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Updated: Apr 17, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Training using simulation in internal medicine residencies: an educational perspective.

Michael T Flannery1, Kara F Villarreal

  • 1Department of Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, Florida.

The American Journal of the Medical Sciences
|February 24, 2015
PubMed
Summary
This summary is machine-generated.

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Current competency standards for medical residents are too low. This study proposes a simulation model to ensure residents master procedures, codes, and critical problems before graduation, enhancing patient safety.

Area of Science:

  • Medical Education
  • Simulation-Based Training
  • Patient Safety

Background:

  • The American Board of Internal Medicine's minimum procedure requirement (3-5) for resident competency is widely considered insufficient.
  • Faculty and residents express concerns that the current standard does not adequately prepare them for practice.

Purpose of the Study:

  • To propose an improved simulation model for internal medicine residency training.
  • To establish a more rigorous and scientific approach to defining resident competency.

Main Methods:

  • Review of existing literature on simulation in medical training.
  • Analysis of current accreditation standards and their implementation challenges.

Main Results:

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  • Simulation is mandated but its application in nearly 385 US internal medicine programs is disorganized.
  • Current competency metrics may not ensure adequate skill acquisition.
  • Conclusions:

    • A new simulation model is proposed, encompassing procedures, medical codes, and major medical problems.
    • This model suggests at least doubling the number of required procedures for competency.
    • The proposed method aims for a more scientific and effective assessment of resident preparedness.