Anticipation or avoidance: internal medicine resident experiences performing invasive bedside procedures
Background: Internal Medicine (IM) residents are required to perform bedside procedures for diagnostic and therapeutic purposes. Residents’ experiences with procedures vary widely, for unclear reasons. Objective: To explore IM residents’ experiences with performing bedside procedures and to ident...
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| Format: | Article |
| Language: | English |
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Canadian Medical Education Journal
2023-06-01
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| Series: | Canadian Medical Education Journal |
| Online Access: | https://journalhosting.ucalgary.ca/index.php/cmej/article/view/73122 |
| _version_ | 1797805927259176960 |
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| author | Alyssa S Louis Christie Lee Andrea V Page Shiphra Ginsburg |
| author_facet | Alyssa S Louis Christie Lee Andrea V Page Shiphra Ginsburg |
| author_sort | Alyssa S Louis |
| collection | DOAJ |
| description |
Background: Internal Medicine (IM) residents are required to perform bedside procedures for diagnostic and therapeutic purposes. Residents’ experiences with procedures vary widely, for unclear reasons.
Objective: To explore IM residents’ experiences with performing bedside procedures and to identify barriers and facilitators to obtaining sufficient experience.
Methods: Using an inductive, thematic approach, we conducted five individual semi-structured interviews and one focus group with seven IM residents (12 residents in total) during the 2017-2018 academic year at a Canadian tertiary care centre. We used iterative, open-ended questions to elicit residents’ experiences, and barriers and facilitators, to performing bedside procedures. Transcripts were analyzed for themes using Braun and Clarke’s method.
Results: We identified four themes 1) Patient-specific factors such as body habitus and procedure urgency; 2) Systems factors such as time constraints and accessibility of materials; 3) Faculty factors including availability to supervise, comfort level, and referral preferences, and 4) Resident-specific factors including preparation, prior experiences, and confidence. Some residents expressed procedure-related anxiety and avoidance.
Conclusion: Educational interventions aimed to improve procedural efficiency and ensure availability of supervisors may help facilitate residents to perform procedures, yet may not address procedure-related anxiety. Further study is required to understand better how procedure-averse residents can gain confidence to seek out procedures.
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| first_indexed | 2024-03-13T05:59:31Z |
| format | Article |
| id | doaj.art-dc178c57b4ea4cf596d976424647e51c |
| institution | Directory Open Access Journal |
| issn | 1923-1202 |
| language | English |
| last_indexed | 2024-03-13T05:59:31Z |
| publishDate | 2023-06-01 |
| publisher | Canadian Medical Education Journal |
| record_format | Article |
| series | Canadian Medical Education Journal |
| spelling | doaj.art-dc178c57b4ea4cf596d976424647e51c2023-06-13T04:06:04ZengCanadian Medical Education JournalCanadian Medical Education Journal1923-12022023-06-0110.36834/cmej.73122Anticipation or avoidance: internal medicine resident experiences performing invasive bedside proceduresAlyssa S Louis0Christie Lee1Andrea V Page2Shiphra Ginsburg3University of TorontoUniversity of TorontoUniversity of TorontoUniversity of Toronto Background: Internal Medicine (IM) residents are required to perform bedside procedures for diagnostic and therapeutic purposes. Residents’ experiences with procedures vary widely, for unclear reasons. Objective: To explore IM residents’ experiences with performing bedside procedures and to identify barriers and facilitators to obtaining sufficient experience. Methods: Using an inductive, thematic approach, we conducted five individual semi-structured interviews and one focus group with seven IM residents (12 residents in total) during the 2017-2018 academic year at a Canadian tertiary care centre. We used iterative, open-ended questions to elicit residents’ experiences, and barriers and facilitators, to performing bedside procedures. Transcripts were analyzed for themes using Braun and Clarke’s method. Results: We identified four themes 1) Patient-specific factors such as body habitus and procedure urgency; 2) Systems factors such as time constraints and accessibility of materials; 3) Faculty factors including availability to supervise, comfort level, and referral preferences, and 4) Resident-specific factors including preparation, prior experiences, and confidence. Some residents expressed procedure-related anxiety and avoidance. Conclusion: Educational interventions aimed to improve procedural efficiency and ensure availability of supervisors may help facilitate residents to perform procedures, yet may not address procedure-related anxiety. Further study is required to understand better how procedure-averse residents can gain confidence to seek out procedures. https://journalhosting.ucalgary.ca/index.php/cmej/article/view/73122 |
| spellingShingle | Alyssa S Louis Christie Lee Andrea V Page Shiphra Ginsburg Anticipation or avoidance: internal medicine resident experiences performing invasive bedside procedures Canadian Medical Education Journal |
| title | Anticipation or avoidance: internal medicine resident experiences performing invasive bedside procedures |
| title_full | Anticipation or avoidance: internal medicine resident experiences performing invasive bedside procedures |
| title_fullStr | Anticipation or avoidance: internal medicine resident experiences performing invasive bedside procedures |
| title_full_unstemmed | Anticipation or avoidance: internal medicine resident experiences performing invasive bedside procedures |
| title_short | Anticipation or avoidance: internal medicine resident experiences performing invasive bedside procedures |
| title_sort | anticipation or avoidance internal medicine resident experiences performing invasive bedside procedures |
| url | https://journalhosting.ucalgary.ca/index.php/cmej/article/view/73122 |
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