II. Approach

  1. Maintaining procedural competence and proficiency
    1. We lose skills over time in procedures we perform infrequently
    2. Skills start waning as early as 2 months after the last time performed
    3. Practice procedural skills frequently (e.g. visualization, procedure courses)
  2. Use visualization to learn or prepare for a procedure
    1. Picture the scenario, the environment and the patient
    2. Visualize the step-by-step approach to performing the procedure
    3. Move your hands as if performing the procedure, and vocalize orders
    4. Orman, Herbert and Cloyd in Herbert (2017) EM:Rap 17(4):14

VI. Procedure: Abdomen

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