Introducing a Comprehensive Framework for Competency-based Procedure Training

Area of Science:

• Medical Education
• Surgical Skills Training
• Internal Medicine Residency

Background:

• Graduating residents require proficiency in bedside procedures for future practice.
• A structured curriculum is essential for enhancing procedural training.
• Current training gaps necessitate innovative educational frameworks.

Purpose of the Study:

• To introduce reproducible frameworks and tools for medical procedure training.
• To evaluate a novel curriculum for internal medicine residents.
• To improve competency in performing bedside procedures.

Main Methods:

• Implementation of a just-in-time simulation-based mastery learning (SBML) curriculum.
• Utilized a two-tertiary care hospital system with 1200 inpatient beds.
• Involved categorical internal medicine residents with multimodal assessments and continuous supervision.

Main Results:

• Residents provided feedback through dedicated evaluations for faculty, SBML sessions, and the overall program.
• The curriculum was implemented without significant demographic differences in participants.
• Data collection focused on resident performance and feedback.

Conclusions:

• Just-in-time SBML and a dedicated medicine procedure service are effective training modalities.
• Continued supervision and multimodal assessments are beneficial regardless of initial competency.
• The findings support the integration of SBML into residency programs for procedural skills development.