Old Procedure Name* New Procedure Name* Core* Comment* Standardize*
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1 _OTHER/unlisted (see comment) _OTHER/unlisted (see comment) X No change No ACL repair, arthroscopic ACL repair, arthroscopic X No change No ACLS protocol (CPR, Code Blue) ACLS A1 Renamed Yes Amniocentesis Amniocentesis B No change Yes Amnioinfusion Amnioinfusion A1 No change Yes Amniotomy AROM (Amniotomy) A1 Renamed Yes Anoscopy Anoscopy A1 No change Yes Appendectomy, laparoscopic Appendectomy, laparoscopic C No change No Appendectomy, open Appendectomy, open C No change No Arterial Blood Gas Arterial Blood Gas (ABG) X Renamed Yes Arterial line, femoral Arterial line A2 Renamed Yes Arterial line, radial Arterial line A2 Renamed Yes Arthroscopy (see comment for Arthroscopy (see comment for X No change No ATLS (trauma) protocol ATLS A1 Renamed Yes Bladder catheterization (Foley) Bladder Cathter (Foley) A0 Renamed Yes Bladder catheterization, pediatric/neonatal Bladder Cathter (Foley) A0 Renamed Yes Bladder irrigation Bladder irrigation X No change No Bladder suspension Bladder suspension X No change No Bone marrow biopsy Bone marrow biopsy B No change Yes Breast biopsy (needle) Breast biopsy (needle/fna) A1 Renamed Yes Breast biopsy (open) Breast biopsy (open) B No change Yes Breast cyst aspiration Breast biopsy (needle/fna) A1 Renamed Yes Breech ECV Breech external cephalic version (ECV) B Renamed Yes Bronchoscopy, diagnostic Bronchoscopy, diagnostic C No change No Page 46 of 145
2 Cardiac catheterization Cardiac catheterization X No change No Cardioversion Cardioversion B No change Yes Carpal tunnel injection Carpal tunnel injection X No change No Carpal tunnel release Carpal tunnel release X No change No Cast, long arm Cast-long arm A2 Renamed Yes Cast, long leg Cast-long leg A2 Renamed Yes Cast, short arm Cast-short arm A2 Renamed Yes Cast, short leg walker Cast-short leg walker A2 Renamed Yes Casting, other (see comment for See Comment A2 Rename or archive? Yes Cataract removal/iol placement Cataract removal/iol placement X No change No Central venous line, femoral Central line A2 Renamed Yes Central venous line, internal jugular Central line A2 Renamed Yes Central venous line, subclavian Central line A2 Renamed Yes Cervical polyp biopsy/removal Cervical polyp - remove A1 Renamed Yes Chest tube insertion, adult Chest tube B Renamed Yes Chest tube insertion, pediatric/neonatal Chest tube B Renamed Yes Cholecystectomy, laparoscopic Cholecystectomy, laparoscopic X No change No Cholecystectomy, open Cholecystectomy, open X No change No Circumcision, neonatal, clamp Circumcision A1 Renamed Yes Colectomy, partial Colectomy, partial X No change No Colectomy, total Colectomy, total X No change No Colonoscopy, diagnostic Colonoscopy A2 Renamed Yes Colonoscopy, with biopsy Colonoscopy A2 Renamed Yes Colonoscopy-with control hemorrage Colonoscopy A2 Renamed Yes Page 47 of 145
3 Colonoscopy-with foreign body removal Colonoscopy A2 Renamed Yes Colonoscopy-with polypectomy Colonoscopy A2 Renamed Yes Colonoscopy-with snare polypectomy Colonoscopy A2 Renamed Yes Colposcopy (no biopsy) Colposcopy A2 Renamed Yes Colposcopy (with biopsy) Colposcopy A2 Renamed Yes Community assessment/inventory Community assessment/inventory X No change No Community practicum Community practicum X No change No Conization, cervical, cold-knife Conization, cervical, cold-knife X No change No Conscious sedation Conscious sedation A2 No change Yes Continuity OB patient (from FPMC) See Comment X Rename or archive? No Craniotomy Craniotomy X No change No Cryotherapy cervix Cryotherapy - cervix A2 Renamed Yes C-section & hysterectomy See Comment B Rename or archive? Yes C-section, classical C-Section - primary - classic B Renamed Yes C-section, primary, low transverse C-Section - primary - low transverse B Renamed Yes C-section, repeat, low transverse C-Section - repeat - low transverse B Renamed Yes Cyrotherapy skin (see comment for Cryotherapy - skin lesion A1 Renamed Yes Cystoscopy, diagnostic Cystoscopy, diagnostic X No change No D&C D & C A2 Renamed Yes D&E D & E A2 Renamed Yes Delivery, breech vaginal Breech vag deliv X Possible rename No Delivery, forceps-assisted vaginal Forceps outlet B Possible rename Yes Delivery, normal spontaneous vaginal SVD A1 Renamed Yes Delivery, twins, vaginal Multiple gest (Manage) C Possible rename Maybe Page 48 of 145
