Table 1.
Presence of formal curriculum, resident documentation and calculated gap scores for each procedural skill required by the Royal College of Physicians and Surgeons of Canada, subdivided according to category
| Skill | Presence of curriculum, % | Presence of documentation, % | Gap score* |
|---|---|---|---|
| Resuscitation skills | |||
| Cardiopulmonary resuscitation (neonatal) | 100.0 | 86.7 | 1.16 |
| Cardiopulmonary resuscitation (paediatric) | 100.0 | 86.7 | 1.27 |
| Bag-mask ventilation | 95.7 | 81.8 | 0.77 |
| Tracheal intubation (neonatal) | 93.5 | 90.9 | 1.14 |
| Tracheal intubation (paediatric) | 93.5 | 86.4 | 1.29 |
| Intraosseous insertion | 91.3 | 70.5 | 1.56 |
| Defibrillation | 89.1 | 68.2 | 1.47 |
| Vascular skills | |||
| Umbilical venous and umbilical arterial catheterization | 69.6 | 75.6 | 0.96 |
| Intravenous access and blood-drawing | 47.8 | 59.1 | 1.03 |
| Arterial line/central venous catheter placement | 28.3 | 59.1 | 1.34 |
| Arterial puncture | 26.1 | 59.1 | 1.11 |
| Acute care skills | |||
| Lumbar puncture | 60.9 | 68.2 | 0.23 |
| Chest tube placement and thoracentesis | 50.0 | 55.8 | 1.51 |
| Cervical spine immobilization | 43.5 | 34.1 | 1.29 |
| Suture of a one layer laceration, simple wound closure | 43.5 | 66.7 | 0.66 |
| Immobilization of acute limb injury including fractures | 39.1 | 23.3 | 1.15 |
| Gastric tube placement (oro- or nasogastric) | 19.6 | 51.2 | 0.64 |
| Foreign body removal from eye/nose/upper airway | 15.2 | 18.2 | 1.24 |
| Tracheostomy tube care, including replacement | 15.2 | 16.3 | 1.09 |
| Access and care for indwelling catheters | 10.9 | 20.9 | 1.05 |
| Suprapubic aspiration | 8.7 | 46.5 | 0.90 |
| Gastric lavage | 2.2 | 20.9 | 0.62 |
| Ambulatory skills | |||
| Reliably interpret an electrocardiogram in all age groups | 82.6 | 40.9 | 0.73 |
| Interpretation of chest x-rays | 71.7 | 29.5 | 0.71 |
| Interpretation of pulmonary function tests | 69.6 | 31.8 | 0.59 |
| Interpretation of abdominal x-rays | 67.4 | 34.1 | 0.63 |
| Interpretation of soft tissue x-rays in acute upper airway obstruction | 60.9 | 20.5 | 1.26 |
| Interpret common abnormalities seen on urine microscopy | 58.7 | 29.5 | 0.71 |
| Interpret bone x-rays for fractures | 58.7 | 27.3 | 0.91 |
| Perform and interpret oximetry | 54.3 | 31.8 | 0.64 |
| Gather child maltreatment evidence appropriately, including documentation and specimen collection | 41.3 | 20.9 | 1.67 |
| Bedside measurement of glucose | 35.6 | 30.2 | 0.29 |
| Immunizations (storage, administration and documentation) | 30.4 | 23.3 | 0.64 |
| Perform and interpret tuberculin skin testing | 28.3 | 14.0 | 0.01 |
| Procurement of appropriate specimens for diagnosis of infections | 23.9 | 20.5 | 0.45 |
| Gynecological, genitourinary and pelvic examination and specimen procurement | 21.7 | 27.3 | 0.72 |
| Interpretation of the tympanogram | 19.6 | 16.3 | 0.78 |
| Bladder catheterization | 15.2 | 58.1 | 0.93 |
| Perform curettage under direct visualization of the ear | 13.0 | 16.3 | 0.58 |
| Breast examination | 8.7 | 14.0 | 0.47 |
*
Mean importance score minus mean proficiency score