Simulation-Based Knee Joint Arthrocentesis Workshop for Internal Medicine Residents.

Area of Science:

• Medical Education
• Primary Care Procedures
• Musculoskeletal Medicine

Background:

• Knee arthrocentesis is a vital diagnostic and therapeutic procedure in primary care.
• Improving Internal Medicine (IM) residents' proficiency in knee arthrocentesis is critical for patient care.
• Lack of standardized training can limit resident competency in this procedure.

Purpose of the Study:

• To assess the effectiveness of a simulation-based knee arthrocentesis workshop (SBKAW) for IM residents.
• To enhance residents' comfort and skills in performing knee joint arthrocentesis.
• To evaluate the impact of simulation training on resident confidence and knowledge of indications/contraindications.

Main Methods:

• An SBKAW was implemented for IM residents from five clinic cohorts.
• The workshop included didactic instruction and hands-on practice using knee simulation models.
• Pre- and post-workshop online surveys measured changes in comfort levels and knowledge.

Main Results:

• Post-workshop, 84.2% of residents reported comfort performing knee arthrocentesis, a significant increase from 4.7% pre-workshop.
• Familiarity with indications and contraindications improved substantially post-training.
• 94.7% of residents deemed arthrocentesis an important skill for internists, with 84.2% desiring further simulation training.

Conclusions:

• Simulation-based knee arthrocentesis training is effective in enhancing resident competency.
• Incorporating SBKAW into IM residency curricula can improve patient outcomes and satisfaction.
• This training boosts resident self-confidence and practical skills for knee arthrocentesis.