Abstract
Abstract
Background
Lack of experienced faculty to supervise internal medicine (IM) residents is a significant barrier to establishing a medical procedure service (MPS).
Aim
Describe the development and 10-year outcomes of an MPS led by IM chief residents.
Setting
University-based IM residency program affiliated with a county and Veterans Affairs hospital.
Participants
Categorical IM interns (n=320) and 4th-year IM chief residents (n=48) from 2011 to 2022.
Program Description
The MPS operated on weekdays, 8 am–5 pm. After training and sign-off by the MPS director, chief residents trained and supervised interns in ultrasound-guided procedures during a 4-week rotation.
Program Evaluation
From 2011 to 2022, our MPS received 5967 consults and 4465 (75%) procedures were attempted. Overall procedure success, complication, and major complication rates were 94%, 2.6%, and 0.6%, respectively. Success and complication rates for paracentesis (n=2285) were 99% and 1.1%, respectively; 99% and 4.2% for thoracentesis (n=1167); 76% and 4.5% for lumbar puncture (n=883); 83% and 1.2% for knee arthrocentesis (n=85); and 76% and 0% for central venous catheterization (n=45). The rotation was rated 4.6 out of 5 for overall learning quality.
Discussion
A chief resident–led MPS is a practical and safe approach for IM residency programs to establish an MPS when experienced attending physicians are unavailable.
Publisher
Springer Science and Business Media LLC
Cited by
1 articles.
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