Experience by Role Report

Transcription

1 Experience by Role Report Medical Center of Central Georgia/Mercer University School of Medicine Program Primary Procedures Resident: Joey A. Jarrard As of SKIN/SOFT TIS MAJ LYMPHADENECTOMIES MAJ EXC & REP/GRAFT FOR SKIN NEOPLASM SENTINEL LYMPH NODE BIOPSY FOR MELANOMA RAD EXCIS SOFT TIS TUMOR PILONIDAL CYSTECTOMY OTHER MAJOR SKIN/SOFT TIS SKIN/SOFT TIS HEAD/NECK RESECT LESION-LIPS RESECT LESION-TONGUE RESECT LESION-FLOOR MOUTH/BUCCAL MUC PAROTIDECTOMY RESECT OTHER SALIVARY GLND RADICAL NECK DISSECT RESECT MANDIBLE/MAXILLA TRACHEOSTOMY OTHER MAJOR HEAD/NECK HEAD/NECK BREAST BREAST BIOPSY SENTINEL LYMPH NODE BIOPSY (BREAST) SIMPLE MASTECTOMY MOD RAD MASTECTOMY RADICAL MASTECTOMY EXC BX/QUADRANT EXC W/WO AX SAMPLING BREAST RECONSTRUCTION OTHER MAJOR BREAST BREAST ALIM TR-ESOPHAGUS ESOPHAGECTOMY ESOPHAGO-GASTRECTOMY ANTIREFLUX PROC-OPEN ANTIREFLUX PROC-LAPAROSCOPIC ESOPHAGEAL BYPASS PROCEDURE REPAIR OF PERF-ESOPH DISEASE OTHER OPS FOR ESOPHAGEAL STENOSIS ESOPHAGEAL DIVERTICULECTOMY OTHER MAJOR ESOPHAGUS Accreditation Council for Graduate Medical Education (ACGME) 1

2 ALIM TR-ESOPHAGUS ALIM TR-STOMACH GASTROSTOMY (ALL TYPES)-OPEN GASTROSTOMY (ALL TYPES)-LAPAROSCOPIC GASTRIC RESECT, PARTIAL-OPEN GASTRIC RESECT, PARTIAL-LAPAROSCOPIC GASTRIC RESECT, TOTAL VAGOTOMY, TRUN/SEL W/DRAINAGE/RES-OPEN VAGOTOMY, TRUN/SEL W/DRAINAGE/RES-LAPAR REPAIR PERF-GASTRIC DIS PROX GAST VAGOTOMY, HIGHLY SELECT-OPEN PROX GAST VAGOTOMY, HIGHLY SELECT-LAPAR GASTRIC REDUC FOR MORBID OBESITY (ALL) GASTRIC REDUC FOR MORBID OBESITY-LAP OTHER MAJOR STOMACH ALIM TR-STOMACH ALIM TR-SMALL INT ENTEROLYSIS ENTEROLYSIS - LAPAROSCOPIC ENTERECTOMY ENTERECTOMY-LAPAROSCOPIC REPAIR PERF-DUODENAL DIS REPAIR PERF-SMALL BOWEL DIS ILEOSTOMY (NOT ASSOC W/COLECTOMY) ILEOSTOMY (NOT ASSOC W/COLECTOMY) - LAP DIVERTICULECTOMY OTHER MAJOR SMALL INT ALIM TR-SMALL INT ALIM TR-LARGE INT APPENDECTOMY-OPEN APPENDECTOMY-LAPAROSCOPIC COLOSTOMY (ALL TYPES) COLOSTOMY CLOSURE COLECTOMY/PROCTECTOMY-OPEN COLECTOMY/PROCTECTOMY-LAPAROSCOPIC COLECTOMY W/ ILEOANAL PULL-THRU COLECTOMY W/ CONTINENT RECONSTRUCT ABDOMINO-PERINEAL RESECTION TRANSANAL RECTAL TUMOR EXCISION REPAIR PERF-COLON DIS OTHER MAJOR LARGE INT ALIM TR-LARGE INT ALIM TR-ANO-RECTAL HEMORRHOIDECTOMY (ALL) Accreditation Council for Graduate Medical Education (ACGME) 2

