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Untapped Potential: Performance of Procedural Skills in the Family Medicine Clerkship

机译：未开发的潜力：家庭医学文员中程序技能的表现

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While family medicine residency directors have expressed concern about low procedural skills proficiency among incoming residents, curricular recommendations do not provide widely accepted guidance. This study was designed to describe requirements and experiences in procedural skill training during the family medicine clerkship and test the hypothesis that more rural placements may support this training. Methods: The survey was conducted as part of the CAFM Educational Research Alliance (CERA) Family Medicine Clerkship Director (CD) 2013 survey. All Liaison Committee on Medical Education (LCME)-accredited medical schools in the US and Canada with a family medicine educator as family medicine or primary care CD were surveyed. CDs answered questions about clerkship structure and procedure experience and requirements for students. Choosing from a list of procedures, respondents detailed how often students perform specific skills during a rotation. Results: The response rate was 73% (94 out of 129). Thirty-six procedures were performed during the family medicine clerkship. Of the procedures performed at least once, the most common were Pap test (57.1%), vaginal swab (42.9%), ECG recording (41.9%), urinalysis (40.0%), and throat swab (39.0%). Of the procedures performed more than three times, the most common were Pap test (21.0%) and sterile technique (20.0%). Learners in rural rotations were more likely to perform a range of procedures. Conclusions: Though exposed to a wide range of procedures during the family medicine clerkship, students did not often repeat procedures. Creation of a core list of procedures and taking better advantage of rural placements may improve procedural skill training in the family medicine clerkship.
机译：尽管家庭医学住院医师对新来港居民的操作技能水平表示担忧，但课程建议并未提供被广泛接受的指导。本研究旨在描述在家庭医学业务期间进行程序技能培训的要求和经验，并检验以下假设：更多的农村安置可能支持这种培训。方法：该调查是作为CAFM教育研究联盟（CERA）2013年家庭医学文职总监（CD）调查的一部分进行的。调查了美国和加拿大所有经医学教育联络委员会（LCME）认可的医学院，并提供家庭医学教育者作为家庭医学或初级保健CD。 CD回答了有关业务结构，程序经验和对学生的要求的问题。从一系列程序中选择，受访者详细说明了学生在轮岗中执行特定技能的频率。结果：回应率为73％（129人中有94人）。在家庭医学业务期间执行了36个程序。在至少执行一次的过程中，最常见的是巴氏试验（57.1％），阴道拭子（42.9％），心电图记录（41.9％），尿液分析（40.0％）和喉咙拭子（39.0％）。在执行了三次以上的程序中，最常见的是巴氏试验（21.0％）和无菌技术（20.0％）。农村轮岗的学习者更有可能执行一系列程序。结论：尽管在家庭医学业务期间要经历各种各样的程序，但学生并不经常重复进行程序。创建程序的核心清单并更好地利用农村地区的位置可能会改善家庭医学文员的程序技能培训。

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