Training Using Simulation in Internal Medicine Residencies: An Educational Perspective. (March 2015)

• Record Type: Journal Article
• Authors: Flannery, Michael T.; Villarreal, Kara F.
• Other Names: Wong Jeffrey G. section editor.
• Is Part Of: American journal of the medical sciences. Volume 349:Number 3(2015)
• Publication Date: 2015-03
• Subjects: ABIM -- ACGME -- Milestones -- NAS -- GME -- Medical procedures -- Simulation; Medicine -- Periodicals; Internal medicine -- Periodicals; 610.5
• DOI: 10.1097/MAJ.0000000000000406
• Languages: English
• ISSNs: 0002-9629

Abstract

Abstract: Background: The American Board of Internal Medicine has defined through the min-CEX (Clinical Examination booklet) that a resident would need to perform anywhere from 3 to 5 procedures to be competent in a given procedure. Many faculty and residents believe that this number is too low to achieve competency. Methods: Although simulation has been required as part of medical training, we have reviewed a number of articles addressing competence and potentially fewer complications with improved patient safety. Results: The Accreditation Council for Graduate Medical Education has simply stated that simulation should be part of residency training. However, this has resulted in a disorganized approach among the nearly 385 internal medicine programs in the United States. Conclusions: This article suggests a model of simulation that addresses procedures, medical codes and major medical problems that each resident achieve competence in before graduating residency. This would require minimally a doubling of the number of procedures to define competency and will do so in a far more scientific method.