Community Memorial Health System, Where Excellence Begins With Caring
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Residency Program

Curriculum - Family Medicine Procedures

Family Medicine Procedure list*

ORTHO

  • Casting and Unna boot placement
  • Dislocation reduction techniques
  • Initial management of traumatic amputation
  • Joint aspiration - shoulder, knee
  • Joint injection - shoulder, knee, sacroiliac joint, hip bursa
  • Observe compartment pressure testing
  • Spine immobilization and traction techniques
  • Splinting
  • Trigger point injections

GENERAL MEDICINE and PEDS

  • ACLS including cardioversion, defibrillation, external temporary pacemaker application, electrocardiogram interpretation, obtaining vascular access, endotracheal intubation with laryngoscope and with fiberoptic scope and airway management including Heimlich maneuver, bag-mask ventilation, oral endotracheal intubation in children and adults including rapid-sequence intubation, Laryngeal Mask Airway (LMA), and esophageal obturator airway use
  • Arterial puncture and catheterization; ABG collection
  • ATLS – including tube thorocostomy, needle decompression, paracentesis, arterial blood gas, central venous access via jugular, subclavian and femoral veins
  • Attend a hospice visit
  • Cerumen removal
  • Control of epistaxis (anterior and posterior packing)
  • Ear irrigation and wick placement
  • Effectively establish a chronic pain contract
  • EKG interpretation
  • Evaluate opioid abuse risk using a validated screening tool
  • FB removal for ear, nose, skin
  • Fecal occult testing
  • Fluoroscein and Wood’s light exam of eye
  • Glasgow Coma Scale
  • Initiation and management of mechanical ventilation
  • Interpret allergy testing – skin, RAST vs ImmunoCap
  • Interpret PFTs and Peak Flow
  • Intraoperative skills - preparation and draping of operative field, first assist at major surgery, basic use of surgical instruments, incision and dissection, exposure and retraction, hemostasis, estimation of blood loss, fluid replacement, wound closure, technique selection (ligature, staples, adhesives), suture selection, drains, dressings
  • Intraosseous line placement
  • IV sedation – infant, child and adult
  • Local and topical anesthesia including regional and digital nerve blocks
  • Lumbar puncture - infant, pediatric, and adult
  • Microscopic evaluation of skin scrapings, vaginal smears (fern test, vaginal pH, KOH, wet prep), urinalysis
  • Mini Mental Examination
  • Needle aspiration and biopsy technique
  • NG and OG tube placement and gastric lavage
  • Observe a sleep study and interpret, including use of CPAP
  • Observe an EEG
  • Observe bone marrow biopsy
  • Observe cardiac catheterization and stent placement
  • Observe chest tube insertion
  • Observe colonoscopy
  • Observe cricothyroidotomy
  • Observe EGD
  • Observe epidural or facet joint injections
  • Observe laryngoscopy
  • Observe liver biopsy
  • Observe muscle and nerve biopsy
  • Observe NCV and EMG
  • Obtain Informed consentOffice microscopy
  • Office spirometry
  • Paracentesis
  • Perform a house call
  • Perform anoscopy
  • Perform nursing home visit
  • Peripheral and Central IV insertion and use – peds and adult - including venous cutdown, central line placement and assessment of central venous placement ( jugular, femoral and subclavian), use, and interpretation
  • Peritoneal lavage
  • Postoperative care - suture removal, dressing changes, drain management and removal
    Recognition of need for emergent surgical techniques - cricothyroidotomy, needle thoracostomy, pericardiocentesis
  • Stress test interpretation
  • Thoracentesis
  • Urethral catheter insertion
  • Urine toxicology screening test interpretation
  • Use an interpreter effectively

OPHTHO

  • Direct ophthalmoscopy
  • Fluorescein staining of the cornea
  • Ocular motor testing
  • Removal of corneal foreign body from the eye and rust rings
  • Slit-lamp examination
  • Tonometry
  • Visual acuity testing
  • Visual field testing

PEDS SPECIFIC

  • Administer and Interpret hearing and vision screening exams
  • Infant bladder cath including suprapubic
  • Infant circumcision with analgesia
  • Interpret Connors and other ADHD scales
  • Intraosseous IV access
  • Neonatal resuscitation including Apgar
  • Perform infant, child lumbar puncture
  • Plot and interpret growth chart
  • Umbilical artery catheterization

DERM

  • Biopsy of skin – punch, excisional, shave
  • Cryosurgery of warts, AK
  • Curretage of skin lesion
  • Excision of subcutaneous lesions
  • Foreign body removal - including tick, fish-hook and ring removal
  • Genital wart destruction
  • Incision and drainage of abscess
  • Laceration repair including local anesthesia/block and dressing placement and suture removal
  • Skin tag removal
  • Subungual hematoma evacuation
  • Toenail removal - complete and partial with destruction techniques
  • Use of radiofrequency unit
  • Wound debridement

GYN

  • Breast cyst aspiration (FNA)
  • Colposcopy with biopsy
  • Cryosurgery and cautery for benign disease
  • Cryotherapy of cervix
  • Diaphragm counseling and fitting
  • Endometrial biopsy
  • Intrauterine device insertion and removal
  • Irrigation and drainage of Bartholin cyst
  • Microscopic diagnosis of urine and vaginal smears
  • Nexplanon insertion and removal
  • Pap smear
  • Pessary and Estring insertion and removal
  • Removal of cervical polyp
  • Subcutaneous implant insertion and removal
  • Vaginal foreign body removal
  • Vulvovaginal biopsy

OB

  • Active management of the third stage of labor
  • ALSO (Advanced Life Support Obstetrics)
  • Amnioinfusion
  • Assessment of estimated fetal weight by Leopold’s maneuvers
  • Assessment of pelvic adequacy with pelvimetry
  • Dilation and curettage for incomplete abortion
  • Emergency breech delivery
  • Episiotomy
  • First assisting at cesarean delivery
  • Induction and augmentation of labor including artificial rupture of membranes
  • Limited obstetric ultrasound (fetal position, amniotic fluid index, placental location, cardiac activity)
  • Management of common intrapartum problems (e.g., malpresentation, unanticipated shoulder dystocia, manual removal of placenta)
  • Management of labor with accurate assessment of cervical progress and fetal presentation and lie
  • Neonatal resuscitation
  • Performance and interpretation of non-stress tests and stress tests
  • Placement of fetal scalp electrode
  • Placement of intrauterine pressure catheter
  • Pudendal and local block anesthesia
  • Repair of episiotomies and lacerations (including third-degree)
  • Spontaneous vaginal delivery
  • Vacuum extraction
  • Vaginal delivery after previous cesarean delivery

*Procedures required for graduation are listed in blue. We make every effort to expose residents to other procedures as listed above.

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