Resident Handbook - UC Davis Health System

establish whether or not a resident is competent to perform specific procedures. Residents willdocument their procedural experience, including the name of the procedure, age and gender ofpatient. The supervising physician will document the level of performance (e.g., progressingtoward independent performance). Procedural teaching includes didactic presentations,indications and contra-indications, risks and benefits, informed consent, appropriate coding andcharging, management of aftercare and complications, and acquisition and maintenance of skills.The academic advisor will review their assigned residents’ procedure log bi-annually and discussthe progress of their training.The following includes the procedural competencies for each area of residency training alongwith the number of procedures required prior to completion of the residency program. Also listedis the number of procedures required before independent status is granted.Preceptors will use New Innovations to document the supervision of each procedure and to ratethe level of resident performance using the following code: 1= required significant assistance; 2=required minimal assistance; 3= procedure performed satisfactorily without assistance. Residentmust perform the minimum number of procedures as outlined below and demonstrate level 3performance on at least 2 occasions to be considered competent.After a resident demonstrates proficiency, a preceptor will still need to observe future casesduring the key part according to MediCare supervision guidelines for billing purposes.For more information about Procedure Requirements at MFHC, go to this section of the ResidentHandbook found under the heading ADDENDUM - MFHC CLINIC MANUALEMERGENCY MEDICINE PROCEDURE LISTPROCEDURESMINIMUM NUMBER MINIMUM NUMBER FORTO GRADUATECOMPETENCYLaceration Repair- Skin 5 5Laceration Repair- Tendon 0 5Anterior Nasal Packing 0 5Foreign Body Removal- Eye 0 2Foreign Body Removal- Nose 0 2Foreign Body Removal- Ear 0 2Lumbar Puncture- Adult 0 5Lumbar Puncture- Child 0 5Thoracentesis 0 5Paracentesis 0 5Chest Tube 0 10Central Line Placement 0 25Dislocation Reduction Shoulder 0 5Intubation 0 15Resuscitation-Cardiac (ACLS) Maintain ACLS certification Per AHA guidelinesBLS Maintain ACLS certification Per AHA guidelinesATLS 0 0Page 104 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc