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More Learners, Finite Resources, and the Changing Landscape of Procedural Training at the Bedside.

More Learners, Finite Resources, and the Changing Landscape of Procedural Training at the Bedside.
Author Information (click to view)

Gisondi MA, Regan L, Branzetti J, Hopson LR,


Gisondi MA, Regan L, Branzetti J, Hopson LR, (click to view)

Gisondi MA, Regan L, Branzetti J, Hopson LR,

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Academic medicine : journal of the Association of American Medical Colleges 2017 11 21() doi 10.1097/ACM.0000000000002062
Abstract

There is growing competition for non-operative, procedural training in teaching hospitals, due to an increased number of individuals seeking to learn procedures from a finite number of appropriate teaching cases. Procedural training is required by students, post-graduate learners, and practicing providers who must maintain their skills. These learner groups are growing in size as the number of medical schools increase and advance practice providers expand their skills to include complex procedures. These various learner needs occur against a background of advancing therapeutic techniques that improve patient care, but also act to reduce the overall numbers of procedures available to learners. This article is a brief review of these and other challenges that are arising for program directors, medical school leaders, and hospital administrators who must act to ensure that all of their providers acquire and maintain competency in a wide array of procedural skills. The authors conclude their review with several recommendations to better address procedural training in this new era of learner competition. These include a call for innovative clinical rotations deliberately designed to improve procedural training, access to training opportunities at new clinical sites acquired in health system expansions, targeted faculty development for those who teach procedures, reporting of competition for bedside procedures by trainees, more frequent review of resident procedure and case logs, and the creation of an institutional oversight committee for procedural training.

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