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Our phantom model and scoring system provide a reliable method for the assessment of procedural competences in ultrasound and pleural drain positioning.
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Emergency medicine (EM) residents are expected to perform certain numbers of procedures in order to obtain procedural competence as directed by the Accreditation Council for Graduate Medical Education (ACGME) and the emergency medicine Residency Review Committee RRCC).
As with any type of tool, procedural competence is necessary.
Courses and training offered at SEAL encourage the development and certification of procedural competence.
Giving more attention to the procedural competence in the traditional group can be explained based on the "community of practice" phenomena.
Procedural competence subsumes the application of knowledge, that is, how to operate with facts, structures, knowledge nets, and their corresponding elements.
When the area of cognitive difficulty is procedural competence, high-or low-fidelity simulation, video review or other additional practices are effective components of a remediation plan.
The clinical practice of pulmonary and critical care medicine requires procedural competence in many technical domains, including vascular access, airway management, basic and advanced bronchoscopy, pleural procedures, and critical care ultrasonography.
The authors concluded that their phantom procedure could be used to determine the 'adequacy' of thoracic ultrasound training before the physician moves into clinical practice, and/or as a tool that provides a way of documenting ongoing procedural competence.
There is a complex relationship between procedural competence and confidence.
Most fellows achieve procedural competence in upper endoscopy rapidly; achieving competence in colonoscopy is more challenging.
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