AD: Supervising the supervisors–procedural training and supervision in internal medicine residency

dures (paracentesis, thoracentesis, lumbar puncture, arthrocentesis and central venous catheter insertion) are performed by junior residents and supervised by senior peers. Residents ’ perceptions about supervision or how often peer supervision produces unsafe clinical situations are unknown. OBJECTIVE: To examine the experience and practice patterns of residents performing bedside procedures. DESIGN AND PARTICIPANTS: Cross-sectional e-mail survey of 653 internal medicine (IM) residents at seven California teaching hospitals. MEASUREMENTS: Surveys asked questions in three areas: (1) resident experience performing procedures: numbers of procedures performed and whether they received other (e.g., simulator) training; (2) resident comfor