Abstract
Specialist trainees in Acute Medicine have expressed concerns over skills training in the curriculum, compared with skills training in practice. Thus, an online survey was conducted in 2009 to investigate these comments in detail. The responses from 132 trainees were analysed. The results show that the majority of practical skills are being performed by trainees who feel that they have reached a level of competence sufficient to enable them to teach the skill to others. The major causes for concern were highlighted as temporary cardiac pacing, endotracheal intubation and Sengstaken Blakemore tubes. We recommend that these skills should be taught via simulation where not available in practice, but true competence cannot be expected for the majority.
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References
- Federation of the Royal College of Physicians (UK). The Physician of Tomorrow, Curriculum for General Internal Medicine (Acute Medicine) 2007. http://www.jrcptb.org.uk/Specialty/Documents/General%20Intern al%20Medicine%20(Acute)%20Levels%201,2%201%203%20Curricul um%20May%202007.pdf
- Murphy JJ. Problems with temporary cardiac pacing. Expecting trainees in medicine to perform transvenous pacing is no longer acceptable. BMJ 2002; 323(7312): 527.
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