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Related Experiment Videos

Training internists in procedural skills.

R S Wigton1

  • 1University of Nebraska College of Medicine, Omaha.

Annals of Internal Medicine
|June 15, 1992
PubMed
Summary
This summary is machine-generated.

Internal medicine residents perform many procedures, but competency varies. New requirements from the American Board of Internal Medicine (ABIM) and New York State mandate documented training and credentialing for procedural skills.

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Area of Science:

  • Medical Education
  • Internal Medicine
  • Clinical Skills Training

Background:

  • Growing concerns regarding the quality of care, economic factors, and liability issues have led to increased scrutiny of internists' procedural skills.
  • Recent surveys of program directors and practicing internists highlight variations in procedural skill acquisition and practice.

Purpose of the Study:

  • To review findings on internists' procedural skills from recent surveys.
  • To discuss these findings in the context of new training requirements by the American Board of Internal Medicine (ABIM) and New York State's credentialing policy.

Main Methods:

  • Review of survey data from program directors and practicing internists regarding procedural skills.
  • Analysis of survey results in relation to evolving accreditation standards and state-level policies.

Main Results:

  • Internists perform a wide variety and high volume of procedures, with practice setting and recency of training influencing the numbers.
  • A significant number of graduates lack mastery of procedures deemed essential by program directors, with many acquiring skills post-training, often unsupervised.
  • Survey data indicates a discrepancy between perceived and actual procedural competency among residents.

Conclusions:

  • The American Board of Internal Medicine (ABIM) now requires documented experience and competence in core procedures for resident certification.
  • New York State mandates credentialing for all procedures performed by residents during training.
  • Internal medicine programs must define essential procedures, ensure adequate training and supervised practice, and implement formal competency assessments and certification for procedural skills.