title: Potential impact of a bedside procedure service on training procedurally competent hospitalists in a community-based residency program.
abstract: BACKGROUND
  The Society of Hospital Medicine has delineated procedures as one of the core competencies for hospitalists. Little is known about whether exposure to a medical procedure service (MPS) impacts the procedural certification rate in internal medicine trainees in a community hospital training program.
  
  
  OBJECTIVE
  To determine whether or not exposure to an MPS would impact both the number of procedures performed and the rate of resultant certifications in a community hospital internal medicine training program.
  
  
  METHODS
  Retrospective review.
  
  
  METHODS
  Five cohorts of resident physicians and their procedure data were analyzed comparing months where residents were unexposed to the intervention (pre-MPS) to months where residents were exposed to the intervention (post-MPS). We calculated the average number of procedures performed per month for pre- versus post-MPS periods. For procedural certification, we compared two proportions: the number of certifications over the number of 6-month pre-MPS periods and the number of certifications over the number of 6-month post-MPS periods.
  
  
  METHODS
  The study was conducted at a community-based academic medical center. Subjects included all internal medicine residents.
  
  
  RESULTS
  We found a statistically significant difference between the groups, with pre-MPS groups performing 4.3 procedures per month compared with post-MPS groups performing 6.7 procedures per month (p=0.0010). For certification rates, we found statistically significant differences in several categories - overall, paracentesis, femoral central lines, and jugular central lines.
  
  
  CONCLUSIONS
  This study demonstrated that resident exposure to an MPS statistically significantly increased the total number of procedures performed. This study also showed that overall certification rates were statistically significantly different between the pre- and post-MPS groups for several procedures.
authors.affiliation: Department of Internal Medicine, Mount Sinai Hospital, Chicago, IL, USA.
authors.forename: Anthony
authors.initials: A
authors.lastname: Montuno
authors.affiliation: Sinai Urban Health Institute, Chicago, IL, USA.
authors.forename: Bijou R
authors.initials: BR
authors.lastname: Hunt
authors.affiliation: Department of Internal Medicine, Mount Sinai Hospital, Chicago, IL, USA.|Department of Medicine, Rosalind Franklin University of Medicine and Science, Chicago, IL, USA; May.Lee@sinai.org.
authors.forename: May M
authors.initials: MM
authors.lastname: Lee
keywords: hospitalist training; internal medicine trainees; procedure service