Efficiency and Utilization of a Surgical Procedure Proficiency Identification Card to Verify Resident Competency for Bedside Procedures

Abstract

Brief Reports should be submitted online to www.editorialmanager.com/ amsurg. (See details online under ''Instructions for Authors''.) They should be no more than 4 double-spaced pages with no Abstract or sub-headings, with a maximum of four (4) references. If figures are included, they should be limited to two (2). The cost of printing color figures is the responsibility of the author.

Teaching and Assessing Bedside Procedures: A Standardized Cross-Disciplinary Framework for Graduate Medical Education

“…Indeed, even basic aspects of program implementation can be challenging, such as having a process for monitoring the physician who is authorized and competent to execute specific procedures. 8,9 Additional topics, such as which educational tactics are effective for conveying basic knowledge, [10][11][12] which assessment tools accurately measure skills, 3 and how to track credentialing in the clinical arena, have all been explored. 13,14 Therefore, a central problem is that no single consensus on a specific, comprehensive strategy for bedside procedure training and implementation has been agreed on; however, a blended approach to teaching procedures improves trainees' technical skills, [15][16][17] and combining teaching modalities, such as didactics, simulation, supervised practice, and direct supervision, can increase trainees' comfort with procedure performance.…”

“…However, these frameworks are general conceptual guides, and they do not consider any specific repertoire of procedures or propose a practical strategy for implementation, which is essential for success. Indeed, even basic aspects of program implementation can be challenging, such as having a process for monitoring the physician who is authorized and competent to execute specific procedures 8,9 . Additional topics, such as which educational tactics are effective for conveying basic knowledge, 10–12 which assessment tools accurately measure skills, 3 and how to track credentialing in the clinical arena, have all been explored 13,14 .…”

A Dynamic Risk Management Approach for Reducing Harm From Invasive Bedside Procedures Performed During Residency

“…16,18,19 The standards for competency development for bedside procedures rarely if ever include patient outcomes as validity evidence. 16,[20][21][22][23] Although hospitals must report procedural complication rates such as central line-associated blood stream infections to the Centers for Medicare & Medicaid Services, 24 programs and residents rarely receive feedback or aggregated actionable information on clinical outcomes of their invasive bedside procedures. 25 Few studies track or report non-infection-related problems such as mechanical complications (e.g., arterial puncture), service deficiencies (e.g., pain, hematoma), or waste (e.g., multiple attempts, use of multiple procedure kits).…”