Numbers that lead to competency and privileges after graduation
Colonoscopy – average 75-100 (50 required)
EGD – average 25-50
Five of our faculty are certified, privileged, and teaching the residents in EGD and Colonoscopy training
Elective endoscopy rotation (to boost numbers)
Numerous area family physicians and surgeons in town who are also willing to train our residents in endoscopic skills
OB ultrasound
POCUS Curriculum and monthly training in our didactics sessions
New ultrasound machines in both of the outpatient clinics where the residents see their patients, which they can use to apply to the care of their clinic patients (POCUS)
OB ultrasound training via the faculty and OB sonographers in the clinic
Additional OB ultrasound training in biometry, structural analysis, and surface scanning (4-D) at affiliated rotational site
Dysplasia Evaluation And Treatment
Dysplasia clinic (staffed by our faculty)
Colposcopy training
LEEP and LEEP-conization training
Hospital-based procedures (“lines, needles, and tubes”)
Chest tubes
Central lines
Ventilator and BiPAP management
Thorocentesis
Lumbar puncture
Other Procedures
Stress testing
Fracture care
Paracentesis
Endometrial sampling and diagnostic D&C
Foundational skill set for standard family medicine practices:
Basic maternal care and deliveries
D&C (post-miscarriage)
Colposcopy, cervical biopsy, and endometrial sampling (pipelle)
Newborn procedures: circumcision and frenulectomy
Hospital procedures (“lines, tubes, and needles”)
Basic airway and BiPAP management
Biopsy, I&D, and nail procedures
Arthrocentesis and trigger point injections
Interosseous access (emergent pediatrics)
Bone marrow biopsy
Nasal packing and indirect laryngoscopy
Thrombosed hemorrhoid treatment
Suburban practice skill set:
Foundational skill set
Hospital procedural skills (if desired)
GI endoscopy skills (if desired)
Advanced family medicine skill set:
Foundational skill set
Operative OB (C-sections, assisted delivery)
GI endoscopy (EGD and colonoscopy)
OB ultrasound, abdominal ultrasound, and FAST exam for trauma assessments in the emergency room
Stress testing
LEEP (advanced dysplasia skills)
All hospital-based skills (including ventilator management)
Closed reduction of fractures
Emergency room procedures (basic and advanced)
Facial and oral nerve blocks
Spinal and epidural anesthesia
Rural practice skill set:
Foundational skill set
Advanced family medicine skill set (to include operative OB)
Basic and advanced emergency room skill set
Basic general surgery skill set
Basic gynecology skill set
Urban practice/inner city skill set
Knowing that the patients that we serve often have access issues even with available specialists in the community, we must become trained in advanced skills so that our patients will not go without the needed care that they deserve.
Foundational skill set
Advanced family medicine skill set (including operative OB)
Hospital-based skill set
GI endoscopy
International practice skill set (unlimited):
Foundational skill set
Advanced family medicine skill set (requiring operative OB skills at a high level of expertise)
