Evidence map›Paper›PMID 17327892›Full record

ArticleCanadian family physician Medecin de famille canadien2006

Learning procedural skills in family medicine residency: comparison of rural and urban programs.

James Goertzen

Abstract readComparative Study
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Evidence of learning in workplace-based assessments in a Family Medicine Training Programme.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
    Article
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  11. Porcine procedure pads: How to build a teaching tool that's a cut above.Canadian family physician Medecin de famille canadien · 2017
    Article
  12. Article
  13. Article
  14. Teaching medical procedures at your workplace.Canadian family physician Medecin de famille canadien · 2016
    Article
  15. Rural family medicine training site: Proposed framework.Canadian family physician Medecin de famille canadien · 2015
    Article
  16. Do procedural skills workshops during family practice residency work?Canadian family physician Medecin de famille canadien · 2010
    Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

James GoertzenMcMaster University, Hamilton, Ont, Canada. jgoertzen@hscn.on.ca
McMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether family medicine residents graduating from rural programs assess themselves as more experienced and competent in a range of procedural skills than graduates of urban programs do.

designSelf-administered written survey.

settingOntario.

participantsResidents from 5 Ontario family medicine programs in 2000 and 2001; a total of 535 surveys were available for analysis (response rate of 78%).

main outcome measuresMean self-assessed experience and competence scores for 53 procedures at residency entry, end of year 1, and graduation.

resultsUpon entry, there was no difference in mean procedural experience (2.89 vs 2.85, P = .54) or mean competence (2.34 vs 2.36, P = .88) scores between rural residents and their urban counterparts. There was a significant increase in procedural experience (P < .001) and competence (P < .001) scores during residency training. At graduation, mean experience (3.98 vs 3.70, P < .001) and competence (3.67 vs 3.39, P = .004) scores were significantly higher for rural residents than for their urban colleagues. A statistically larger proportion of residents graduating from rural programs assessed themselves as competent in 16 procedures. These included skills necessary for treating patients in emergency settings (establish intravenous lines for adults and infants, obtain arterial blood gas measurements, intubate adults and neonates, perform cautery for epistaxis, remove corneal foreign body, aspirate or inject knee and shoulder joints, and apply forearm or walking casts), for diagnostic procedures (endometrial biopsy and bone marrow aspiration), and for management of labour and delivery (vaginal delivery; vacuum extraction; and repair of first-, second-, and third-degree tears).

conclusionGraduates of rural programs who have had a substantial component of training in communities of fewer than 10,000 people report greater self-assessed experience and competence in procedural skills than graduates of urban programs do. The difference likely reflects the unique aspects of rural training sites, including preceptors' competence in performing procedures.

Indexed as

Clinical CompetenceEducational StatusFamily PracticeFemaleHealth Care SurveysHealth Knowledge, Attitudes, PracticeHumansInternship and ResidencyMaleOntarioRural Health ServicesSex DistributionStudents, MedicalUrban Health Services

Identifiers

PMID17327892
PMCPMC1531718
OpenAlexW1960696195

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.