Volume and Supervision of Resident Procedures Logged After Implementation of a Procedure Medicine Curriculum

Excerpt

The American Board of Internal Medicine has not required competency in procedures such as paracentesis, central venous catheter (CVC) insertions, and lumbar punctures (LP), but graduating residents may be expected to perform these procedures independently after training.¹ Practicing internists and trainees report decreasing comfort in performing procedures and a decline in a number of procedures performed over time.^{2, 3} This presents a concerning decrease in experienced internists to perform, teach, and supervise procedures.^{4, 5} The Virginia Commonwealth University School of Medicine Internal Medicine (IM) residency program implemented a procedure medicine curriculum modeled after one by Lenchus et al.,⁶ including simulation-based training in CVC insertion, LP, and paracentesis and a rotation on a hospitalist-staffed procedure service. We assessed the impact on the volume of procedures logged by IM residents and the type of supervision provided. …