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The Declining Number and Variety of Procedures Done by General Internists
- Robert S. Wigton, MD; and
- Patrick Alguire, MD
- From the University of Nebraska Medical Center College of Medicine, Omaha, NE 68198-4285, and the American College of Physicians, Philadelphia, PA 19106.
IN RESPONSE:
We appreciate the interest in our study and are pleased that it has generated discussion about internists' procedural skills. Drs. Farnan and Arora are concerned that the change in the ABIM requirements doesn't consider the need for residents to perform procedures competently and safely during training. Resident credentialing is a process for certifying residents who can do procedures independently while in training. Gabryel and Brierley (1) reviewed this topic and described its use in hospitals in New York State. The competency of residents in procedural skills remains an important issue even though Medicare requirements for direct supervision have limited the procedures that residents do independently. More information is needed about …
