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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 JCAHO standards as applicable
  9. Anesthesia, Analgesia, Sedation (as appropriate)
  10. Equipment Selection
  11. Equipment Sterility and Maintenance
  12. Patient Positioning
  13. Technique
    1. Descriptions of Procedure Steps
    2. Observation of Technique
    3. Performance Under Supervision
    4. Practice of Procedural Skills
  14. Pathology Recognition
  15. Management of Complications
  16. Practice Management Aspects
  17. Patient Monitoring/resuscitation
  18. Outcome Evaluation
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) (2007)