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. 2023 Sep 7;15(9):e44851.
doi: 10.7759/cureus.44851. eCollection 2023 Sep.

Implementing an Interdisciplinary Procedure Curriculum

Bryce Montane  1 , Abey Abraham  2 , Sergio Bustamante  2 , Tushar Vachharajani  3 , Sabry Ayad  4   5 , Jagan Devarajan  5 , Dustin Thompson  6 , Ran Lee  7 , Penelope Rampersad  7 , Brian Gage  1 , Emily Reznicek  8 , Chongliang Luo  9 , Richard Wardrop  10
Affiliations

Implementing an Interdisciplinary Procedure Curriculum

Bryce Montane et al. Cureus. .

Abstract

Introduction: This curriculum was designed to improve access to procedures for our internal medicine residents.

Methods: We created an interdisciplinary procedure course (IDPC) composed of two simulation sessions and a one-week procedural rotation supervised by multiple specialties including nephrology, cardiology, cardiothoracic anesthesiology, general anesthesiology, and interventional radiology. After the course, residents completed two surveys documenting the number of procedures and their level of confidence on a Likert scale (1 = very unconfident to 5 = very confident) prior to and after completing the curriculum.

Results: Sixteen residents participated in the course from September 2021 to June 2022. The collective number of procedures performed by these 16 residents increased from 176 to 343 after a one-week rotation. For arterial lines, the proportion of residents that reported an improvement in confidence scores was 0.44 (95% confidence interval 0.23 to 1, p-value of 0.60). The proportion of residents that had an increase in their confidence performing central lines was 0.63 (95% confidence interval 0.39 to 1, p-value of 0.23). For intubations, the proportion of residents that reported an improvement in confidence was 0.94 (95% confidence interval 0.72 to 1, p-value of 0.0006).

Conclusion: By collaborating with multiple specialties, residents almost doubled the number of procedures performed during training and reported an increased level of confidence in procedural performance for airway intubation. We learned residents want to improve their access to procedures and described a curriculum that was easily implemented.

Keywords: academic cardiology; anesthesiology; critical; critical care and internal medicine education; interdisciplinary cooperation; internal medicine; interventional nephrology; interventional radiology; nephrology; procedure training.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. IDPC: simulation + rotation schedule
This figure shows what was conducted in the simulation sessions and the departments for each rotation
See this image and copyright information in PMC

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