4 Delivery, vacuum-assisted vaginal Vac assist vaginal delivery A1 Renamed Yes Delivery, VBAC VBAC X Possible rename No Destruction skin lesion, chemical (see comment for Destruction skin lesion, chemical (see comment for X No change No Diaphragm fitting Diaphragm fitting A0 No change Yes Digital block Digital block A1 No change Yes ECG with interpretation ECG interpretation A0 Renamed Yes Echocardiogram, transesophageal Echocardiogram, transesophageal X No change No Echocardiogram, transthoracic Echocardiogram, transthoracic X No change No EGD with biopsy EGD B Renamed Yes EGD with control hemorrage EGD B Renamed Yes EGD with dilation of esophagus EGD B Renamed Yes EGD with foreign body removal EGD B Renamed Yes EGD, diagnostic, to duodenum EGD B Renamed Yes Electrophysiologic study Electrophysiologic study X No change No Endometrial biopsy Endometrial biopsy A1 No change Yes ERCP ERCP X No change No Excision benign skin lesion (see comment Skin excision A1 Renamed Yes for Excision malignant skin lesion (see See Comment X Rename or archive? No comment for External pacing External pacing X No change No Feeding tube placement Nasogastric tube A0 Renamed Yes Fine Needle Aspiration Fine Needle Aspiration (non-breast) A1 Renamed Yes Foreign body removal, conjunctiva Foreign Body Removal - Eye A1 Renamed Yes Page 49 of 145
5 Foreign body removal, cornea, no slit lamp Foreign Body Removal - Eye A1 Renamed Yes Foreign body removal, ear Foreign Body Removal - Ear A0 Renamed Yes Foreign body removal, nose Foreign Body Removal - Nose A0 Renamed Yes Foreign body removal, other (see Foreign Body Removal - Other X Renamed Yes comments) Ganglion cyst/ Bursa/ Small joint Joint aspirate/inject A1 Renamed Yes aspiration/ injection Hemorrhoid banding Hemorrhoid banding X No change No Hemorrhoid, thrombosed, excision Hemorrhoid excision A1 Renamed Yes Hernia repair, inguinal (see comment for Hernia repair, inguinal (see comment for X No change No Hernia repair, other (see comment for Hernia repair, other (see comment for X No change No Hip replacement, total Hip replacement, total X No change No Home Visit Home Visit X No change Yes Hysterectomy, total abdominal Hysterectomy X Possible rename No Hysterectomy, vaginal Hysterectomy X Possible rename No Hysteroscopy, diagnostic Hysteroscopy, diagnostic C No change No Hysterosonography Hysterosonography X No change No I&D abscess (see comment for site) See Comment X Rename or archive? Yes I&D Bartholin's abscess Bartholin s cyst management A1 Renamed Yes I&D peritonsillar abscess I & D - peritonsillar abcess B Renamed Yes ICU (adult) management Med. Manage- intnsv care (ICU/PICU/NICU/SICU) A1 Renamed Yes Ileostomy repair Ileostomy repair X No change No Internal Medicine inpatient management Medical Management-non ICU A1 Renamed Yes Intra-aortic balloon pump Intra-aortic balloon pump X No change No Page 50 of 145
6 Intralesional injection (see comment for Intralesional injection (see comment for X No change No Intraosseous line Intraosseous IV A2 Renamed Yes Intubation, endotracheal, adult Intubation-adult A2 Renamed Yes Intubation, endotracheal, pediatric/neonatal Intubation-child A2 Renamed Yes IUD insertion IUD insertion A1 Renamed Yes IUD removal IUD removal X No change No IUPC insertion IU press. catheter A1 Renamed Yes IV placement, peripheral IV placement A0 Renamed Yes Joint aspiration/ injection, elbow Joint aspirate/inject A1 Renamed Yes Joint aspiration/ injection, knee Joint aspirate/inject A1 Renamed Yes Joint aspiration/ injection, other (see Joint aspirate/inject A1 Renamed Yes comment for Joint aspiration/ injection, shoulder Joint aspirate/inject A1 Renamed Yes