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Published on: December 18, 2013
Perspectives on Procedure Importance: Residents, Faculty, and Community Practitioners
Alicia Ludden-Schlatter1, Jack Wells1, Robin L Kruse1
1Department of Family and Community Medicine, School of Medicine, University of Missouri, Columbia, MO.
Family medicine residency programs train residents in procedures, but standards are lacking. Dermatologic and musculoskeletal procedures are highly valued, while obstetric and inpatient procedures are less important for most practitioners.
Area of Science:
- Medical Education
- Family Medicine
- Procedural Training
Background:
- Accreditation bodies mandate procedural training in family medicine residencies.
- Lack of defined standards for the scope of family medicine procedures.
- This study addresses the perceived importance of 31 procedures among stakeholders.
Purpose of the Study:
- To compare the perceived importance of 31 procedures by faculty, residents, and recent graduates.
- To identify key procedures for family medicine practice.
- To inform curriculum development and accreditation standards.
Main Methods:
- An online survey was distributed to family medicine residents, faculty, and recent graduates (within 5 years).
- Participants rated the importance of 31 specific procedures for family medicine practice.
- Response rate was 37%.
Main Results:
- Dermatologic and musculoskeletal procedures were rated as highly important by all groups.
- Obstetric and inpatient procedures received lower importance ratings.
- Residents rated nearly all procedures as more important than faculty or recent graduates.
Conclusions:
- Outpatient care is common; dermatologic and musculoskeletal procedures are essential.
- Inpatient and obstetric care are less common, with related procedures rated lower.
- Residents' higher ratings may reflect perceived needs or graduation requirements, differing from actual practice.
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