{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T08:38:45Z","timestamp":1775896725709,"version":"3.50.1"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T00:00:00Z","timestamp":1712707200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T00:00:00Z","timestamp":1712707200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Educ"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Some of the most common complaints addressed by primary care physicians (PCPs) require manual procedures, such as lacerations repair, abscesses drainage, ingrown toenails removal, dry needling for myofascial pain syndrome, and Epley maneuver for treating benign paroxysmal positional vertigo (BPPV). The aim of this study was to describe the procedural skills workshops program for PCPs implemented in Maccabi Healthcare Services and to investigate how many PCPs have participated and used the skills since the program\u2019s inception in 2017.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this observational study, we followed all participants in courses from 2017 to 2021. We extracted all procedures performed during these years by PCPs who learned the skill in MHS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During the study period, 620 PCPs participated in workshops for dry needling, soft-tissue and joint injections, BPPV treatment, minor surgical procedures, and spirometry. Most procedures performed were dry needling (average annual number 3,537) and minor surgical procedures (average annual number 361). The average annual use per physician was highest for dry needling (annual average use per physician who used the learned skill was 50.9), followed by soft tissue and joint injections (16.8), minor surgical procedures (14.8), and BPPV treatment (7.5).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>procedural skills workshops may expand PCPs\u2019 therapeutic arsenal, thus empowering PCPs and providing more comprehensive care for patients. Some manual skills, such as dry needling, soft tissue injections, and the Epley maneuver, were more likely to be used by participants than other skills, such as spirometry and soft tissue injections.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12909-024-05381-7","type":"journal-article","created":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T08:02:15Z","timestamp":1712736135000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Procedural skills workshops for primary care physicians in Israel: a comprehensive analysis"],"prefix":"10.1186","volume":"24","author":[{"given":"Omer","family":"Rosenblum","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilan","family":"Yehoshua","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Limor","family":"Adler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ori","family":"Liran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,4,10]]},"reference":[{"issue":"10","key":"5381_CR1","first-page":"628","volume":"95","author":"RT Forsch","year":"2017","unstructured":"Forsch RT, Little SH, Williams C. Laceration repair: a practical approach - american family physician. Am Family Phys. 2017;95(10):628\u201337.","journal-title":"Am Family Phys"},{"issue":"1","key":"5381_CR2","doi-asserted-by":"publisher","first-page":"xiii","DOI":"10.1016\/j.idc.2020.12.001","volume":"35","author":"HF Chambers","year":"2021","unstructured":"Chambers HF. Skin and soft tissue infections. Infect Dis Clin N Am. 2021;35(1):xiii\u2013xiv.","journal-title":"Infect Dis Clin N Am"},{"issue":"3","key":"5381_CR3","first-page":"158","volume":"100","author":"EJ Mayeaux","year":"2019","unstructured":"Mayeaux EJ, Carter C, Murphy TE. Ingrown toenail management. Am Family Phys. 2019;100(3):158\u201364.","journal-title":"Am Family Phys"},{"issue":"4","key":"5381_CR4","first-page":"653","volume":"65","author":"DJ Alvarez","year":"2002","unstructured":"Alvarez DJ, Rockwell PG. Trigger points: diagnosis and management. Am Family Phys. 2002;65(4):653\u201360.","journal-title":"Am Family Phys"},{"issue":"3","key":"5381_CR5","first-page":"154","volume":"95","author":"HL Muncie","year":"2017","unstructured":"Muncie HL, Sirmans SM, James E. Dizziness: approach to evaluation and management. Am Fam Phys. 2017;95(3):154\u201362.","journal-title":"Am Fam Phys"},{"issue":"1","key":"5381_CR6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/2045-4015-3-12","volume":"3","author":"S Menahem","year":"2014","unstructured":"Menahem S, Nazarenko A, Shvartzman P. Minor surgical procedures and musculoskeletal injections by primary care physicians - an Israeli experience. Isr J Health Policy Res. 2014;3(1):1\u20138.","journal-title":"Isr J Health Policy Res"},{"issue":"1","key":"5381_CR7","first-page":"13","volume":"6","author":"A Al-Ahaideb","year":"2012","unstructured":"Al-Ahaideb A, Khoshhal K, Alsiddiky A. Patterns and obstacles of provision of minor orthopedic procedures among primary care physicians in Saudi Arabia. Int J Health Sci. 2012;6(1):13\u201321.","journal-title":"Int J Health Sci"},{"issue":"1","key":"5381_CR8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/2045-4015-3-35","volume":"3","author":"H Bitterman","year":"2014","unstructured":"Bitterman H, Vinker S. Extending the boundaries of family medicine to