Labor augmentation Labor augmentation A1 No change Yes Labor induction Labor induction A1 No change Yes Labor management, complicated Labor Management (No Delivery) A1 Renamed Yes Labor management, uncomplicated Labor Management (No Delivery) A1 Renamed Yes Laceration repair, complex/layered (see Laceration repair - skin A1 Renamed Yes comment for Laceration repair, simple (see comment for Laceration repair - skin A1 Renamed Yes Laparoscopy, diagnostic Laparoscopy, diagnostic C No change No Laparotomy, exploratory Laparotomy, exploratory C No change No LEEP/LETZ with colposcopy LEEP B Renamed Yes LEEP-conization of cervix LEEP B Renamed Yes Page 51 of 145
7 Lithotripsy (ESWL) Lithotripsy (ESWL) X No change No Liver biopsy, percutaneous Liver biopsy, percutaneous X No change No Lumbar puncture, adult LP A1 Renamed Yes Lumbar puncture, pediatric/neonatal LP A1 Renamed Yes Lung biopsy, transthoracic needle Lung biopsy, transthoracic needle X No change No Management of simple fractures and Fracture management - simple reduction A1 Renamed Yes dislocations Manual removal of placenta Manual placenta extraction A2 Renamed Yes Mastectomy Mastectomy X No change No Nasal packing Nasal Pack - Epistaxis A1 Renamed Yes Nasopharyngoscopy, flexible, direct Naso scope B Renamed Yes Neonatal exam, initial Neonatal exam, initial X No change No Neonatal resuscitation (PPV or CPR) Resuscitation-newborn A1 Renamed Yes Nephrectomy Nephrectomy X No change No NG tube placement Nasogastric tube A0 Renamed Yes NICU management Med. Manage- intnsv care (ICU/PICU/NICU/SICU) A1 Renamed Yes Norplant insertion Implanon insert/remove B Change to more generic Yes "contraceptive insert/remove"? Norplant removal Implanon insert/remove B Change to more generic Yes "contraceptive insert/remove"? NST interpretation Non stress test (NST/fetal monitoring) A1 Renamed Yes Nursing Home Visit Nursing Home Visit X No change Yes OCT/CST interpretation OCT/CST interpretation X No change No ORIF fracture (see comment for ORIF fracture (see comment for X No change No PA (Swan-Ganz) catheter management/hemodynamics Swan-Ganz catheter placement B Renamed Yes Page 52 of 145
8 PA (Swan-Ganz) catheter placement Swan-Ganz catheter placement B Renamed Yes Pacemaker insertion, permanent Pacemaker insertion, permanent X No change No Pacemaker insertion, temporary, Pacemaker insertion, temporary, transvenous X No change No transvenous PALS protocol (CPR, Code Blue), pediatric PALS A1 Renamed Yes Paracentesis, adult Paracentesis A2 Renamed Yes Parathyroidectomy Parathyroidectomy X No change No Parenteral nutrition management Parenteral nutrition management X No change No Pediatric inpatient management Medical Management-non ICU A1 Renamed Yes PEG tube placement with EGD PEG tube placement with EGD X No change No PICU management Med. Manage- intnsv care (ICU/PICU/NICU/SICU) A1 Renamed Yes Plantar fascia injection Plantar fascia injection X No change No Pregnancy Termination Pregnancy Termination X No change No Prostatectomy, radical Prostatectomy, radical X No change No Psychiatric diagnostic interview Psychiatric diagnostic interview X No change No Psychiatric diagnostic interview-alternative communication method Psychological testing review & interpretation Psychiatric diagnostic interview-alternative communication method X No change No Psychological testing review & interpretation X No change No Pudendal nerve block Pudendal nerve block X No change No Punch biopsy Skin biopsy - punch A1 Renamed Yes Reduction other dislocation (see comment See Comment X Rename or archive? Yes for Reduction shoulder dislocation, closed Dislocated joint - reduced (shoulder) A2 Renamed Yes Repair 1st deg laceration Laceration - repair 1st degree A1 Renamed Yes Repair 2nd deg laceration Laceration - repair 2nd degree A1 Renamed Yes Page 53 of 145
