Literature DB >> 16926970

Defining core procedure skills for Canadian family medicine training.

Stephen J Wetmore1, Christine Rivet, Joshua Tepper, Sue Tatemichi, Michel Donoff, Paul Rainsberry.   

Abstract

OBJECTIVE: To create a list of core and enhanced procedures suitable for family medicine training.
DESIGN: Mailed or e-mailed survey using a Delphi technique.
SETTING: Randomly selected family physician practices across Canada. PARTICIPANTS: Family physicians from urban, small-town, and rural practice locations and academic family physicians. All were experienced family physicians with from 3 to 36 years in practice.
INTERVENTIONS: Participant physicians were asked to rate each of 158 procedures as to whether they would expect a graduate from a Canadian family practice training program to have learned and be capable of performing that procedure in their own community. In a second survey, participants were asked to verify the core and enhanced procedures lists produced from the first survey. MAIN OUTCOME MEASURES: Physicians' opinions about a comprehensive list of skills.
RESULTS: Twenty-two physicians responded to the first survey (92% response rate) and 14 to the second (58% response rate). Sixty-five core procedures and 15 enhanced procedures were identified in the surveys. More procedures were ranked on the core list and were performed by rural and small-town physicians than by urban physicians. Physicians' agreement with placement of procedures on the core list ranged from 55% to 100% and of procedures on the enhanced list from 50% to 64%. Fifty-five of the procedures on the core list had agreement from more than 70% of participants.
CONCLUSION: Procedure lists represent the opinions of Canadian family physicians about the importance of specific procedure skills for new family physicians in their communities. Procedure lists will be helpful for family medicine training programs to evaluate and refine their teaching of procedure skills.

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Mesh:

Year:  2005        PMID: 16926970      PMCID: PMC1479794     

Source DB:  PubMed          Journal:  Can Fam Physician        ISSN: 0008-350X            Impact factor:   3.275


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5.  Perceived core procedural skills for Nebraska family physicians.

Authors:  M al-Turk; J Susman
Journal:  Fam Pract Res J       Date:  1992-09

6.  Procedural skills for general practice. The results of a Queensland survey.

Authors:  N Spike; C Veitch
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Review 7.  Teaching procedural skills.

Authors:  T E Norris; S W Cullison; S D Fihn
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8.  Skills training in primary care residency. Problems and solutions from the family practice perspective.

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9.  The future of procedural training in family practice residency programs: look before you LEEP.

Authors:  M A Smith; M S Klinkman
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10.  Office procedural skills in family medicine.

Authors:  L G Heikes; C L Gjerde
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7.  Defining competency-based evaluation objectives in family medicine: procedure skills.

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8.  Teaching medical procedures at your workplace.

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10.  Office-based procedures among urban and rural family physicians in Ontario.

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Journal:  Can Fam Physician       Date:  2012-10       Impact factor: 3.275

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