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The purpose of an organized procedural curriculum is to ensure that residents in training have appropriate exposure, both cognitively and experientially, to procedures in Family Practice. The goal of the curriculum is to adequately train and certify each resident in the core procedures of our specialty in a coherent manner. Factors that effect a resident’s ability to competently perform a procedure include preparation in the form of reading, practicing on appropriate models, repeated exposure to the procedure even if not completing it entirely themselves, and actual performance in a supervised setting. As faculty, we should be actively scrutinizing the resident’s technique and provide detailed feedback after each procedure. If the resident demonstrates clear ability to perform the procedure, then credentialing for that procedure can be accomplished without reservation. The process of learning a procedure that is highly variable between individuals so any system should take that into account. In setting a standard of competent performance and minimum exposure, we are stating that we feel we can adequately assess technique and monitor responses to complications during the procedure. This varies by the complexity and the risk of the procedure. To actually certify a trainee, we must document enough procedures done solely by the provider to be certain of their independence in performing the procedure. Procedures will be documented with online procedure reports on New Innovations and will state the level of competency the resident has achieved. Preceptors should complete at least one evaluation per session if all procedures done in that session are the same, and indicate on the evaluation the number of procedures that are included in the evaluation. Residents are encouraged to remind their attending to perform the evaluation online. Procedural workshops for suturing, colposcopy, LEEP and N-P scopes are scheduled throughout the year. Competency Evaluation: 1. After each procedure or procedure session, an evaluation should be performed by the attending on New Innovations. 2. Depending on the procedure, once you have done a minimum of 3 procedures supervised, you may ask to do procedures independently without direct supervision if you have been rated as competent to perform independently on the last performance rating. See this link for minimum requirements. 3. You should always notify the preceptor
if a procedure is being performed if you are doing so without direct
supervision. References: Procedure Tutorials - only available on the intranet (you must be logged in to the SMC network to view) Pfenniger's Primary Care Procedure Manual -In our residency library and in the procedure area. Procedures in Primary Care (Tuggy, Garcia, Newkirk)- DVD atlas, online atlas |