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They just don't get enough! Variable intern experience in bedside procedural skills.

R J Boots¹, W Egerton, H McKeering

¹Department of Postgraduate Medical Education. Brisbane and Women's Hospitals, Brisbane, Queensland, Australia. rob_boots@health.qld.gov.au

Internal Medicine Journal

|May 1, 2009

Summary

Medical interns gain procedural confidence from prior patient or simulation experience and from attending training programs. Variable intern experience highlights the need for standardized training and supervision to ensure uniform skill development.

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Area of Science:

Medical Education
Clinical Skills Training
Graduate Medical Education

Background:

Medical training programs offer diverse learning experiences and outcomes.
Assessing the procedural skills of medical students and interns is crucial for effective training.

Purpose of the Study:

To evaluate the clinical procedural experience and confidence levels of medical interns.
To examine the impact of a voluntary procedural skill-training program on intern confidence.

Main Methods:

A survey was administered to interns at a metropolitan teaching hospital from 2000 to 2004.
Interns reported their experience and confidence in clinical procedures at the start and end of their internship year.
Attendance at a voluntary procedural skill-training program and its effect on confidence were analyzed.

Main Results:

Intern procedural confidence was influenced by pre-internship experience (patient or simulation-based) and age.
Attendance at the training program significantly predicted end-of-year intern confidence.
Interns' experience with patient procedures and their decision to pursue postgraduate training also correlated with confidence.

Conclusions:

Medical interns and students acquire varied experience in performing procedural skills on patients.
Designing effective training programs is challenging due to year-to-year variations in intern needs.
Mandatory supervision of key skills and supplementary training opportunities are essential for a consistent intern experience.