ArticleJournal of general internal medicine2023
Development of a Chief Resident Medical Procedure Service: a 10-Year Experience.
Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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
2 citing papers in PubMed.
- Procedure Training Workshop: Enhancing Resident Experience and Enthusiasm for Ultrasound-guided Bedside Procedures.Journal of Brown hospital medicine · 2026Article
- Performance of chief residents in instructing interns for the medical procedure services.Journal of general internal medicine · 2023Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundLack of experienced faculty to supervise internal medicine (IM) residents is a significant barrier to establishing a medical procedure service (MPS).
aimDescribe the development and 10-year outcomes of an MPS led by IM chief residents.
settingUniversity-based IM residency program affiliated with a county and Veterans Affairs hospital.
participantsCategorical IM interns (n=320) and 4 PROGRAM DESCRIPTION: The MPS operated on weekdays, 8 am-5 pm. After training and sign-off by the MPS director, chief residents trained and supervised interns in ultrasound-guided procedures during a 4-week rotation. PROGRAM EVALUATION: From 2011 to 2022, our MPS received 5967 consults and 4465 (75%) procedures were attempted. Overall procedure success, complication, and major complication rates were 94%, 2.6%, and 0.6%, respectively. Success and complication rates for paracentesis (n=2285) were 99% and 1.1%, respectively; 99% and 4.2% for thoracentesis (n=1167); 76% and 4.5% for lumbar puncture (n=883); 83% and 1.2% for knee arthrocentesis (n=85); and 76% and 0% for central venous catheterization (n=45). The rotation was rated 4.6 out of 5 for overall learning quality. DISCUSSION: A chief resident-led MPS is a practical and safe approach for IM residency programs to establish an MPS when experienced attending physicians are unavailable.
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