Potential impact of a bedside procedure service on training procedurally competent hospitalists in a community-based residency program
Background: The Society of Hospital Medicine has delineated procedures as one of the core competencies for hospitalists. Little is known about whether exposure to a medical procedure service (MPS) impacts the procedural certification rate in internal medicine trainees in a community hospital trainin...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Greater Baltimore Medical Center
2016-07-01
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| Series: | Journal of Community Hospital Internal Medicine Perspectives |
| Subjects: | |
| Online Access: | http://www.jchimp.net/index.php/jchimp/article/view/31054/pdf_160 |
| _version_ | 1828078097316970496 |
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| author | Anthony Montuno Bijou R. Hunt May M. Lee |
| author_facet | Anthony Montuno Bijou R. Hunt May M. Lee |
| author_sort | Anthony Montuno |
| collection | DOAJ |
| description | Background: The Society of Hospital Medicine has delineated procedures as one of the core competencies for hospitalists. Little is known about whether exposure to a medical procedure service (MPS) impacts the procedural certification rate in internal medicine trainees in a community hospital training program. Objective: To determine whether or not exposure to an MPS would impact both the number of procedures performed and the rate of resultant certifications in a community hospital internal medicine training program. Design: Retrospective review. Methods: Five cohorts of resident physicians and their procedure data were analyzed comparing months where residents were unexposed to the intervention (pre-MPS) to months where residents were exposed to the intervention (post-MPS). We calculated the average number of procedures performed per month for pre- versus post-MPS periods. For procedural certification, we compared two proportions: the number of certifications over the number of 6-month pre-MPS periods and the number of certifications over the number of 6-month post-MPS periods. Setting/subjects: The study was conducted at a community-based academic medical center. Subjects included all internal medicine residents. Results: We found a statistically significant difference between the groups, with pre-MPS groups performing 4.3 procedures per month compared with post-MPS groups performing 6.7 procedures per month (p=0.0010). For certification rates, we found statistically significant differences in several categories – overall, paracentesis, femoral central lines, and jugular central lines. Conclusions: This study demonstrated that resident exposure to an MPS statistically significantly increased the total number of procedures performed. This study also showed that overall certification rates were statistically significantly different between the pre- and post-MPS groups for several procedures. |
| first_indexed | 2024-04-11T02:41:03Z |
| format | Article |
| id | doaj.art-5b031749a6314686b07ec378bef6b250 |
| institution | Directory Open Access Journal |
| issn | 2000-9666 |
| language | English |
| last_indexed | 2024-04-11T02:41:03Z |
| publishDate | 2016-07-01 |
| publisher | Greater Baltimore Medical Center |
| record_format | Article |
| series | Journal of Community Hospital Internal Medicine Perspectives |
| spelling | doaj.art-5b031749a6314686b07ec378bef6b2502023-01-02T18:54:52ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662016-07-01631610.3402/jchimp.v6.3105431054Potential impact of a bedside procedure service on training procedurally competent hospitalists in a community-based residency programAnthony Montuno0Bijou R. Hunt1May M. Lee2 Department of Internal Medicine, Mount Sinai Hospital, Chicago, IL, USA Sinai Urban Health Institute, Chicago, IL, USA Department of Internal Medicine, Mount Sinai Hospital, Chicago, IL, USABackground: The Society of Hospital Medicine has delineated procedures as one of the core competencies for hospitalists. Little is known about whether exposure to a medical procedure service (MPS) impacts the procedural certification rate in internal medicine trainees in a community hospital training program. Objective: To determine whether or not exposure to an MPS would impact both the number of procedures performed and the rate of resultant certifications in a community hospital internal medicine training program. Design: Retrospective review. Methods: Five cohorts of resident physicians and their procedure data were analyzed comparing months where residents were unexposed to the intervention (pre-MPS) to months where residents were exposed to the intervention (post-MPS). We calculated the average number of procedures performed per month for pre- versus post-MPS periods. For procedural certification, we compared two proportions: the number of certifications over the number of 6-month pre-MPS periods and the number of certifications over the number of 6-month post-MPS periods. Setting/subjects: The study was conducted at a community-based academic medical center. Subjects included all internal medicine residents. Results: We found a statistically significant difference between the groups, with pre-MPS groups performing 4.3 procedures per month compared with post-MPS groups performing 6.7 procedures per month (p=0.0010). For certification rates, we found statistically significant differences in several categories – overall, paracentesis, femoral central lines, and jugular central lines. Conclusions: This study demonstrated that resident exposure to an MPS statistically significantly increased the total number of procedures performed. This study also showed that overall certification rates were statistically significantly different between the pre- and post-MPS groups for several procedures.http://www.jchimp.net/index.php/jchimp/article/view/31054/pdf_160hospitalist traininginternal medicine traineesprocedure service |
| spellingShingle | Anthony Montuno Bijou R. Hunt May M. Lee Potential impact of a bedside procedure service on training procedurally competent hospitalists in a community-based residency program Journal of Community Hospital Internal Medicine Perspectives hospitalist training internal medicine trainees procedure service |
| title | Potential impact of a bedside procedure service on training procedurally competent hospitalists in a community-based residency program |
| title_full | Potential impact of a bedside procedure service on training procedurally competent hospitalists in a community-based residency program |
| title_fullStr | Potential impact of a bedside procedure service on training procedurally competent hospitalists in a community-based residency program |
| title_full_unstemmed | Potential impact of a bedside procedure service on training procedurally competent hospitalists in a community-based residency program |
| title_short | Potential impact of a bedside procedure service on training procedurally competent hospitalists in a community-based residency program |
| title_sort | potential impact of a bedside procedure service on training procedurally competent hospitalists in a community based residency program |
| topic | hospitalist training internal medicine trainees procedure service |
| url | http://www.jchimp.net/index.php/jchimp/article/view/31054/pdf_160 |
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