A structured course teaching junior doctors invasive medical procedures results in sustained improvements in self-reported confidence.
Clin Med. 2010 Oct;10(5):464-7
Authors: Garrood T, Iyer A, Gray K, Prentice H, Bamford R, Jenkin R, Shah N, Gray R, Mearns B, Ratoff JC
Pressure on working hours has led to a decrease in opportunities for training in invasive medical procedures for junior doctors. The effect of a structured course on immediate and medium-term changes in self-reported confidence was investigated. A one-day model-based practical course was run on two separate occasions teaching central venous line placement, lumbar puncture, Seldinger-technique chest drain insertion and knee joint aspiration. Attendees were asked to indicate their confidence in each procedure on a 10-point Likert scale before, immediately after and three months after the course. Significant improvements in self-reported confidence were seen for all procedures which were sustained at three months. Feedback was universally positive. Practical preclinical training may be a useful adjunct to patient-based training in invasive procedures. The course was particularly popular with foundation year trainees: ideally this training should be available before trainees' first exposure in the clinical setting.
PMID: 21117378 [PubMed - indexed for MEDLINE]