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Implementing a Chronic Wound Care Workshop for Internal Medicine Residents
Elizabeth Foy White-Chu1, Tri Le, Renee Cordrey
1Elizabeth Foy White-Chu, MD, CWSP, AGSF, is Assistant Professor of Medicine, Oregon Health and Science University; Tri Le, MD, is Geriatrician, Adena Medical Group; and Renee Cordrey, PhD(c), MSPT, MPH, PT, CWS, is Rehabilitation Director, HealthPRO Heritage at Home. Acknowledgments: The authors thank the Scholarship and Innovation Petal of the Educational Consortium at Oregon Health and Science University for providing support for this article. The authors have disclosed no financial relationships related to this article. Submitted May 8, 2018; accepted July 11, 2018.
A pilot wound care curriculum is feasible for internal medicine (IM) residents. Despite barriers like physician comfort and resource availability, some residents reported practice changes after the training.
Area of Science:
- Medical Education
- Wound Care
- Internal Medicine Training
Background:
- Internal medicine (IM) residents require robust wound care education.
- Integrating specialized training into demanding curricula presents challenges.
Purpose of the Study:
- To assess the feasibility of a pilot wound care curriculum for IM residents.
- To evaluate changes in resident practice and identify barriers to wound care implementation.
Main Methods:
- A prospective pilot study involving 89 IM residents at an academic hospital.
- A 90-minute workshop covering chronic wound care, including debridement and dressing selection.
- Pre- and post-workshop clinical vignettes and surveys to assess behavior change and barriers.
Main Results:
- 64% completed the pre-workshop vignette, and 28% completed the post-workshop vignette.
- 40% of post-workshop respondents reported implementing changes in wound care.
- Key barriers included attending physician comfort, clinic resource limitations, and resident confidence.
Conclusions:
- A chronic wound care education module is feasible within an IM curriculum.
- Future efforts should address clinic needs, attending physician/resident comfort, and high-yield interventions.
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