9 Repair 3rd deg laceration Laceration - repair 3rd degree A2 Renamed Yes Repair 4th deg laceration Laceration - repair 4th degree A2 Renamed Yes Repair Cervical laceration Repair Cervical laceration X No change No Repair Periurethral laceration Laceration - repair periurethral A1 Renamed Yes Rotator cuff repair Rotator cuff repair X No change No Salpingectomy, complete or partial Salpingectomy, complete or partial X No change No Salpingostomy Salpingostomy X No change No Scalp electrode application, fetal Fetal scalp electrode A1 Renamed Yes Sclerotherapy Sclerotherapy A2 Need to be more specific? Yes Shave excision (see comment for Skin biopsy - shave A1 Renamed Yes Shoulder replacement, total Shoulder replacement, total X No change No Sigmoidoscopy, flexible, diagnostic Sigmoidoscopy A2 Renamed Yes Sigmoidoscopy, flexible, with biopsy Sigmoidoscopy w/ biopsy A2 Renamed Yes Slit lamp examination Slit lamp examination A2 No change Yes Splenectomy, total Splenectomy, total X No change No Splinting (see comment for See Comment A1 Rename or archive? Yes Stress test, EKG-exercise (treadmill) Treadmill Stress Test B Renamed Yes Subungual hematoma evacuation Subungual hematoma evacuation X No change No Tar Wars teaching Tar Wars teaching X No change No Tendon sheath injection (see comment for Tendon sheath injection (see comment for X No change No Thoracentesis, adult Thoracentesis A2 Renamed Yes Thyroid lobectomy, unilateral Thyroid lobectomy, unilateral X No change No Thyroidectomy, total Thyroidectomy, total X No change No Toenail removal, complete Toenail excision A1 Renamed Yes Page 54 of 145
10 Toenail wedge resection Toenail excision A1 Renamed Yes Tonometry Tonometry X No change No Tonsillectomy Tonsillectomy C No change No Tubal ligation, interval Tubal-Interval B Renamed Yes Tubal ligation, postpartum Tubal-Postpartum B Renamed Yes TURP TURP X No change No Tympanocentesis (myringotomy) Tympanocentesis (myringotomy) X No change No Ultrasound, obstetrical (see comment for See Comment X Rename or archive? Yes Umbilical arterial line Umbilical artery/vein catheterization A2 Renamed Yes Umbilical venous line Umbilical artery/vein catheterization A2 Renamed Yes Urethral dilatation Urethral dilatation X No change No Urography, retrograde Urography, retrograde X No change No Vaginal biopsy Vaginal biopsy X No change No Vasectomy Vasectomy A2 No change Yes Ventilating (PE) tube placement Ventilating (PE) tube placement X No change No Ventilating (PE) tube removal Ventilating (PE) tube removal X No change No Ventilator management, adult, initiation Ventilator management A2 Renamed Yes Ventilator management, adult, subsequent Ventilator management A2 Renamed Yes Ventilator management, peds/neo, initiation Ventilator management A2 Renamed Yes Ventilator management, peds/neo, Ventilator management A2 Renamed Yes subsequ. Vulvar biopsy Vulvar biopsy X No change No Word catheter placement/bartholin's cyst Bartholin s cyst management A1 Renamed Yes xsvdw / ME (OLD-DO NOT USE) See Comment A1 Rename or archive? Yes Page 55 of 145
11 Note: The procedure names above are all the names used by all UW FMRN programs. Column headers definitions: Old Procedure Name is what the procedure is currently called in New Innovations New Procedure Name is the proposed new name Core refers to "core" or "advanced" procedures as follows: [for more information see the article by Kelly B, et al. Advanced Procedural Training in Family Medicine: A Group Consensus Statement. Fam Med 2009;41(6): ] A0 = All residents must be able to perform, but documentation not required (core) A1 = All residents must be able to perform independently by graduation (core) A2 = All residents must be exposed to and have the opportunity to train to independent performance (core) B = Require focused training in residency (advanced) C = May require additional training beyond residency or fellowship X = not "core" or "advanced" as defined in the article, but UWFMRN program directors want to track / report some of these numbers as a network. Standardize indicates whether or not this would be changed - if "Yes," it would be changed. If "No," it would remain the same. Page 56 of 145
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