Altru Family Medicine Residency

PROCEDURE DOCUMENTATION 

Family Medicine residents have the opportunity to perform many procedures in both the inpatient and outpatient setting on a number of rotations throughout the course of training.  Each resident will need to track and record all procedures on the current database program.  A printed document of procedural data can be generated and downloaded from this database.  It is the resident’s responsibility to record and maintain the procedure log.  This log book will be the basis for whether or not a resident is given hospital privileges to perform procedures upon graduation.

A database of resident’s clinical and procedural experience, both in hospital and in the ambulatory settings is maintained.  Most privileges are now granted on an experiential basis, so it is essential that this database be maintained accurately, and kept current.  While it is the program’s responsibility to make such a system available, it is the resident’s responsibility to utilize it and enter their procedure activities on the computer. 

Procedures are an important part of family medicine. Reductionism in the practice of medicine frequently "streamlines" procedures that could be easily performed in the office to a custom-built center, which is almost invariably more expensive, and less convenient to the patient, than an office setting.  Notwithstanding, the procedures that a resident should hope to master will inevitably be directed by that resident's eventual practice site and the needs of his/her patient population.  As far as the teaching of procedural skills during residency is concerned, the Program divides them into core, graduation requirement, and elective.  A procedural elective is available.

Residents are required to log all procedures, using the database supplied through E-value.  Each procedure has a “Basic Skills Qualification” describing the procedure and an assessment form to verify procedure competency.  “Basic Skills Qualifications” are available on E-Value.  Prior to seeking BSQ certification, a resident should be confident in their skills.  The “Basic Skills Qualification” is printed and given to the supervising physician, where after, the resident performs the procedure under direct observation of the supervising physician.  The competency assessment is completed by the supervising physician with their signature and given back to the resident.  The resident then returns the competency assessment to the Academic Coordinator.