Ambulatory Training Program to Expand Procedural Skills in Primary Care

Journal of Medical Education and Curricular Development (07/01/19) Fortuna, Robert J.; Marston, Bethany; Messing, Susan; et al.

Researchers investigated a four-year procedural curriculum to gain insight into ambulatory procedures and boost the number of procedures performed. Fifty-six resident and eight faculty physicians took part in the curriculum, which targeted joint injections, subdermal contraceptive insertion/removal, skin biopsies, and ultrasound in primary care, with yearly surveys and generalized estimating equations applied to model changes. An average 96% response rate was recorded over the study period, with the average comfort level with the indications for the procedures and with performing procedures rising for both resident and faculty physicians. The intervention had the additional benefit of being embedded within an existing resident-teacher relationship in a residency continuity clinic. The researchers concluded that the subsequent expansion of procedural training, in turn, can potentially improve the overall residency training experience, broaden access to patients for necessary office-based procedures, and mitigate fragmentation of care.

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