| A blended approach to invasive bedside procedural instruction. | |
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MedLine Citation:
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PMID: 20874027 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Objective: This study assessed the impact of a blended, standardized curriculum for invasive bedside procedural training on medical knowledge and technical skills for Internal Medicine residents. Methods: The investigators developed a curriculum in procedural instruction and performance for Internal Medicine house staff, and implemented the program at a tertiary care academic medical center with a primary affiliation with a US medical school. The investigators chose procedures recommended for technical competence by the American Board of Internal Medicine: lumbar puncture, thoracentesis, paracentesis, central venous catheter insertion, and knee arthrocentesis. The program included: (1) assessment of baseline medical knowledge and technical proficiency on mannequins, (2) video instruction of procedure, (3) faculty-led discussion of critical concepts, (4) faculty demonstration of the procedure on mannequin, (5) individual practice on simulators, (6) post-intervention knowledge evaluation, and (7) post-intervention skills evaluation. The performance achieved during the initial skills evaluation on a mannequin was compared to the performance achieved on the first patient subsequent to the instructional portion. Results: All participants with complete data demonstrated a statistically significant pre-intervention to post-intervention improvement (p < 0.05) in comprehensive medical knowledge and procedural skills. Conclusion: A blended, standardized curriculum in invasive bedside procedural instruction can significantly improve performance in participants' medical knowledge and technical skills. |
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Authors:
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Joshua Lenchus; S Barry Issenberg; Daniel Murphy; Ruth Everett-Thomas; Laura Erben; Kristopher Arheart; David J Birnbach |
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Publication Detail:
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Type: Journal Article Date: 2010-09-27 |
Journal Detail:
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Title: Medical teacher Volume: 33 ISSN: 1466-187X ISO Abbreviation: Med Teach Publication Date: 2011 |
Date Detail:
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Created Date: 2011-01-31 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7909593 Medline TA: Med Teach Country: England |
Other Details:
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Languages: eng Pagination: 116-23 Citation Subset: IM |
Affiliation:
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University of Miami, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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