3 SPHINCTEROTOMY/SPHINCTEROPLASTY DRAINAGE PROC FOR ANORECTAL ABSCESS REPAIR ANORECTAL FISTULA OTHER OPERATIONS FOR ANAL INCONTINENCE REPAIR RECTAL PROLAPSE OTHER MAJOR ANO-RECTAL ALIM TR-ANO-RECTAL ABDOMEN-GENERAL EXP LAP EXCLUSIVE OF TRAUMA-OPEN EXP LAP EXCLUSIVE OF TRAUMA-LAPAR DRAINAGE INTRA-ABDOMINAL ABSCESS MAJ RETROPERIT/PELVIC NODE DISSEC-OPEN OTHER MAJOR AB-GENERAL-LAP COMPLEX OTHER MAJOR AB-GENERAL ABDOMEN-GENERAL ABDOMEN-LIVER LOBECTOMY OR SEGMENTECTOMY WEDGE RESECTION/OPEN BIOPSY DRAINAGE LIVER ABSCESS OTHER MAJOR LIVER ABDOMEN-LIVER ABDOMEN-BILIARY CHOLECYSTOSTOMY CHOLECYSTECTOMY W/WO OPER GRAMS-OPEN CHOLECYSTECTOMY W/WO OPER GRAMS-LAPAR COMMON BILE DUCT EXPLOR-OPEN COMMON BILE DUCT EXPLOR-LAPAR CHOLEDOCHOENTERIC ANASTOMOSIS SPHINCTEROPLASTY (ODDI) OTHER MAJOR BILIARY ABDOMEN-BILIARY ABDOMEN-PANCREAS DRAINAGE PANCREATIC ABSCESS RESECTION FOR PANCREATIC NECROSIS PANC RESECTION, DISTAL PANC RESECTION, WHIPPLE PANC RESECTION, TOTAL DRAINAGE PSEUDOCYST (ALL TYPES) PANCREATICOJEJUNOSTOMY OTHER MAJOR PANCREAS ABDOMEN-PANCREAS Accreditation Council for Graduate Medical Education (ACGME) 3

4 ABDOMEN-SPLEEN SPLENECTOMY FOR DISEASE-OPEN SPLENECTOMY FOR DISEASE-LAPAR ABDOMEN-SPLEEN ABDOMEN-HERNIA INGUINAL-FEMORAL (ALL)-OPEN INGUINAL-FEMORAL (ALL)-LAPAROS VENTRAL OTHER MAJOR HERNIAS ABDOMEN-HERNIA VASC - ANEURYSM REPAIR OPEN REPAIR INFRARENAL A-I ANEURYSM, RUPTURED OPEN REPAIR INFRARENAL A-I ANEURYSM, ELECTIVE ENDOVASCULAR REPAIR ABD AORTIC/ILIAC ANEURYSM ENDOVASCULAR REPAIR OF ILIAC ARTERY REPAIR SUPRARENAL AORTIC ANEURYSM REPAIR THORACIC AORTIC ANEURYSM ENDOVASCULAR REPAIR THORACIC AORTIC ANEURYSM REPAIR THORACOABDOMINAL AORTIC ANEURYSM REPAIR FEMORAL ANEURYSM REPAIR POPLITEAL ANEURYSM REPAIR OTHER ANEURYSM - DEF CAT CREDIT VASC - ANEURYSM REPAIR VASC - CEREBROVASCULAR CAROTID ENDARTERECTOMY REOPERATIVE CAROTID SURGERY TRANSCATHETER PLACEMENT CAROTID ARTERY STENT EXCISE CAROTID BODY TUMOR VERTEBRAL BYPASS OR REIMPLANTATION/TRANSPOSITION DIRECT REPAIR AORTIC ARCH BRANCHES TRANSLUMINAL BALLOON ANGIOPLASTY - BRACHIOCEPHALIC TRANSLUMINAL ATHERECTOMY - BRACHIOCEPHALIC TRANSCATHETER PLACE OF INTRAVASC STENT, NONCOR. CERVICAL BYPASS AORTIC ARCH BRANCHES EMBOLECTOMY/THROMBECTOMY BY NECK OR THORACIC INCIS OTHER MAJOR CEREBROVASCULAR - DEF CAT CREDIT VASC - CEREBROVASCULAR VASC - PERIPH OBSTRUCTIVE AORTO-ILIO/FEMORAL ENDARTERECTOMY AORTO-ILIO/FEMORAL BYPASS, PROSTHETIC AORTO-ILIO/FEMORAL BYPASS, VEIN 2017 Accreditation Council for Graduate Medical Education (ACGME) 4

