Measuring Procedural Skills

Editorials15 December 1996Measuring Procedural SkillsRobert S. Wigton, MDRobert S. Wigton, MDUniversity of Nebraska Medical Center, Omaha, NE 68198-4285.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-125-12-199612150-00013 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Surgical residency programs have long required trainees to record their experience with surgical procedures, but internal medicine has only recently required residents to document their experience with medical procedures. In the late 1980s, the American College of Physicians responded to the need for guidelines by appointing committees and beginning a series of national surveys to make recommendations about credentialing standards [1]. During this same period, physicians in several specialty areas, notably gastroenterology and cardiology, developed recommendations about specific procedures. In 1991, the American Board of Internal Medicine required documentation of applicants' training experience in seven core procedures [2].Although basing ...References1. Roberts JS, Radany MH, Nash DB. Privilege delineation in a demanding new environment. Ann Intern Med. 1988; 108:880-6. Google Scholar2. American Board of Internal Medicine. Guide to Evaluation of Residents in Internal Medicine, 1991-92. Philadelphia: American Board of Internal Medicine; 1991. Google Scholar3. Hawes R, Lehman GA, Hast J, O'Connor KW, Crabb DW, Lui A, et al. Training resident physicians in fiberoptic sigmoidoscopy. How many supervised examinations are required to achieve competence? Am J Med. 1986; 80:465-70. Google Scholar4. Cass OW, Freeman ML, Peine DJ, Zera RT, Onstad GR. Objective evaluation of endoscopy skills during training. Ann Intern Med. 1993; 118:40-4. Google Scholar5. Wigton RS, Blank LL, Monsour H, Nicolas JA. Procedural skills of practicing gastroenterologists. A national survey of 700 members of the American College of Physicians. Ann Intern Med. 1990; 113:540-6. Google Scholar6. Jowell PS, Baillie J, Branch MS, Affronti J, Browning CL, Bute BP. Quantitative assessment of procedural competence. A prospective study of training in endoscopic retrograde cholangiopancreatography. Ann Intern Med. 1996; 125:983-9. Google Scholar Author, Article, and Disclosure InformationAuthors: Robert S. Wigton, MDAffiliations: University of Nebraska Medical Center, Omaha, NE 68198-4285.Corresponding Author: Robert S. Wigton, MD, Section of General Internal Medicine, University of Nebraska Medical Center, 2014 Swanson Hall, 600 South 42nd Street, Omaha, NE 68198-4285. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoQuantitative Assessment of Procedural Competence: A Prospective Study of Training in Endoscopic Retrograde Cholangiopancreatography Paul S. Jowell , John Baillie , M. Stanley Branch , John Affronti , Cynthia L. Browning , and Barbara Phillips Bute Metrics Cited byMedical Procedure Services in Internal Medicine Residencies in the US: a Systematic Review and Meta-AnalysisFilling the gaps between theory and daily clinical procedural skills training in family medicineOptimum number of procedures required to achieve procedural skills competency in internal medicine residentsPrinciples of training in GI endoscopyEvaluation models and items of clinical competence for the hospital physicians in internal medicineModelli di valutazione della clinical competence del medico specialista internista ospedalieroPrecut Papillotomy: A Risky Technique Not Only for Experts but Also for Average Endoscopists Skilled in ERCPTraining for NOTESReliability of a 25-Item Low-Stakes Multiple-Choice Assessment of Bronchoscopic KnowledgeTraining for NOTESAn Intervention to Improve Procedure Education for Internal Medicine ResidentsThe Association between Number of Pap Smears Performed and Self-Reported Confidence in an Internal Medicine ResidencyRelationship among hospital ERCP volume, length of stay, and technical outcomesEinführung eines kompetenzbasierten Facharztweiterbildungsprogramms in einer neurologischen AbteilungA comprehensive new curriculum to teach and assess resident knowledge and diagnostic evaluation of musculoskeletal complaintsLearning the skills of flexible sigmoidoscopy - the wider perspectiveAdverse outcomes of endoscopic retrograde cholangiopancreatography: avoidance and managementProcedure Skill Competence and Certification in Internal Medicine Residency TrainingA Multidimensional Workshop Using Human Cadavers to Teach Bedside ProceduresUnderstanding risk factors and avoiding complications with endoscopic retrograde cholangiopancreatographyAdverse outcomes of ERCPStructured Assessment of Minor Surgical Skills (SAMSS) for Family Medicine ResidentsProcedural experience and comfort level in internal medicine traineesPrinciples of Training in Gastrointestinal EndoscopyWhat is adequate training and competence in gastrointestinal endoscopy?Toward improving outcomes of ERCPDoes Volume Really Affect Outcome? Lessons from the EvidenceDoes Low Individual Operator Coronary Interventional Procedural Volume Correlate With Worse Institutional Procedural Outcome?Missed cancers at colonscopy: learning the hard way 15 December 1996Volume 125, Issue 12Page: 1003-1004KeywordsBiopsyColonoscopyEndoscopic retrograde cholangiopancreatographyEsophagogastroduodenoscopyFellowshipsFlexible sigmoidoscopyGastroenterology and hepatologyLesionsReproducibilityResidency ePublished: 15 August 2000 Issue Published: 15 December 1996 Copyright & PermissionsCopyright © 1996 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...