Procedural Training

Endoscopy Training

  • 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)
  • General surgery skills
  • General urology
  • Orthopedics
  • Diagnostic procedures:
    • Echocardiography
    • Ultrasound (OB, abdominal, and pelvis)