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Table 2 Consensus of importance of procedural skill competency by graduation presented in Round 1, and level of agreement from Round 2

From: Core procedural skills competencies and the maintenance of procedural skills for medical students: a Delphi study

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
  1. aY = Yes, N = No, U = Unsure
  2. b1 = Not at all important, 2 = Low importance, 3 = Slightly important, 4 = Moderately important, 5 = Very important, 6 = Extremely important
  3. cIncluded in MDANZ Guidance Statement 2020
  4. dIncluded due to expert recommendations from Round 1
  5. Mean of 4.8 = 80%