Procedures

Procedural skills are an integral component of Family Practice. Because the scope of procedures you incorporate into your practice will depend on a variety of factors (training requirements, personal preference, patient demand, reimbursement) we don’t expect you to master them all. However there are core procedures (listed below with an asterisk) we deem crucial to successful completion of your residency, and a broader set of skills you’ll want training in just to be able to help in your decision-making. You’ll be expected to document your training for all procedures you perform using New Innovations.

You must become credentialled in a required set of procedures (listed below). Most residents achieve additional credential

Procedures that all residents must learn before they graduate:

1. Suture Removal

2. Skin Excisional Biopsy

3. Pap Smear

4. Laceration Simple

5. Joint Injection

6. Joint Aspiration

7. EKG Interpretation

8. Vaginal Delivery (including total/continuity and ALSO)

Call Times:

• OB call or weekend PFC call

Responsibilities:

1. Penn Family Care Procedure clinic Wednesday and Thursday afternoon
2. Penn Family Care patient care 2-5 sessions per week and call per schedule
3. Update procedure log

Call Room:

• 6th Floor Wright-Saunders
• 9-3-7-1 (for main door) 3-3-5-9 (for room)

Parking:

• Indoor Garage at Presby is available only after hours, Mon-Fri 5p-9a and Weekends all day
• Swipe with card to get in and out
• Make sure to take car out by 9 AM

Resources/Links

• Procedure videos
  • Cryotherapy
  • PFC A Comparison of your Early Options.pdf
  • PFC Common Questions AB.pdf
  • PFC Medical Abortion protocols.pdf
  • PFC Misoprostol instructions bucall administration.pdf

Procedures by curriculum area (* - required)

Medicine

LP

Bladder catheterization

Joint aspiration/injection*

Arterial blood gas

EKG interpretation*

CPR

Thoracentesis

Paracentesis

Central line placement

Arterial line placement

Exposure to Stress Testing and echocardiography

OB

Advanced Life Support in Obstetrics*

SVD*

Circumcision

Episiotomy

Amniotomy

Vacumn Extraction

Fetal monitoring

Management of labor

Augmentation of labor

Repair of vaginal/cervical lacerations*

Intrapartum ultrasound for determination of AFI/fetal lie

Manual placental removal

GYN

Pap smear/Pelvic exam*

Cervical/vaginal/vulvar biopsies

IUD insertion/removal

Endometrial aspiration

Colposcopy

Incision/drainage of Bartholin’s gland

Peds

Neonatal resuscitation

Phototherapy

LP

Venipuncture/IV lines

Surgery

Breast cyst aspiration

Thoracentesis

Paracentesis

Suture Removal*

Laceration repair*

Emergency Medicine

ACLS/BCLS (required on entry)

Laceration repair*

NG intubation/lavage

Packing for epistaxis

I&D abcess*

Local/digital block anesthesia

Splinting

Laryngoscopy

Reduction/casts for simple fractures/dislocations

Foreign body removal

Dermatology

Shave/Excisional/Punch biopsies*

Cryotherapy of skin lesions

FP procedures not listed elsewhere

Audiometry

Tympanometry

Pulmonary function testing (PEFR*)

In office lab: hemoglobin, glucometer, UA dip, rapid strep/HCG, wet prep/KOH*

Breast exam

Cryosurgery

Electrosurgery

Joint injection and aspiration*

OB ultrasound

Toenail removal

Slit lamp eye exam

IUD insertion/removal

Vasectomy