Table 2 Consensus of importance of procedural skill competency by graduation presented in Round 1, and level of agreement from Round 2
No | Procedural Skill | Round 1 importancea n = 36 | Round 1 % agreement | Round 2 Mdn importanceb (IQR) n = 33 | Round 2 M importancec (SD) | Round 2 % agreement |
|---|---|---|---|---|---|---|
Cardiopulmonary | ||||||
 1 | Advanced life support | N | 48 | 3 (3–5) | 3.44 (1.26) | 47 |
 2c | Basic life support | Y | 100 | - | - |  |
 3 | Cardiopulmonary resuscitation | Y | 100 | - | - |  |
 4c | Electrocardiogram | Y | 97 | - | - |  |
 5c | ECG – interpretation | Y | 97 | - | - |  |
 6c | Defibrillation | Y | 88 | 5.5 (4–6) | 5.03 (1.19) | 84 |
 7 | Basic First Aid | Y | 97 | - | - |  |
Diagnostic/measurement | ||||||
 8c | Arterial blood gas | Y | 65 | 4 (3.75–5) | 4.21 (1.32) | 70 |
 9c | Blood culture (peripheral) | Y | 88 | 5 (4–6) | 5.09 (1.06) | 85 |
 10 | Blood glucose level (BGL) | Y | 94 | - | - |  |
 11 | Body Mass Index – calculation & interpretation | Y | 91 | - | - |  |
 12 | Doppler arterial assessment | N | 45 | 4 (3–4) | 3.62 (1.18) | 60 |
 13 | Observations – TPR & BP | Y | 100 | - | - |  |
 14 | Pulse oximetry | Y | 91 | - | - |  |
 15c | Urinalysis | Y | 97 | - | - |  |
 75 | Ankle Brachial Index | - | - | 4 (2–5) | 3.56 (1.40) | 59 |
Gastrointestinal | ||||||
 16 | Digital rectal examination | Y | 88 | 5 (4–6) | 4.91 (1.11) | 82 |
 17 | Nasogastric insertion | Y | 82 | 5 (4–6) | 5.00 (0.85) | 83 |
 18 | Proctoscopy | N | 5 | 2 (1–4) | 2.59 (1.37) | 43 |
 19 | Sigmoidoscopy | N | 0 | 2 (1–3) | 2.12 (1.20) | 35 |
Injections/Intravenous | ||||||
 20 | Central line insertion | N | 14 | 2 (2–4) | 2.71 (1.49) | 45 |
 21 | Central venous pressure measurement | N | 34 | 3 (2–4) | 3.21 (1.45) | 53 |
 22 | Digital block – toe or finger | N | 48 | 4 (3–5) | 4.18 (1.24) | 35 |
 23 | Local anaesthetic injection | Y | 91 | - | - |  |
 24c | Intramuscular injection | Y | 100 | - | - |  |
 25c | Peripheral intravenous cannulation& infusion | Y | 97 | - | - |  |
 26c | Subcutaneous injection | Y | 97 | - | - |  |
 27c | Venepuncture | Y | 94 | - | - |  |
 28 | Blood transfusion procedure | N | 57 | 5 (4–6) | 4.68 (1.43) | 78 |
 29 | Ultrasound guided venous access | N | 45 | 4 (3–5) | 3.88 (1.27) | 65 |
 30 | Prescription of IV fluids | Y | 91 | - | - |  |
 76d | PICC line | - |  | 2 (2–4) | 2.71 (1.32) |  |
 77d | Portacath insertion | - |  | 4 (2.75–5) | 3.71 (1.55) |  |
Ophthalmic/ENT | ||||||
 31 | Foreign body removal – ear or nose | N | 68 | 5 (4–5) | 4.58 (1.09) | 75 |
 32 | Eyelid eversion | N | 68 | 5 (4–6) | 4.79 (1.11) | 80 |
 33 | Ophthalmoscopy | N | 74 | 5 (4–5) | 4.58 (1.06) | 76 |
 34 | Otoscopy | Y | 88 | 5 (5–6) | 5.18 (0.85) | 86 |
 35 | Posterior nasal pack insertion for epistaxis | N | 54 | 4 (3–5) | 4 (1.15) | 66 |
 36 | Slit lamp use | N | 51 | 4 (3–5) | 4.15 (1.15) | 69 |
Respiratory | ||||||
 37c | Basic airway management | Y | 100 | - | - |  |
