Article Figures & Data
Tables
- Table 1.
Proportion of Allopathic and International Medical School Graduates Who Self-Report Ability to Perform Procedures
Procedures Allopathic Graduates (n = 336) International Graduates (n = 192) Statistical Significance Ambulatory procedures Perform colonoscopy 3 7 NSS Remove a foreign body from the eye 13 17 NSS Circumcise a newborn 17 17 NSS Perform urine microscopy 23 26 NSS Interpret peripheral blood smear using microscopy 24 43 Χ = 22.753 P<.01 Remove a sebaceous cyst 25 28 NSS Apply a short arm cast 26 35 NSS Perform a fluorescein eye examination 36 25 Χ = 6.618 P = .01 Perform a digital block for local anesthesia 39 35 NSS Interpret spirometry report 43 41 NSS Perform an excisional skin biopsy 47 28 Χ = 18.180 P = .01 Incision and drainage of abscess 59 59 NSS Remove cerumen 65 60 NSS Perform wet mount and KOH studies 70 59 Χ = 7.155 P<.01 Obtain blood using phlebotomy 70 78 NSS Obtain a blood glucoses using a glucometer 85 88 NSS Perform a urine dipstick 88 86 NSS Repair a simple laceration 89 73 Χ = 22.869 P<.01 Perform a pap smear 91 81 Χ = 11.154 P<.01 Perform a throat culture 93 86 Χ = 6.613 P = .01 Inpatient procedures Place a central line 10 19 Χ = 7.423 P = .01 Place anterior packing for epistaxis 26 46 Χ = 20.951 P<.01 Perform endotracheal intubation 35 36 NSS Perform an arterial blood gas 38 52 Χ = 8.681 P<.01 Place a nasogastric tube 58 75 Χ = 15.805 P<.01 Start an IV line 67 73 NSS Read an EKG 73 79 NSS Catheterize a bladder 83 79 NSS Perform a complete history for and physical examination of a patient 100 98 NSS Maternity care procedures Perform a caesarean section 3 8 NSS Perform a vacuum-assisted vaginal delivery 5 7 NSS Place an intrauterine pressure catheter 9 10 NSS Place a fetal scalp electrode 10 8 NSS Repair a second degree perineal laceration 10 20 Χ = 12.583 P<.01 Perform amniotomy 12 13 NSS Assess fetal station on cervical examination 25 39 Χ = 10.450 P<.01 Assess cervical effacement 32 43 Χ = 6.382 P = .01 Determine fetal position by Leopold maneuver 35 48 Χ = 8.273 P<.01 Assess cervical dilation 40 47 NSS Perform a spontaneous vaginal delivery 52 49 NSS Interpret electronic fetal monitoring 67 62 NSS -
Values provided as percentages.
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KOH, potassium hydroxide; IV, intravenous; EKG, electrocardiograph; NSS, not statistically significant.
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- Table 2.
Comparison of Allopathic and International Medical School Graduate Self-Reported Competence
Statistically Significantly More Allopathic Than International Graduates Self-Report Competence to Perform Statistically Significantly More International Than Allopathic Graduates Self-Report Competence to Perform Ambulatory procedures Ambulatory procedures Perform a fluorescein eye exam Interpret peripheral blood smear using microscopy Perform an excisional skin biopsy Inpatient procedures Perform wet mount/KOH study Place a central line Repair a simple laceration Place anterior packing for epistaxis Perform a pap smear Perform an arterial blood gas Perform a throat culture Place a nasogastric tube Maternity care procedures Repair a second degree perineal laceration Assess fetal station on cervical examination Assess cervical effacement Determine fetal position by Leopold maneuver -
KOH, potassium hydroxide.
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