Confidence of academic general internists and family physicians to teach ambulatory procedures.
OBJECTIVE
To evaluate and compare the readiness of academic general internal medicine physicians and academic family medicine physicians to perform and teach 13 common ambulatory procedures.


METHODS
Mailed survey.


METHODS
Internal medicine and family medicine residency training programs associated with 35 medical schools in 9 eastern states.


METHODS
Convenience sample of full-time teaching faculty.


RESULTS
A total of 331 general internists and 271 family physicians returned completed questionnaires, with response rates of 57% and 65%, respectively. Academic generalists ranked most of the ambulatory procedures as important for primary care physicians to perform; however, they infrequently performed or taught many of the procedures. Overall, compared with family physicians, general internists performed and taught fewer procedures, received less training, and were less confident in their ability to teach these procedures. Physicians' confidence to teach a procedure was strongly associated with training to perform the procedure and performing or precepting a procedure at least 10 times per year.


CONCLUSIONS
Many academic general internists do not perform or precept common adult ambulatory procedures. To ensure that residents have the opportunity to learn routine ambulatory procedures, training programs may need to recruit qualified faculty, train current faculty, or arrange for academic specialists or community physicians to teach these skills.
Wickstrom
G C
GC
Department of Medicine, Summa Health System/Northeastern Ohio Universities College of Medicine, Akron, USA. wickstrg@summa-health.org
Kelley
D K
DK
Keyserling
T C
TC
Kolar
M M
MM
Dixon
J G
JG
Xie
S X
SX
Lewis
C L
CL
Bognar
B A
BA
DuPre
C T
CT
Coxe
D R
DR
Hayden
J
J
Williams
M V
MV
D000328:Adult; D000553:Ambulatory Care; D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000706:statistics & numerical data*; D005194:Family Practice / Q000193:education*; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency / Q000706:statistics & numerical data*; D010821:Physicians, Family; D011795:Surveys and Questionnaires; D013663:Teaching; D014481:United States