Resident Handbook - UC Davis Health System

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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
GYNECOLOGY PROCEDURE LISTPROCEDURESMINIMUM NUMBERTO GRADUATEColposcopy 1 20Cervical biopsy 0 10Cervical polypectomy 0 2Cervical Dilatation and Curettage 0 10Endometrial Biopsy 0 5IUD Insertion 0 5MINIMUM NUMBER FORCOMPETENCYMEDICINE PROCEDURE LISTPROCEDURESMINIMUM NUMBERTO GRADUATELumbar Puncture 0 5Thoracentesis 0 5Paracentesis 0 5Endotracheal Intubation 0 15Arterial Catheter Placement 0 15Central Venous Line Placement 0 25C:\Documents and Settings\dhutak\Desktop\rshb13.docMINIMUM NUMBER FORCOMPETENCYMERCY FAMILY HEALTH CENTER OUTPATIENT PROCEDURE LISTPROCEDURESMINIMUM NUMBER TO MINIMUM NUMBER FORGRADUATECOMPETENCYAnoscopy 0 1Slit Lamp Exam 0 5Nail Removal 0 4Excision of Lesion 5 5Laceration Repair 5 5Suture Removal 1 1Shave Biopsy 3 3Curettage & Desiccation 0 3Punch Biopsy 3 3Casting Short Arm or Leg 3 5Posterior Leg or Arm Splint 3 3Endometrial Biopsy 0 5I & D/Packing 3 3Joint Injection/Aspir. 3 5Cryotherapy 5 5Trigger Point Injection 0 2Breast FNA 0 5Circumcision (using any method) 5 20Lumbar Puncture 0 5Colposcopy 0 20Page 105 of 153
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Resident HandbookMercy Redding Fami
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PEDIATRICS/OB......................
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MASTER SCHEDULE:...................
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Resident HandbookMercy Redding Fami
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efore the start of the rotation tha
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Cardiology Competencies - PGY3Cogni
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Understand and describe Home care a
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Page 15 of 1532. OBRA "87 & "94 Reg
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Skills1. Monitor interpretation for
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Page 19 of 153Skills1. Diagnosis an
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1. Management of well child care2.
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3. Lab interpretation of joint flui
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5. Hemorrhoid I & D6. Fluid and Ele
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B. Service DescriptionC. DutiesA tw
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C. DutiesAttendance at the cardiolo
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Dermatology Clinic (C1 and C2 - MFH
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Vasectomy Clinic (C1 - FPI)Resident
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ability to maximize their health/he
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hospital care of common ENT conditi
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viii. Resident may be responsible f
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Rawlings or Dr. Bland so we can mak
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for EM occur once a month(on the th
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Emergency Medicine Rotation Require
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HOME VISITSEach resident is to make
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Practice preceptors who rotate onto
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A. Service GoalsAs a second and thi
Page 53 and 54: attending re: the patient’s statu
Page 55 and 56: Attending duties:• Be the attendi
Page 57 and 58: 11-15: the night shift resident rou
Page 59 and 60: ED, and admitted, must be discussed
Page 61 and 62: D. Service Guidelines: OBSTETRICS S
Page 63 and 64: OPHTHALMOLOGYA. Service GoalsThe go
Page 65 and 66: CLIA testing & LunchEpisiotomy Trai
Page 67 and 68: 10) Concussion11) Athlete’s heart
Page 69 and 70: Significant training continues duri
Page 71 and 72: . Hospital Leadership TrainingResid
Page 73 and 74: • Health systems training• Prac
Page 75 and 76: Alternative Scholarly Activities:1.
Page 77 and 78: B. Service DescriptionC. DutiesThe
Page 79 and 80: • Summarize areas of needed impro
Page 81 and 82: as physicians, but especially inter
Page 83 and 84: CHIEF RESIDENTS:The Chief Residents
Page 85 and 86: . If the goal is not met as determi
Page 87 and 88: • Complete, or provide evidence o
Page 89 and 90: Grounds for Disciplinary Action:Gro
Page 91 and 92: Appeal:include the reasons supporti
Page 93 and 94: MFHC conducts a health center evalu
Page 95 and 96: UNFINISHED BUSINESS:NEW BUSINESSDEP
Page 97 and 98: must protect itself from possible s
Page 99 and 100: MEDICAL STAFF BYLAWS / RULES AND RE
Page 101 and 102: other educational items as approved
Page 103: o Schedule II drugs may be written
Page 107 and 108: Breast FNA 0 5Wound Debridement 2 2
Page 109 and 110: Addressing Patients’ Perceptions:
Page 111 and 112: Reportable Diseases and Conditions:
Page 113 and 114: admission (e.g., circumstances may
Page 115 and 116: service for which the vacation is g
Page 117 and 118: (i.e. Medicare, Medi-Cal, etc.) req
Page 119 and 120: Call Expectations and Supervision R
Page 121 and 122: Page 121 of 153WORK HOURSResidency
Page 123 and 124: IV: ADDENDUM: Mercy Family Health C
Page 125 and 126: 3. Privacy: Knock before entering i
Page 127 and 128: All new warfarin patients will be g
Page 129 and 130: MANAGEMENT OF SIGNIFICANTLY ELEVATE
Page 131 and 132: Beef liver Garbanzo beans SeaweedBr
Page 133 and 134: c. When C1 reviews lab and finds an
Page 135 and 136: Colposcopy Clinics (C2 - MFHC and S
Page 137 and 138: pertinent information. Dr. DeVlamin
Page 140 and 141: 3. Perform a surgical “time out
Page 142 and 143: • If in doubt, contact the Reside
Page 144 and 145: Immediate feedback (Formative Evalu
Page 146 and 147: Please note: If you have more than
Page 148 and 149: chart holder that corresponding to
Page 150 and 151: 1. According to the ACGME program r
Page 152 and 153: 6. FPS resident if not the only sen
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Resident Handbook - UC Davis Health System

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