Developing Procedure Guides to Improve Procedural Competence and Confidence
Abstract
Learning Objectives: Help resident physicians become experts on procedural competency by developing a peer-reviewed procedure guide.
Introduction: Emergency medicine physicians (EPs) need to perform a broad range of procedures quickly and effectively. While some procedures are common, others are rarely encountered. However, an EP must be ready to perform all these procedures, often with minimal time to prepare. While there are numerous procedural references, not all are reliable or easily accessible on shift. Developing a procedure guide repository would result in a useful clinical and teaching tool. Creating the guide itself will aid in mastery of the procedure.
Objective: Help resident physicians become experts on procedural competency by developing a peer-reviewed procedure guide.
Curricular Design: 73 procedures were chosen for this project. Residents and attendings worked together to create a guide for each procedure. Each pair was given a standardized template to follow which included indications, contraindications, supplies, preparation, technique, aftercare, complications, follow-up, return precautions, video examples, and references. These guides will be published on an application with Apple and Android which will allow for greater accessibility while on shift. Residents and attendings were also asked to complete a survey about the project.
Impact/Effectiveness: By creating their respective guides, the residents and attendings should gain mastery at performing and teaching their assigned procedure. So far, we have received 6 completed procedure guides. The remainder are still in development with goal of completion by June 2022. An example guide is shown in Figure 1. So far, 21 participants have completed the survey, and results are shown in Table 1. Comparing columns 4 and 5, preliminary results suggest that developing these guides help physicians become more confident with their procedure. We plan to implement the procedure guide application in 2022 and look forward to collecting more data to determine the effect on clinical confidence, competency, and bedside instruction.