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ABSTRACT
Objective: This study sought to establish the current state of procedural skills training in Canadian Royal College emergency medicine (EM) residencies.
Methods: A national Web-based survey was administered to residents and program directors of all 13 Canadian-accredited Royal College EM residency programs. Program directors rated the importance and experience required for competence of 45 EM procedural skills. EM residents reported their experience and comfort in performing the same procedural skills.
Results: Thirteen program directors and 86 residents responded to the survey (response rate of 100% and 37%, respectively). Thirty-two (70%) procedures were considered important by > 70% of program directors, including all resuscitation and lifesaving airway procedures. Four procedures deemed important by program directors, including cricothyroidotomy, pericardiocentesis, posterior nasal pack for epistaxis, and paraphimosis reduction, had never been performed by the majority of senior residents. Program director opinion was used to categorize each procedure based on performance frequency to achieve competence. Overall, procedural experience correlated positively with comfort levels as indicated by residents.
Conclusions: We established an updated needs assessment of procedural skills training for Canadian Royal College EM residency programs. This included program director opinion of important procedures and the performance frequency needed to achieve competence. However, we identified several important procedures that were never performed by most senior residents despite program director opinion regarding the experience needed for competence. Further study is required to better define objective measures for resident competence in procedural skills.
RÉSUMÉ
Objectif: L'étude visait a décrire l'état actuel de la pratique d'habiletés techniques dans le cadre des programmes de residence en medecine d'urgence (MU) du College royal.
Methode: Une enquete nationale a ete menee sur le Web parmi les residents et les directeurs de programme des 13 programmes de residence en MU, reconnus par le College royal. Les directeurs de programme ont evalue l'importance de 45 habiletes techniques en MU et l'experience necessaire a l'acquisition de la competence en la matièere. Les residents, de leur cote, ont fait etat de leur experience et de leur degree d'aise a réaliser ces memes habiletes techniques.
Resultats: Treize directeurs de programme et 86 residents ont repondu au questionnaire d'enquete (taux de réponse de 100% et de 37%, respectivement). Trente-deux (70%) interventions, notamment toutes les manoeuvres de réanimation et interventions...