Boosting Confidence and Skills: A Multidisciplinary Evaluation of an Emergency Department-Based Procedure Team...

Area of Science:

• Medical Education
• Emergency Medicine
• Surgical Procedures

Background:

• Emergency Medicine (EM) residency programs require residents to master invasive procedures.
• Staten Island University Hospital (SIUH) implemented an interdepartmental Procedure Team to increase senior EM residents' procedural exposure.

Purpose of the Study:

• Evaluate the effectiveness of the Procedure Team rotation.
• Assess EM residents' improved comfort levels in performing procedures.
• Gather perceptions from EM attendings and Internal Medicine (IM) residents on the curriculum's impact on procedural and communication skills.

Main Methods:

• Mixed-methods study utilizing surveys and interviews.
• Investigated five common procedures: ultrasound-guided intravenous access, midline, central line, lumbar puncture, and paracentesis.
• Collected feedback from EM residents, ED attending physicians, and IM residents.

Main Results:

• EM residents performed 242 procedures, averaging 29.9 per rotation.
• Post-rotation, PGY-3 EM residents reported significant comfort improvement in midlines, lumbar punctures, and paracenteses.
• Qualitative feedback highlighted "education and procedural exposure" as key benefits, with IM residents finding consult placement "very simple."

Conclusions:

• The Procedure Team rotation enhances resident confidence and interdepartmental collaboration.
• This initiative offers valuable hands-on experience in high-risk procedures.
• The program has the potential to significantly enrich EM resident training.