A full spectrum of office procedures is available for residents to master. These include colposcopy, cryotherapy, joint and bursal injections, sigmoidoscopy, vasectomy, circumcisions, fiberoptic nasopharyngoscopy, endometrial biopsies, radiofrequency skin surgery, and common skin biopsies and elliptical excision procedures to name a few. 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 Medicine.
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 affect a resident’s ability to competently perform a procedure include preparation in the form of reading, practicing on appropriate models where available, repeated exposure to the procedure even if not completing it entirely themselves, and actual performance in a supervised setting. Faculty, will actively scrutinizing the resident’s technique and provide detailed feedback after procedures. If the resident demonstrates clear ability to perform the procedure, then credentialing for that procedure can be accomplished without reservation and allow the resident to move on to independent performance without supervision.
Procedures will be documented with online procedure reports in our New Innovations Residency Management Suite and will state the level of competency the resident has achieved. This data is entered by residents and faculty via desktop PCs or smart phone applications. Reports of clinical problems managed and procedures performed are available when needed for hospital privileges or specialty certification following residency.
Residents have a structured Dermatology-Procedure rotation in their third year. You will improve your Dermatologic and Procedural skills in a variety of observational and hands-on experiences which include working with a Med Center dermatologist and in the FPC procedure clinics and Wound Clinic with our rotating faculty as well as a weekly session with a general surgeon at the local VA Clinic in Winston for excisions of common skin lesions. There are also a scattering of flexible sigmoidoscopy procedures and 5 structured stress test slots per week in our FPC which are a part of this rotational exposure as well. Many procedural opportunities are woven through the residency curriculum in the Surgery blocks, Maternal Health and Gynecology rotation and ED and Inpatient service exposures.