Are commonly used resident measurements associated with procedural skills in internal medicine residency training? J Gen Intern Med 2007 Mar;22(3):357-61
Date
03/16/2007Pubmed ID
17356968Pubmed Central ID
PMC1824756DOI
10.1007/s11606-006-0068-1Scopus ID
2-s2.0-34250340119 (requires institutional sign-in at Scopus site) 11 CitationsAbstract
BACKGROUND: Acquisition of competence in performing a variety of procedures is essential during Internal Medicine (IM) residency training.
PURPOSES: Determine the rate of procedural complications by IM residents; determine whether there was a correlation between having 1 or more complications and institutional procedural certification status or attending ratings of resident procedural skill competence on the American Board of Internal Medicine (ABIM) monthly evaluation form (ABIM-MEF). Assess if an association exists between procedural complications and in-training examination and ABIM board certification scores.
METHODS: We retrospectively reviewed all procedure log sheets, procedural certification status, ABIM-MEF procedural skills ratings, in-training exam and certifying examination (ABIM-CE) scores from the period 1990-1999 for IM residency program graduates from a training program.
RESULTS: Among 69 graduates, 2,212 monthly procedure log sheets and 2,475 ABIM-MEFs were reviewed. The overall complication rate was 2.3/1,000 procedures (95% CI: 1.4-3.1/1,000 procedure). With the exception of procedural certification status as judged by institutional faculty, there was no association between our resident measurements and procedural complications.
CONCLUSIONS: Our findings support the need for a resident procedural competence certification system based on direct observation. Our data support the ABIM's action to remove resident procedural competence from the monthly ABIM-MEF ratings.
Author List
Durning SJ, Cation LJ, Jackson JLAuthor
Jeffrey L. Jackson MD Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
CertificationClinical Competence
Educational Measurement
Humans
Internal Medicine
Internship and Residency
Retrospective Studies
