Procedural Skills Training, Residency Criteria

In order to provide an appropriate protocol for procedures training in the family medicine residency, the following components should be included in training:

  1. Background
  2. Indications for the Procedure
  3. Contraindications for the Procedures
  4. Alternatives to the Procedure
  5. Complications
  6. Informed Consent/Patient Counseling
  7. Patient Preparation
  8. Adherence to Joint Commission Standards as Applicable (e.g. Universal Protocol)
  9. Anesthesia, Analgesia, Sedation (as appropriate)
  10. Equipment
    1. Selection
    2. Knowledge of Use
    3. Care, Cleansing, and Maintenance
  11. Patient Positioning
  12. Technique
    1. Descriptions of Procedure Steps
    2. Observation of Technique
    3. Performance Under Supervision
    4. Practice of Procedural Skills
  13. Chart Documentation and Procedure Tracking
  14. Pathology Recognition
  15. Management of Complications
  16. Practice Management Aspects
  17. Financial Implications and Stewardship of Resources
  18. Patient Monitoring/resuscitation
  19. Outcome Evaluation
    1. Faculty Evaluation
    2. Self-Evaluation
    3. Reflective Learning
    4. Coaching

The instructor(s) in the residency must have significant personal experience in performing the procedure(s) that are being taught. Family medicine residents should be credentialed to perform procedures in which they have received cognitive instruction, documented experience and demonstrated competency. (March Board 2001) (2012 COD)