 38 | Use of equipment e.g., asthma inhalers | Y | 100 | - | - |  |
 39c | Laryngeal mask airway | Y | 80 | 5 (4–6) | 4.61 (1.62) | 77 |
 40 | Peak flow function testing | Y | 94 | - | - |  |
 41 | Pleural biopsy | N | 5 | 2 (1–3) | 2.09 (1.47) | 35 |
 42 | Spirometry | Y | 82 | 5 (4–6) | 4.61 (1.62) | 77 |
 43 | Use of equipment e.g., oxygen delivery devices | Y | 97 | - | - |  |
 44c | Guedel airway insertion | Y | 85 | 5 (4–5) | 4.64 (1.14) | 77 |
 45 | Bag & mask ventilation | Y | 97 | - | - |  |
 46 | Endotracheal placement | N | 31 | 3 (2–5) | 3.45 (1.56) | 57 |
 78d | Nasopharyngeal airway |  | - | 5 (4–6) | 4.7 (1.38) | 78 |
 79d | Supraglottic airway |  | - | 4 (3–5) | 4.06 (1.52) | 68 |
 80d | Maintaining an artificial airway e.g., suctioning |  | - | 5 (4–6) | 5 (1.30) | 83 |
Surgical | ||||||
 47c | Asepsis – wound care and management | Y | 100 | - | - |  |
 48 | Aspiration | N | 60 | 4 (3.5–5) | 4.06 (1.14) | 68 |
 49 | Infection control – PPE | Y | 100 | 6 (6–6) | 6 (.00) | 100 |
 50 | Skin biopsy – shave, punch & excisional | N | 54 | 4 (3–5) | 4 1.44) | 66 |
 51c | Suture insertion | Y | 100 | - | - |  |
 52 | Suture removal | Y | 97 | - | - |  |
 53 | Scrub, gown & glove | Y | 100 | - | - |  |
Trauma | ||||||
 54 | Chest drain insertion | N | 22 | 3 (2–4) | 3.27 (1.35) | 54 |
 55 | Glasgow coma scale | Y | 100 | - | - |  |
 56 | Joint aspiration | N | 20 | 3 (2–4) | 3.12 (1.11) | 52 |
 57 | Laceration repair | Y | 85 | 5 (5–6) | 5.27 (.80) | 88 |
 58 | Lumbar puncture | N | 34 | 3 (2–5) | 3.26 (1.45) | 54 |
 59 | Plaster cast/splint limb immobilisation | Y | 91 | - | - |  |
 60 | Removal of foreign body e.g., fishhook or glass | N | 74 | 5 (4–5) | 4.67 (1.02) | 78 |
 81d | Intraosseous insertion |  | - | 4 (2–5) | 3.88 (1.64) | 65 |
 82d | Staples/glue for wound closure |  | - | 6 (5–6) | 5.27 (.94) | 88 |
 83d | Dislocation |  | - | 4 (4–5) | 4.42 (1.09) | 74 |
Urogenital | ||||||
 61 | Cystoscopy | N | 5 | 1 (1–3) | 2 (1.32) | 33 |
 62 | Paraphimosis reduction | N | 37 | 3 (2–5) | 3.27 (1.61) | 54 |
 63 | Suprapubic catheterisation | N | 25 | 3 (2.5 -4) | 3.24 (1.32) | 54 |
 64c | Urethral catheterisation – female | Y | 97 | 5.45 (5–6) | 6 (1.03) | 100 |
 65c | Urethral catheterisation – male | Y | 97 | 5.45 (5–6) | 6 (1.03) | 100 |
 84d | Bladder scan |  | - | 5 (3–6) | 4.3 (1.81) | 72 |
Women’s Health | ||||||
 66 | Abdominal palpation in pregnancy | Y | 91 | - | - |  |
 67 | Abdominal ultrasound | N | 51 | 4 (2–5) | 3.45 (1.52) | 57 |
 68 | Cardiotocography (CTG) | N | 60 | 4 (3–5) | 4.15 (1.33) | 69 |
 69 | Pregnancy urine testing | Y | 100 | - | - |  |
 70 | Vaginal/pelvic examination | Y | 94 | - | - |  |
 71 | Vaginal birth | N | 65 | 5 (4–6) | 4.76 (1.15) | 79 |
 72 | Speculum & pelvic examination | Y | 88 | 5 (5–6) | 5.18 (.92) | 86 |
 73 | Cervical screening test | Y | 85 | 5 (4.5 – 6) | 5.06 (.90) | 84 |
 74 | Breast examination | Y | 94 | - | - |  |
 85d | Endocervical screen |  | - | 5 (4.5 – 6) | 5.06 (.90) | 84 |