ArticleBMC medical education2009
Procedural confidence in hospital based practitioners: implications for the training and practice of doctors at all grades.
Article in BMC medical education, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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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.
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Who cites it
22 citing papers in PubMed, 51 citations in OpenAlex.
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- Phlebotomy in Practice: Evaluating the Impact of Timetabled Clinics on Medical Student Venepuncture Skills.Cureus · 2026Article
- Confidence in providing primary care to patients with low back pain among physiotherapists.BMC primary care · 2025Article
- Comparing Male and Female Resident Physicians in Central Venous Catheter Insertion Self-confidence and Competency: A Retrospective Cohort Study.Journal of general internal medicine · 2025Article
- Medical practitioners' confidence in performing paediatric critical procedures in the emergency department.Journal of the colleges of medicine of South Africa · 2025Article
- Enhancing Clinical Confidence: Effects of Medical Screening and Differential Diagnosis Training for Low Back Pain.Journal of multidisciplinary healthcare · 2025Article
- The Procedural Yips.Journal of general internal medicine · 2024Article
- Improving the Knowledge and Competency of UK Foundation Doctors in Nasogastric Tube Placement: A National Study.Cureus · 2024Article
- Training, experience, and perceptions of chest tube insertion by higher speciality trainees: implications for training, patient safety, and service delivery.BMC medical education · 2024Review
- Endoscopy training in Australia during COVID-19: Efficacy and knowledge assessment of gastroenterology and general surgery trainees.JGH open : an open access journal of gastroenterology and hepatology · 2022Article
- Clinical Skills Day: A Novel Approach to Enhancing Procedural Skills Teaching for Foundation Year One Doctors.Cureus · 2022Article
- The impact of simulation-based mastery learning, booster session timing and clinical exposure on confidence in intercostal drain insertion: a survey of internal medicine trainees in Scotland.BMC medical education · 2022Article
- Core procedural skills competencies and the maintenance of procedural skills for medical students: a Delphi study.BMC medical education · 2022Article
- Postgraduate medical procedural skills: attainment of curricular competencies using enhanced simulation-based mastery learning at a novel national boot camp.Clinical medicine (London, England) · 2022Article
- Article
- A protocol to reduce self-reported pain scores and adverse events following lumbar punctures in older adults.Journal of neurology · 2020Article
- Article
- A self-assessment study of procedural skills of doctors in peri-urban district hospitals of Gauteng, South Africa.African journal of primary health care & family medicine · 2019Article
- Potential impact of a bedside procedure service on training procedurally competent hospitalists in a community-based residency program.Journal of community hospital internal medicine perspectives · 2016Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundMedical doctors routinely undertake a number of practical procedures and these should be performed competently. The UK Postgraduate Medical Education and Training Board (PMETB) curriculum lists the procedures trainees should be competent in. We aimed to describe medical practitioner's confidence in their procedural skills, and to define which practical procedures are important in current medical practice.
methodsA cross sectional observational study was performed measuring procedural confidence in 181 hospital practitioners at all grades from 2 centres in East Anglia, England.
resultsBoth trainees and consultants provide significant service provision. SpR level doctors perform the widest range and the highest median number of procedures per year. Most consultants perform few if any procedures, however some perform a narrow range at high volume. Cumulative confidence for the procedures tested peaks in the SpR grade. Five key procedures (central line insertion, lumbar puncture, pleural aspiration, ascitic aspiration, and intercostal drain insertion) are the most commonly performed, are seen as important generic skills, and correspond to the total number of procedures for which confidence can be maintained. Key determinants of confidence are gender, number of procedures performed in the previous year and total number of procedures performed.
conclusionThe highest volume of service requirement is for six procedures. The procedural confidence is dependent upon gender, number of procedures performed in the previous year and total number of procedures performed. This has implications for those designing the training curriculum and with regards the move to shorten the duration of training.
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Registered trials
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.