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Hands-On Training Helps Prepare Hospitalists for Procedures


Sally Wang MD, FHM, director of procedure education at Brigham and Women’s Hospital in Boston, and Brad Rosen, MD, MBA, FHM, medical director of the Inpatient Specialty Program (ISP) at Cedars-Sinai Hospital in Los Angeles, led another rapid-fire pre-course in ultrasound-guided procedures for the hospitalist at HM13.

Drs. Wang, Rosen, and a veteran group of faculty and trainers brought hands-on training in core bedside procedures, plus training in relatively new procedures to hospitalists such as intraosseous lines and skin biopsies. All attendees received close interaction with faculty and trainers, and participated in training exercises on tissue models, training models, and live models.

Additional discussion was focused on developing a proceduralist program. Experts explained the required commitment to proficiency and ongoing data collection, quality improvement, and “customer service” to stakeholders. But the basics of ongoing experiential learning are invaluable, they said, and often begin with simulation exercises.

Hospitalists thinking of becoming a proceduralist should start by making sure that they are proficient and experienced, and have invested the time necessary to maintain that experience. Beyond personal interest in procedures, administering an HM program that encourages and fosters procedural experience requires input from multiple stakeholders, as well as ongoing efforts to promote a climate of safety surrounding bedside procedures. TH

Dr. Chang is med-peds hospitalist at Univeristy of California San Diego, and a Team Hospitalist member.

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