5 TRANSLUMINAL BALLOON ANGIOPLASTY AORTA OR ILIAC TRANSLUMINAL ATHERECTOMY AORTA OR ILIAC TRANSCATHETER PLACEMENT INTRAVASC STENT AORTA ILIO-ILIAC/FEMORAL ENDARTERECTOMY EXCISE INFECTED GRAFT, ABDOMEN OR CHEST REPAIR GRAFT-ENTERIC/AORTO-ENTERIC FISTULA FEMORAL, PROFUNDA ENDARTERECTOMY FEMORAL-POPLITEAL BYPASS, VEIN FEMORAL-POPLITEAL BYPASS, PROSTHETIC TRANSLUMINAL BALLOON ANGIOPLASTY FEMORAL- POPLITEAL TRANSLUMINAL ATHERECTOMY FEMORAL-POPLITEAL ENDARTERECTOMY, SUPERFICIAL FEMORAL, POPLITEAL INFRAPOPLITEAL BYPASS, VEIN INFRAPOPLITEAL BYPASS, PROSTHETIC TRANSLUMINAL BALLON ANGIOPLASTY, TIBIOPERONEAL TRANSLUMINAL ATHERECTOMY, TIBIOPERONEAL TRANSCATHETER PLACE OF INTRAVASCULAR STENT NON-COR EXCISE INFECTED GRAFT, PERIPHERAL REVISE ARTERIAL BYPASS ARTERIAL EMBOLECTOMY/THROMBECTOMY BY LEG INCISION GRAFT THROMBECTOMY ADJUNCTIVE VEIN CUFF OR AVF HARVEST ARM VEIN COMPOSITE LEG BYPASS GRAFT RE-DO LOWER EXTREMITY BYPASS OTHER MAJOR PERIPHERAL - DEF CAT CREDIT VASC - PERIPH OBSTRUCTIVE VASC - ABDOMINAL OBSTRUCTIVE CELIAC/SMA ENDARTERECTOMY, BYPASS RENAL ENDARTERECTOMY, BYPASS EMBOLECTOMY/THROMBECTOMY, RENAL TRANSLUMINAL BALLOON ANGIOPLASTY, RENAL TRANSLUMINAL ATHERECTOMY, RENAL TRANSCATHETER PLACE OF STENT, RENAL ARTERY VASC - ABDOMINAL OBSTRUCTIVE VASC - UPPER EXTREMITY OPEN BRACHIAL ARTERY EXPOSURE ARM BYPASS, ENDARTERECTOMY, REPAIR TRANSCATH PLACE OF INTRAVASC STENT, NON CORONARY THORACIC OUTLET DECOMPRESSION PROC EMBOLECTOMY/THROMBECTOMY, BY ARM INCISION VASC - UPPER EXTREMITY 2017 Accreditation Council for Graduate Medical Education (ACGME) 5