perform manual procedures. Isr J Health Policy Res. 2014;3(1):1\u20133.","journal-title":"Isr J Health Policy Res"},{"key":"5381_CR9","doi-asserted-by":"publisher","first-page":"158","DOI":"10.5116\/ijme.573a.364c","volume":"7","author":"S Langner","year":"2016","unstructured":"Langner S, Deffenbacher B, Nagle J, Khodaee M. Barriers and methods to improve office-based procedural training in a family medicine residency. Int J Med Educ. 2016;7:158\u20139.","journal-title":"Int J Med Educ"},{"issue":"1275","key":"5381_CR10","first-page":"37","volume":"121","author":"M Patel","year":"2008","unstructured":"Patel M, Oosthuizen G, Child S, Windsor JA. Training effect of skills courses on confidence of junior doctors performing clinical procedures. N Z Med J. 2008;121(1275):37\u201345.","journal-title":"N Z Med J"},{"issue":"8","key":"5381_CR11","first-page":"e296","volume":"56","author":"MS MacKenzie","year":"2010","unstructured":"MacKenzie MS, Berkowitz J. Do procedural skills workshops during family practice residency work? Can Fam Physician. 2010;56(8):e296-301.","journal-title":"Can Fam Physician"},{"issue":"SUPPL 2","key":"5381_CR12","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1046\/j.1525-1497.12.s2.9.x","volume":"12","author":"TE Norris","year":"1997","unstructured":"Norris TE, Cullison SW, Fihn SD. Teaching procedural skills. J Gen Intern Med. 1997;12(SUPPL 2):64\u201370.","journal-title":"J Gen Intern Med"},{"issue":"1","key":"5381_CR13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12875-022-01951-0","volume":"23","author":"I Yehoshua","year":"2022","unstructured":"Yehoshua I, Rimon O, Mizrahi Reuveni M, Peleg R, Adler L. Dry needling for the treatment of acute myofascial pain syndrome in general practitioners\u2019 clinics: a cohort study. BMC Prim Care. 2022;23(1):1\u20137.","journal-title":"BMC Prim Care"},{"key":"5381_CR14","first-page":"12","volume":"2014","author":"MP Hilton","year":"2014","unstructured":"Hilton MP, Pinder DK. The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Cochrane Database Syst Reviews. 2014;2014:12.","journal-title":"Cochrane Database Syst Reviews"},{"issue":"1","key":"5381_CR15","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1080\/02813432.2017.1288683","volume":"35","author":"VA van Vugt","year":"2017","unstructured":"van Vugt VA, Diaz Nerio PM, van der Wouden JC, van der Horst HE, Maarsingh OR. Use of Canalith repositioning manoeuvres and vestibular rehabilitation: a GP survey. Scand J Prim Health Care. 2017;35(1):19\u201326.","journal-title":"Scand J Prim Health Care"},{"issue":"3","key":"5381_CR16","doi-asserted-by":"publisher","first-page":"358","DOI":"10.3325\/cmj.2008.3.358","volume":"49","author":"R Gmajni\u0107","year":"2008","unstructured":"Gmajni\u0107 R, Pribi\u0107 S, Luki\u0107 A, Ebling B, \u010cupi\u0107 N, Markovi\u0107 I. Effect of surgical training course on performance of minor surgical procedures in family medicine physicians\u2019 offices: an observational study. Croatian Med J. 2008;49(3):358\u201363.","journal-title":"Croatian Med J"},{"issue":"6","key":"5381_CR17","doi-asserted-by":"publisher","first-page":"664","DOI":"10.1080\/01421590310001605705","volume":"25","author":"WTM Mason","year":"2003","unstructured":"Mason WTM, Strike PW. See one, do one, teach one - is this still how it works? A comparison of the medical and nursing professions in the teaching of practical procedures. Med Teach. 2003;25(6):664\u20136.","journal-title":"Med Teach"},{"key":"5381_CR18","volume-title":"Syllabus of the Residency Program in Family Medicine","author":"Scientific Council TIM Association","year":"2011","unstructured":"Scientific Council TIM Association. Syllabus of the Residency Program in Family Medicine. 2011."}],"container-title":["BMC Medical Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12909-024-05381-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12909-024-05381-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12909-024-05381-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T08:05:20Z","timestamp":1712736320000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmededuc.biomedcentral.com\/articles\/10.1186\/s12909-024-05381-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,10]]},"references-count":18,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["5381"],"URL":"https:\/\/doi.org\/10.1186\/s12909-024-05381-7","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-3698632\/v1","asserted-by":"object"}]},"ISSN":["1472-6920"],"issn-type":[{"value":"1472-6920","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,10]]},"assertion":[{"value":"2 December 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 April 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 April 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was approved by the ethical committee of Maccabi Healthcare Services (0071-22-MHS). All methods were carried out in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. Informed consent was waived and approved by the ethical committee of Maccabi Healthcare Services (0071-22-MHS) due to the study design.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"<!--Emphasis Type='Bold' removed-->Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"396"}}