Procedural Skills Sets
Depending upon where you see your self in practice after residency training the skill set that you need to develop in training as an “Advanced Family Physician will vary.
Procedural Training should be a part of every Family Medicine resident’s training.
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 the ‘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 will 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 expertice)
- Full Spectrum General Surgery skills (without these skills they are otherwise unavailable to these populations)
- General Urology
- Orthopedics
- Diagnostic Procedures:
- Echocardiography
- Ultrasound (OB, Abdominal, and Pelvis)
Are you cut out for “Advanced Family Medicine”?
- It’s a mindset.
- It’s a philosophy.
- It requires courage and hard work.