6 VASC - EXTRA-ANATOMIC AXILLO-FEMORAL BYPASS AXILLO-POPLITEAL-TIBIAL BYPASS FEMORAL-FEMORAL BYPASS VASC - EXTRA-ANATOMIC VASC - THROMBOLYSIS/MECHANICAL THROMBECTOMY TRANSLUMINAL MECHANICAL THROMBECTOMY THROMBOLYSIS, TRANSARTERIAL, TRANSCATHETER EXCHANGE OF THROMBOLYSIS CATHETER VASC - THROMBOLYSIS/MECHANICAL THROMBECTOMY VASC - MISCELLANEOUS ENDOVASCULAR THERAPEUTIC ENDO PLACE OF ILIAC ARTERY OCCLUSION DEV TRANSCATHETER THERAPY, INFUSION NON THROMBOLYSIS TRANSCATHETER RETRIEVAL OF INTRAVASCULAR FOREIGN TRANSCATHETER ARTERIAL OCCLUSION OR EMBOLIZATION TRANSCATHETER PLACE OF WIRELESS SENSOR PRESSSURE MEASUREMENTS FROM WIRELESS SENSOR VASC - MISCELLANEOUS ENDOVASCULAR THERAPEUTIC VASC - TRAUMA EXPOSURE OF THORACIC VESSELS REPAIR THORACIC VESSELS EXPOSURE OF NECK VESSELS REPAIR NECK VESSELS EXPOSURE OF ABDOMINAL VESSELS REPAIR ABDOMINAL VESSELS EXPOSURE OF PERIPHERAL VESSELS REPAIR PERIPHERAL VESSELS FASCIOTOMY VASC - TRAUMA VASC - VENOUS PORTAL-SYSTEMIC SHUNT OPERATION FOR VARICOSE VEINS SCLEROTHERAPY, PERIPH VEIN EMBOLECTOMY/THROMBECTOMY, VENOUS VENA CAVAL INTERRUPTION/FILTER OPERATIONS FOR VENOUS ULCERATION VENOUS RECONSTRUCTION TRANSLUMINAL BALLOON ANGIOPLASTY, VENOUS TRANSLUMINAL MECHANICAL THROMBECTOMY, VENOUS THROMBOLYSIS, TRANSVENOUS, TRANSCATHETER 2017 Accreditation Council for Graduate Medical Education (ACGME) 6

7 EXCHANGE OF THROMBOLYSIS CATHETER INTERRUPTION OF IVC REPAIR A-V MALFORMATION VASC - VENOUS VASC - ENDOVASCULAR DIAGNOSTIC ARTERIOGRAPHY VENOGRAPHY ANGIOSCOPY INTRAVASCULAR ULTRASOUND VASC - ENDOVASCULAR DIAGNOSTIC VASC - MISCELLANEOUS VASCULAR EXPLORATION OF ARTERY POSTOPERATIVE EXP. FOR BLEED, THROMB, INFECT MAJOR VASCULAR LIGATION INJECT PSEUDOANEURYSM SPINE EXPOSURE SYMPATHECTOMY LYMPHATIC PROCEDURE OTHER MISCELLANEOUS VASCULAR PROCEDURE VASC - MISCELLANEOUS VASCULAR VASC - VASCULAR ACCESS A-V FISTULA A-V GRAFT PERCUTANEOUS-OTHER ACCESS REVISION, A-V ACCESS VASC - VASCULAR ACCESS VASC - AMPUTATIONS AMPUTATION, DIGIT AMPUTATION, TRANSMETATARSAL AMPUTATION, BELOW KNEE AMPUTATION, ABOVE KNEE AMPUTATION, UPPER EXTREMITY AMPUTATION CLOSURE, REVISION VASC - AMPUTATIONS ENDOCRINE THYROIDECTOMY, PARTIAL OR TOTAL PARATHYROIDECTOMY ADRENALECTOMY PANCREATIC ENDOCRINE PROC OTHER MAJOR ENDOCRINE ENDOCRINE Accreditation Council for Graduate Medical Education (ACGME) 7

8 HAND SOFT TISSUE REPAIR/GRAFT TENDON REPAIR/TRANSFER NERVE REPAIR VASCULAR REPAIR REPLANTATION OTHER MAJOR HAND HAND THORACIC EXPLOR THORACOTOMY-OPEN EXPLOR THORACOTOMY W/WO BX-THORACOS PLEURODESIS-THORACOSCOPIC REPAIR DIAPH HERNIA EXCISION MEDIASTINAL TUMOR PNEUMONECTOMY LOBECTOMY/SEGMENTAL RESECT LUNG-OPEN LOBECTOMY/SEGMENTAL RESECT LUNG-THORACOS WEDGE RESECTION LUNG-OPEN WEDGE RESECTION LUNG-THORACOSCOPIC THORACIC OUTLET DECOMPRESSION PROC OPEN DRAINAGE OF EMPYEMA PERICARDIECTOMY PERICARD WINDOW FOR DRAINAGE-THORACOSCOP PACEMAKER INSERTION CARDIAC PROCEDURES SYMPATHECTOMY, THORACOLUMBAR-THORACOSCOP ESOPHAGOMYOTOMY (HELLER)-THORACOSCOPIC OTHER MAJOR THORACIC THORACIC PEDIATRIC HERNIORRHAPHY, INGUINAL/UMBILICAL REP BRANCHIAL CLEFT ANOM/THYRO DUCT CYST REPAIR DEFORMITY CHEST WALL REPAIR DIAPHRAGMATIC HERNIA ANTIREFLUX PROCEDURE-OPEN (PEDS) ANTIREFLUX PROCEDURE-LAPAROSCOPIC (PEDS) REP ESOPH ATRESIA/TRACHEO-ESOPH FIST REP INTESTINAL ATRESIA/STENOSIS REPAIR PYLORIC STENOSIS OPERATION FOR MALROTATION/INTUSSUSCEPT PROC FOR MECONIUM ILEUS/NEC ENTEROCOLIT DEFIN OP FOR HIRSCHSPRUNGs/IMPERF ANUS EXC WILMs TUMOR/NEUROBLASTOMA REP OMPHALOCELE/GASTROSCHISIS REPAIR OF EXSTROPHY REPAIR EPI- AND HYPO-SPADIAS ORCHIOPEXY Accreditation Council for Graduate Medical Education (ACGME) 8

