URBAN RESIDENCY PROGRAM PROCEDURAL SKILLS LOG BOOK NAME: DIVISION:

URBAN RESIDENCY PROGRAM PROCEDURAL SKILLS LOG BOOK NAME: DIVISION:

Procedures This list is provided as a guide to most of the procedures you might be exposed to during your training. There is no expectation that you become competent in every single one of these procedures - the information recorded in this log book is used to help your preceptor or division director make an overall decision about the EPA Demonstrate the general key features for procedural skills.this is based on exposure to a range of procedures and the DOPs forms completed. 1. Integumentary Procedures 1.1. Abscess incision and drainage 1.2. Wound debridement 1.3. Insertion of sutures; simple, mattress, and subcuticular 1.4. Laceration repair; suture and gluing 1.5. Skin biopsy; shave, punch, and excisional 1.6. Excision of dermal lesions, e.g., papilloma, nevus, or cyst 1.7. Cryo-therapy of skin lesions 1.8. Electro-cautery of skin lesions 1.9. Skin scraping for fungus determination 1.10. Use of Wood s lamp 1.11. Release sub-ungual hematoma 1.12. Drainage acute paronychia 1.13. Partial toenail removal 1.14. Wedge excision for ingrown toenail 1.15. Removal of foreign body, e.g., fish hook, splinter, or glass 1.16. Pare skin callus 1.17. Excise Skin Carcinoma 1.18. Remove Entire Toenail 2. Local Anesthetic Procedures 2.1. Infiltration of local anesthetic 2.2. Digital block in finger or toe 3. Eye Procedures 3.1. Instillation of fluorescein 3.2. Slit lamp examination 3.3. Removal of corneal or conjunctival foreign body 3.4. Application of eye patch 3.5. Remove Corneal Rust Ring 4. Ear Procedures 4.1. Removal of cerumen 4.2. Removal of foreign body 5. Nose Procedures + Other ENT 5.1. Removal of foreign body 5.2. Cautery for anterior epistaxis 5.3. Anterior nasal packing 5.4. Indirect Laryngoscopy 5.5. Lingual Frenotomy 5.6. Posterior Nasal Packing 6. Genitourinary, Obstetrical and Women s Health Procedures 6.1. Placement of transurethral catheter 6.2. Cryotherapy or chemical therapy genital warts 6.3. Aspirate breast cyst 6.4. Pap smear 6.5. Diaphragm fitting and insertion 6.6. Insertion of intrauterine device 6.7. Endometrial aspiration biopsy 6.8. Cervical Polypectomy 6.9. New born Circumcision 6.10. Vasectomy 6.11. Basic Obstetrical Ultrasound 6.12. Wet and KOH Preparation 6.13. Marsupialization of Bartolini s cyst 6.14. Dilation and Curettage 7. Musculoskeletal Procedures 7.1. Splinting of injured extremities 7.2. Application of sling upper extremity 7.3. Reduction of dislocated finger 7.4. Reduce dislocated radial head (pulled elbow) 7.5. Reduce dislocated shoulder 7.6. Application of forearm cast 7.7. Application of ulnar gutter splint 7.8. Application of scaphoid cast 7.9. Application of below-knee cast 7.10. Aspiration and injection, knee joint 7.11. Aspiration and injection, shoulder joint 7.12. Injection of lateral epicondyle (tennis elbow) 7.13. Aspiration and injection of bursae, e.g., patellar, subacromial 7.14. Basic MSK Ultrasound 7.15. Tendon Repair Hand 8. Resuscitation Procedures 8.1. Oral airway insertion 8.2. Bag-and-mask ventilation 8.3. Endotracheal intubation 8.4. Cardiac defibrillation 8.5. Basic Thoracic Ultrasound 8.6. Chest Tube Insertion 8.7. Paediatric Intubation 8.8. Chest Tube Placement 9. Injections and Cannulations 9.1. Intramuscular injection 9.2. Subcutaneous injection 9.3. Intradermal injection 9.4. Venipuncture 9.5. Peripheral intravenous line; adult and child 9.6. Peripheral venous access infant 9.7. Adult lumbar puncture 9.8. Infant lumbar puncture 9.9. Central Venous Cannulation 9.10. Paracentesis 9.11. Peritoneal Lavage 9.12. Thoracentesis 9.13. Botox Injections for Migraines 9.14. Thoracentesis 10. Gastrointestinal 10.1. External Hemorrhoidectomy 10.2. Basic Abdominal Ultrasound 10.3. Flexible Sigmoidoscopy 10.4. Nasogastric tube insertion 10.5. Anoscopy/ proctoscopy 10.6. Incise and drain thrombosed external hemorrhoid 1/4

Simulation Witnessed preceptor s Assisted in Performed Independentl y DOPs form completed (Y/N) Please use the space provided to record the procedure, date and indicate with an x your level of involvement as well as Y/N if a DOPs form has been completed for the procedure. Procedure Date 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 2/4

Simulation Witnessed preceptor s Assisted in Performed Independentl y DOPs form completed (Y/N) Procedure Date 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 3/4

Simulation Witnessed preceptor s Assisted in Performed Independentl y DOPs form completed (Y/N) Procedure Date 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 4/4

Supervising Preceptor name: Clinical setting: Patient gender: Procedure: Direct Observation of Procedural Skills (DOPS) Tool This form is to be completed by the Supervising Preceptor Date: Patient initials: Patient age: Based on your observation of the Resident carrying out the procedure please comment on the Resident s in relation to each of the following: Demonstrates understanding of indications, relevant anatomy and technique of procedure Obtains informed consent (explains the risks, benefits and alternatives to the patient) Demonstrates appropriate pre-procedure preparation Uses appropriate analgesia/anaesthesia (if not needed please indicate N/A ) Demonstrates appropriate technical ability Seeks help where appropriate Provided adequate postprocedure instructions to the patient Communicates effectively and appropriately with patient/cares etc Is considerate of patient Overall assessment of ability to carry out procedure (please check one): o Unable to assess o May perform under full, pro-active supervision of Preceptor o May perform under qualified, reactive supervision by Preceptor-Resident asks for help if needed o May perform independently and without supervision o May supervise others carrying out procedure Assessor signature: Resident signature: Date: