PT - JOURNAL ARTICLE AU - Menzin, Eleanor R. TI - Not Like They Used To: The Decline of Procedural Competency in Medical Training AID - 10.1370/afm.240309 DP - 2025 Jan 01 TA - The Annals of Family Medicine PG - 81--82 VI - 23 IP - 1 4099 - http://www.annfammed.org/content/23/1/81.short 4100 - http://www.annfammed.org/content/23/1/81.full SO - Ann Fam Med2025 Jan 01; 23 AB - As a primary care pediatrician trained before work hour restrictions were enacted, I spent hours mastering procedures that trainees today rarely perform. The changing landscape of health care clinician roles, technology, and work hour restrictions have all contributed to a remarkable decline in trainees’ procedural competence which has significant negative effects for patients, health care systems, and physicians themselves. I suggest simulation, live training, mentoring, and scheduled opportunities as ways to reemphasize the importance of learning these technical skills.