9 OTHER MAJOR PEDIATRIC PEDIATRIC GENITO-URINARY HYDROCELECTOMY CYSTOSTOMY CYSTECTOMY NEPHRECTOMY (W/ DONOR NEPH SEE TRANSPLT) ILEAL URINARY CONDUIT OTHER MAJOR GENITO-URINARY OTHER MAJOR GENITO-URINARY - LAP BASIC OTHER MAJOR GENITO-URINARY- LAP COMPLEX GENITO-URINARY GYNECOLOGY HYSTERECTOMY (ALL) SALPINGO-OOPHORECTOMY OTHER MAJOR GYNECOLOGY OTHER MAJOR GYNECOLOGY - LAPAROSCOPIC GYNECOLOGY PLASTIC REPAIR CLEFT LIP/CLEFT PALATE MAJOR RECONSTRUCTIVE PROC SKIN-GRAFTING, NONBURN (ALL) COMPOSITE TISSUE TRANSFER BURN DEBRIDEMENT AND/OR GRAFTING REDUCTION AND STABILIZATION OF MAXILLOFACIAL FRACTURES OTHER MAJOR PLASTIC PLASTIC NERVOUS SYSTEM CRANIAL DECOMPRESSION/EXPLORATION OTHER MAJOR NERVOUS SYSTEM NERVOUS SYSTEM ORTHOPAEDICS OPEN OPERATIONS ON BONE OR JOINTS ARTHROSCOPY OPEN REDUCTION OF OPEN/CLOSED FRACTURE CLOSED REDUCTION OF FRACTURE OTHER MAJOR ORTHOPAEDICS ORTHOPAEDICS 2017 Accreditation Council for Graduate Medical Education (ACGME) 9

10 ORGAN TRANSPLANT LIVER TRANSPLANT RENAL TRANSPLANT PANCREAS TRANSPLANT DONOR NEPHRECTOMY DONOR HEPATECTOMY EN BLOC ABD ORGAN RETRIEVAL OTHER MAJOR ORGAN TRANSPLANT ORGAN TRANSPLANT TRAUMA DRAINAGE SUB/EXTRADURAL HEMATOMA ESOPH TRAUMA-CLOSURE/RESECT/EXCLUSION GASTRIC TRAUMA-CLOSURE/RESECT/EXCLUSION DUODENAL TRAUMA-CLOSURE/RESECT/EXCLUSION SM BOWEL TRAUMA-CLOSURE/RESECT/EXCLUSION COLON TRAUMA-CLOSURE/RESECT/EXCLUSION NECK EXPLOR FOR TRAUMA EXPLOR THORACOTOMY-OPEN EXPLOR THORACOTOMY-THORACOSCOPIC EXPLOR LAPAROTOMY-OPEN EXPLOR LAPAROTOMY - LAPAROSCOPIC SPLENECTOMY/SPLENORRHAPHY-OPEN REPAIR/DRAINAGE HEPATIC LACS-OPEN HEPATIC RESECTION FOR INJURY DRAINAGE PANCREATIC INJURY RESECTION OF PANCREATIC INJURY CLOSED REDUCTION OF FRACTURE DEBRIDE/SUTURE MAJOR WOUNDS REPAIR BLADDER INJURY REPAIR URETERAL INJURY REPAIR/RESECT FOR KIDNEY TRAUMA REP THORAC AORTA, INNOMINATE, SUBCLAVIAN REPAIR OF CAROTID OR OTHER MAJOR NECK VESSELS REPAIR OF ABDOMINAL AORTA OR VENA CAVA REPAIR PERIPHERAL VESSELS FASCIOTOMY FOR INJURY REPAIR OTHER MAJOR VASC INJURY (TR1) MANAGEMENT CARDIAC INJURY OTHER MAJOR TRAUMA TRAUMA ENDOSCOPY (NOT FOR MAJOR CREDIT) LARYNGOSCOPY BRONCHOSCOPY SCLEROTHERAPY/BANDING ESOPH VARICES ESOPHAGO-GASTRO-DUODENOSCOPY PERCUTAN ENDOSCOPIC GASTROSTOMY (PEG) ERCP W/WO PAPILLOTOMY 2017 Accreditation Council for Graduate Medical Education (ACGME) 10

