Competency 8. Prescribe and perform all medical procedures

      All of the competencies are involved in prescribing and performing medical procedures. In an integrated fashion, development of elements of competence in the performance of procedures takes place along a continuum, with ongoing deliberate practice required to achieve and sustain competence.
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        • Wigton R.
        • Nicolas J.
        • Blank L.
        Procedural skills of the general internist: a survey of 2500 physicians.
        Ann Intern Med. 1989; 111: 1023-1034
        • Wigton R.
        • Blank L.
        • Nicolas J.
        • Tape T.
        Procedural skills training in internal medicine residencies.
        Ann Intern Med. 1989; 111: 932-938
        • Wigton R.
        Training internists in procedural skills.
        Ann Intern Med. 1992; 116: 1091-1093
        • Hicks C.
        • Gonzales R.
        • Morton M.
        • et al.
        Procedural experience and comfort level in internal medicine trainees.
        Gen Intern Med. 2000; 15: 716-722
        • Kirkpatrick D.L.
        Evaluating Training Programs: The Four Levels.
        Berrett-Koehler, San Francisco, Calif1998
        • Kirkpatrick L.
        • Kirkpatrick J.D.
        The four levels: an overview.
        in: Kirkpatrick D.L. Evaluating Training Programs: The Four Levels. Berrett-Koehler, San Francisco, Calif2006: 21-26
        • Davis D.
        Accuracy of physician self-assessment compared with observed measures of competence.
        JAMA. 2006; 296: 1094-1102
        • Carbine D.
        • Finer N.
        • Knodel E.
        • Rich W.
        Video recording as a means of evaluating neonatal resuscitation performance.
        Pediatrics. 2000; 106: 654-658
        • Adams K.
        • Scott R.
        • Perkin R.
        • Langga L.
        Comparison of intubation skills between interfacility transport team members.
        Pediatr Emerg Care. 2000; 16: 5-8
        • Falck A.
        • Escobedo M.
        • Baillargeon J.
        • et al.
        Proficiency of pediatric residents in performing neonatal endotracheal intubation.
        Pediatrics. 2003; 112: 1242-1247
        • Colliver J.
        • Vu N.
        • Barrows H.
        Screening test length for sequential testing with a standardized-patient examination: a receiver operating characteristic (ROC) analysis.
        Acad Med. 1992; 67: 592-595
        • Jones D.
        • McGuinness G.
        The future for pediatric residency education: the prescription for more flexibility.
        J Pediatr. 2009; 154: 157-158
      1. American Board of Internal Medicine. Internal medicine policies. Available at: Accessed September 13, 2013.

        • Kovacs G.
        • Bullock G.
        • Ackroyd-Stolarz S.
        • et al.
        A randomized controlled trial on the effect of educational interventions in promoting airway management skill maintenance.
        Ann Emerg Med. 2000; 36: 301-309
        • Wickstrom G.C.
        • Kelley D.K.
        • Keyserling T.C.
        • et al.
        Confidence of academic generalist internists and family physicians to teach ambulatory procedures.
        J Gen Intern Med. 2000; 15: 353-360
        • Beauchamp T.L.
        • Childress J.F.
        Principles of Biomedical Ethics.
        5th ed. Oxford University Press, New York, NY2001
        • Sarker S.
        • Chang A.
        • Albrani T.
        • Vincent C.
        Constructing hierarchical task analysis in surgery.
        Surg Endosc. 2008; 22: 107-111
        • Shepherd A.
        HTA as a framework for task analysis.
        Ergonomics. 1998; 41: 1537-1552