The core competencies in hospital medicine: Procedures 2025 update

Area of Science:

• Hospital Medicine
• Medical Education
• Procedural Competency

Background:

• The Society of Hospital Medicine previously established a framework for procedural learning objectives in 2017.
• Practice patterns and clinical evidence in hospital medicine have evolved significantly since the last framework update.
• Maintaining procedural competence is crucial for delivering effective inpatient care.

Purpose of the Study:

• To present an updated framework of learning objectives for key procedures in hospital medicine.
• To provide guidance for curricular development and continuing medical education in hospital medicine.
• To ensure hospital medicine practitioners can develop and maintain essential procedural skills.

Main Methods:

• A comprehensive literature review was conducted.
• Expert consensus panels were convened.
• Feedback was gathered from practicing hospitalists in various clinical settings.

Main Results:

• Revised learning objectives for common hospital medicine procedures have been established.
• The updated objectives cover procedures such as arthrocentesis, lumbar puncture, paracentesis, thoracentesis, and vascular access.
• Interpretation of chest radiographs and electrocardiograms are also included.

Conclusions:

• The updated framework provides a contemporary guide for procedural training in hospital medicine.
• These learning objectives are vital for enhancing the quality of inpatient care.
• The framework supports continuous professional development for hospitalists.