11 SIGMOIDOSCOPY, RIGID/FLEXIBLE FLEXIBLE COLONOSCOPY W/WO BX/POLYPECT CHOLEDOCHOSCOPY CYSTO/URETHROSCOPY OTHER ENDOSCOPY ENDOSCOPY (NOT FOR MAJOR CREDIT) MISCELLANEOUS (NOT FOR MAJOR CREDIT) REMOVAL SKIN MOLES, SMALL TUMORS, ETC REMOVAL SUBCUT SMALL TUMORS, CYSTS, FBs REPAIR MINOR WOUNDS AND GRAFTS BANDING/INCISION THROMBOSED HEMORRHOID ENDORECTAL ULTRASOUND [MISCELLANEOUS] OTHER PROCEDURES MISCELLANEOUS (NOT FOR MAJOR CREDIT) PATIENT CARE (NOT FOR MAJOR CREDIT) NON-OPERATIVE TRAUMA PATIENT CARE (NOT FOR MAJOR CREDIT) SURGICAL CRITICAL CARE PATIENT MANAGEMENT Ventilatory Management: >24hrs on ventilator Bleeding: non-trauma patient > 3 units Hemodynamic instability: req. inotrope/pressor Organ dysfunction: renal, hepatic, cardiac Dysrhythmias: requiring drug management Invasive line, manage/monitor: Swan, Arterial,etc Parenteral/enteral nutrition SURGICAL CRITICAL CARE PATIENT MANAGEMENT CRITICAL CARE (NOT FOR MAJOR CREDIT) CRITICAL CARE OTHER CRITICAL CARE (NOT FOR MAJOR CREDIT) OPHTHALMOLOGY (NOT FOR MAJOR CREDIT) OPHTHALMOLOGY OPHTHALMOLOGY (NOT FOR MAJOR CREDIT) OTOLARYNGOLOGY (NOT FOR MAJOR CREDIT) OTOLARYNGOLOGY OTOLARYNGOLOGY (NOT FOR MAJOR CREDIT) 2017 Accreditation Council for Graduate Medical Education (ACGME) 11

12 UROLOGY (NOT FOR MAJOR CREDIT) UROLOGY UROLOGY (NOT FOR MAJOR CREDIT) NEUROSURGERY (NOT FOR MAJOR CREDIT) NEUROSURGERY NEUROSURGERY (NOT FOR MAJOR CREDIT) GYNECOLOGY (NOT FOR MAJOR CREDIT) GYNECOLOGY GYNECOLOGY (NOT FOR MAJOR CREDIT) RADIOLOGY (NOT FOR MAJOR CREDIT) RADIOLOGY RADIOLOGY (NOT FOR MAJOR CREDIT) ULTRASOUND (NOT FOR MAJOR CREDIT) MISCELLANEOUS ULTRASOUND ULTRASOUND (NOT FOR MAJOR CREDIT) TRAUMA (NOT FOR MAJOR CREDIT) OTHER TRAUMA TRAUMA (NOT FOR MAJOR CREDIT) Non-Tracked Codes Non-Tracked Codes Non-Tracked Codes Summary Major Operations ,332 Endoscopy Miscellaneous Patient Care: Non-Operative Trauma Accreditation Council for Graduate Medical Education (ACGME) 12