Journal of General Internal Medicine

, Volume 15, Issue 6, pp 353–360 | Cite as

Confidence of academic general internists and family physicians to teach ambulatory procedures

  • Glenda C. Wickstrom
  • David K. Kelley
  • Thomas C. Keyserling
  • Maria M. Kolar
  • James G. Dixon
  • Sharon X. Xie
  • Carmen L. Lewis
  • Bryan A. Bognar
  • Connie T. DuPre
  • David R. Coxe
  • Juliana Hayden
  • Mark V. Williams
Original Articles


OBJECTIVE: To evaluate and compare the readiness of academic general internal medicine physicians and academic family medicine physicians to perform and teach 13 common ambulatory procedures.

DESIGN: Mailed survey.

SETTING: Internal medicine and family medicine residency training programs associated with 35 medical schools in 9 eastern states.

PARTICIPANTS: Convenience sample of full-time teaching faculty.

MEASUREMENTS AND MAIN RESULTS: A total of 331 general internists and 271 family physicians returned completed questionnaires, with response rates of 57% and 65%, respectively. Academic generalists ranked most of the ambulatory procedures as important for primary care physicians to perform; however, they infrequently performed or taught many of the procedures. Overall, compared with family physicians, general internists performed and taught fewer procedures, received less training, and were less confident in their ability to teach these procedures. Physicians’ confidence to teach a procedure was strongly associated with training to perform the procedure and performing or precepting a procedure at least 10 times per year.

CONCLUSIONS: Many academic general internists do not perform or precept common adult ambulatory procedures. To ensure that residents have the opportunity to learn routine ambulatory procedures, training programs may need to recruit qualified faculty, train current faculty, or arrange for academic specialists or community physicians to teach these skills.

Key words

academic generalists ambulatory procedures residency training confidence teaching 


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Copyright information

© Society of General Internal Medicine 2000

Authors and Affiliations

  • Glenda C. Wickstrom
    • 1
  • David K. Kelley
    • 2
  • Thomas C. Keyserling
    • 3
  • Maria M. Kolar
    • 4
  • James G. Dixon
    • 5
  • Sharon X. Xie
    • 6
  • Carmen L. Lewis
    • 3
  • Bryan A. Bognar
    • 7
  • Connie T. DuPre
    • 8
  • David R. Coxe
    • 9
  • Juliana Hayden
    • 10
  • Mark V. Williams
    • 11
  1. 1.the Department of MedicineSumma Health System/Northeastern Ohio Universities College of MedicineAkron
  2. 2.Department of MedicinePennsylvania State University School of MedicineHershey
  3. 3.Department of MedicineUniversity of North Carolina at Chapel Hill School of MedicineChapel Hill
  4. 4.Section of Internal MedicineWest Virginia University School of MedicineMorgantown
  5. 5.Department of Internal Medicine/Department of Family PracticeEastern Virginia University School of MedicineNorfolk
  6. 6.Department of Health Evaluation SciencesPennsylvania State UniversityHershey
  7. 7.Department of Internal MedicineUniversity of South Florida School of MedicineTampa
  8. 8.Section of General MedicineMedical College of GeorgiaAugusta
  9. 9.Department of MedicineVanderbilt University School of MedicineNashville
  10. 10.Department of Internal MedicineUniversity of Louisville, School of MedicineLouisville
  11. 11.Department of MedicineEmory University School of MedicineAtlanta

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