Abstract
Objective
To assess acting interns’ (AI’s) experience with and perceived level of competency performing 6 basic medical procedures.
Design
Fourth-year medical students at the University of Cincinnati (UCCOM) are required to complete 2 AI rotations in Internal Medicine. All AIs in 2003–2004 (n = 150) and 2004–2005 (n = 151) were asked to complete a survey about whether during each of their rotations they had performed and felt competent performing the following procedures: phlebotomy, intravenous (IV) catheter insertion, arterial blood gas (ABG), nasogastric (NG) tube insertion, lumbar puncture (LP), and Foley catheter insertion.
Results
Four hundred sixty-seven of 601 possible surveys (across both years and both rotations) were completed (78% response rate). During both rotations, relatively few students performed the procedures, ranging from 9% for Foley catheter insertion (24/208) to 50% for both ABG and NG tube insertion (130/259). The two procedures most often performed were ABG (range 46–50%) and NG tube insertion (range 42–50%). Feelings of competency varied from 12% (LP) to 82% (Foley catheter). Except for LP, if students performed a procedure at least once, they reported feeling more competent (range 85% for ABG to 96% for Foley catheter insertion). Among the students who performed LP during a rotation, many still did not feel competent performing LPs: 23 (74%) in rotation 1 and 20 (40%) in rotation 2.
Conclusion
Many fourth-year students at UCCOM do not perform basic procedures during their acting internship rotations. Procedural performance correlates with feelings of competency. Lumbar puncture competency may be too ambitious a goal for medical students.
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References
Grum C, Richards P, Woolliscroft J. Shifting medical student education to the outpatient setting: what are we losing? Acad Med. 1995;70(5):447.
The Medical School Objectives Writing Group. Learning objectives for medical school education—guidelines for medical schools: report I of the medical school objectives project. Acad Med. 1999;74:13–8.
Magarian G, Mazur D. The procedural and interpretive skills that third-year medicine clerks should master: views of medicine clerkship directors. J Gen Intern Med. 1991;6(5):469–71.
Sanders C, Edwards J, Burdenski T. A survey of basic technical skills of medical students. Acad Med. 2004;79:873–5.
Elnicki D, van Londen J, Hemmer P, Fagan M, Wong R. U.S. and Canadian internal medicine clerkship director’s opinions about teaching procedural and interpretive skills to medical students. Acad Med. 2004;79:1108–13.
Green E, Fagan M, Reddy S, Sidlow R, Mechaber A. Advances in the internal medicine subinternship. Am J Med. 2002;113:769–73.
Fincher R, Lewis L. Learning, experience, and self-assessment of competence of third-year medical students in performing bedside procedures. Acad Med. 1994;69:291–5.
Hicks C, Gonzales R, Morton M, Gibbons R, Wigton R, Anderson R. Procedural experience and comfort level in internal medicine trainees. J Gen Intern Med. 2000;15:716–22
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Coberly, L., Goldenhar, L.M. Ready or Not, Here They Come: Acting Interns’ Experience and Perceived Competency Performing Basic Medical Procedures. J GEN INTERN MED 22, 491–494 (2007). https://doi.org/10.1007/s11606-007-0107-6
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DOI: https://doi.org/10.1007/s11606-007-0107-6