• Annals of family medicine · Jan 2025

    Not Like They Used To: The Decline of Procedural Competency in Medical Training.

    • Eleanor R Menzin.
    • Department of General Pediatrics, Boston Children's Hospital, Boston, MassachusettsHarvard Medical School, Boston, MassachusettsLongwood Pediatrics, Boston, Massachusetts Eleanor.menzin@childrens.harvard.edu.
    • Ann Fam Med. 2025 Jan 27; 23 (1): 818281-82.

    AbstractAs a primary care pediatrician trained before work hour restrictions were enacted, I spent hours mastering procedures that trainees today rarely perform. The changing landscape of health care clinician roles, technology, and work hour restrictions have all contributed to a remarkable decline in trainees' procedural competence which has significant negative effects for patients, health care systems, and physicians themselves. I suggest simulation, live training, mentoring, and scheduled opportunities as ways to reemphasize the importance of learning these technical skills.© 2025 Annals of Family Medicine, Inc.

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