Parker J Magin
Kim M Henderson
Despite the wealth of procedural teaching opportunities in medical and general practice training, medical students qualify with limited experience in basic and emergency procedures1 and general practitioners can emerge from training programs lacking confidence in a range of procedural skills.2 The issue of defining core procedural skills within a curriculum for general practice training is a longstanding one, but is considered an important way to address the skills competency gap.3,4
A list of procedural skills is an important
component of a curriculum for general
practice vocational training. This study
aimed to establish an up-to-date list
of core procedural skills that doctors
undergoing general practice vocational
training should be taught.
A Delphi process was used to rank
the importance of 185 general practice
procedures. In 2009, 31 general
practitioners took part in a two round
Delphi process. A 4-point Likert scale
was used to rate the importance of
each procedure in vocational training.
Mean rating scores for all the
procedural items listed were
determined, and a core list of 112
procedures was agreed on the basis of
the relative importance of procedures
determined by the Delphi participants.
The ranked list of clinical procedures
provides a resource to form the basis of
a procedures training curriculum which
can be adapted to different general
practice training contexts.
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