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Technical skills required in general pediatric practice.

T K Oliver1, D W Butzin, R O Guerin

  • 1American Board of Pediatrics, Chapel Hill, NC 27514.

Pediatrics
|October 11, 1991
PubMed
Summary
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Pediatric residency programs should focus on teaching 24 essential procedural skills, identified by program directors and practicing pediatricians, ensuring competency for future general pediatricians.

Area of Science:

  • Medical Education
  • Pediatric Training
  • Procedural Competency

Background:

  • The American Board of Pediatrics identified 101 technical procedures for pediatric training.
  • Initial survey of program directors indicated 72 procedures were deemed necessary for resident competency.

Purpose of the Study:

  • To determine essential procedural skills for pediatric residents.
  • To identify a core set of procedures crucial for general pediatric practice.

Main Methods:

  • A two-phase survey approach was used, initially involving pediatric program directors (N=231) and subsequently general pediatricians (N=10,304).
  • Program directors rated the necessity of 101 procedures, followed by a general pediatrician survey on 72 selected procedures.

Main Results:

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  • 72 out of 101 procedures were considered necessary by 80% of program directors.
  • 49 of 72 procedures were deemed necessary by 80% of responding general pediatricians.
  • 24 procedures were considered absolutely necessary by over 95% of practitioners, with only 7 deemed unnecessary by over 50%.

Conclusions:

  • A core curriculum should prioritize the 24 'absolutely necessary' procedural skills for pediatric residents.
  • Competency in these 24 skills should be rigorously verified and documented during residency training.