from 69 graduates analyzed, with an average of 32.7 log sheets per resident.
- Observed significant variation in procedure attempts and time to competence among residents.
- Residents achieved competency certification within one standard deviation of ABIM recommendations for all procedures.
Conclusions:
- The findings suggest that ABIM procedure skill competence guidelines may be valid at the program level.
- Program-level validation supports the current recommendations for procedural training in internal medicine.
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