According to the AAFP site the following procedures can be performed by a FP. Does anybody know if any FP really does all these?
Privilege List for Family Practice Departments in Hospitals
The AAFP believes that the use of a Privilege List in conjunction with the categorization approach is the most comprehensive method for delineation of privileges. The addition of a listing of specific privilege requests will give the Credentials Committee, and ultimately the Board of Trustees, a better understanding of the scope of family practice training and experience.
Since it is impossible to make a completely comprehensive list of all possible diagnoses and procedural needs which would be applicable across the country, the AAFP recommends that the following Privilege List be used as an outline and reference material for a form which is adapted to meet local needs. The Privilege List is separated by systems rather than the usual "specialty" categories (e.g., pediatrics), which the AAFP considers as arbitrary and not applicable to the continuum of care provided in family practice. The format lists, in alphabetic order, both cognitive and procedural skills involved with the medical care of each system.
Example:
ALIMENTARY
I. Cognitive
A: general medical diagnosis and treatment
R R/C T E C M G D
[] [] [] [] [] [] [] []
II. Procedural
A: anoscopy
R R/C T E C M G D
[] [] [] [] [] [] [] []
The number of items listed under a specific system should also be tailored to meet local needs. Department committees should be aware of the political climate in their community as well as the attitudes of other types of specialists so that the list will include all items which may become problematic if not specifically listed. This is especially true regarding procedural skills.
In utilizing the categorization format in conjunction with the Privilege List, the department may wish to assign certain skills to a specific categorical level. An example would be any disease process considered acutely life threatening or requiring care in the Intensive Care Unit which the department may wish to designate as Category II and III. This, again, will need to be evaluated locally and based on local needs.
APPLICANT SECTION
R: privilege requested: indicates you believe you can properly diagnose and treat this problem
R/C: requested with consultation: indicates you can properly diagnose and treat this problem with consultative assistance and would not manage without such consultation
T: indicates your training background is sufficient to justify granting the requested privilege
E: indicates your experience with the problem is sufficient to justify granting the requested privilege
HOSPITAL SECTION
C: category this privilege is considered at your hospital
M: monitoring required before privilege granted independently
G: privilege granted
D: privilege denied
R R/C T E C M G D
ALIMENTARY SYSTEM
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: anoscopy
B: appendectomy
C: biopsy: simple oral lesion
D: cholecystectomy: open
E: cholecystectomy: laparoscopic
F: colonoscopy:
with biopsy
without biopsy
with polypectomy
without polypectomy
G: endoscopy of peritoneal cavity
H: esophagus: dilation of
I: esophagogastroduodenoscopy:
with biopsy
without biopsy
with PEG placement
J: fissurectomy: anal
K: fistulectomy
L: gastric lavage
M: hemorrhoidectomy: surgical
N: hemorrhoidectomy: banding or infrared
O: hernia: ventral
P: hernia: umbilical
Q: hernia: inguinal
R: hernia: femoral
S: hyperalimentation
T: lips: full thickness laceration repair
U: liver biopsy: fine needle
V: NG tube placement
W: paracentesis: abdominal
X: peritonsillar abscess drainage
Y: pilonidal cyst i/d or excision
Z: polypectomy: rectal
AA: proctosigmoidoscopy:
rigid with biopsy
rigid without biopsy
flexible with biopsy
flexible without biopsy
R R/C T E C M G D
CARDIOVASCULAR SYSTEM
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: arterial line placement
B: arterial puncture/cannulation
C: cardioversion: medical
D: cardioversion: electrical
E: central venous placement & monitoring
F: CPR
G: EKG interpretation
H: myocardial infarction: uncomplicated
I: myocardial infarction: complicated
J: pacemaker: venous/temporary
K: pacemaker: venous/permanent
L: pericardiocentesis
M: stress testing: exercise treadmill
N: stress testing: chemical/nuclear
O: Swan Ganz placement and monitoring
P: temporal artery biopsy
Q: thoracentesis: needle/catheter
R: venipuncture
S: venous cutdown and cannulation
R R/C T E C M G D
CONNECTIVE TISSUE DISEASES
I: Cognitive
A: general medical diagnosis and treatment
R R/C T E C M G D
EAR NOSE AND THROAT
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: abscess of auricle: drainage
B: adenoidectomy
C: cricothyroidotomy
D: epistaxis: anterior/posterior pack
E: endoscopy: with foreign body removal
F: endotracheal: intubation
G: foreign body: ear, nose, throat
H: frenulum release lingual or labial
I: laryngoscopy: direct
J: laryngoscopy: indirect
K: myringotomy and aspiration
L: myringotomy and tube placement
M: nasal fracture: undisplaced
N: oral lesions: biopsy and excision: simple
O: rhinolaryngoscopy: fiberoptic
P: tonsillectomy:
with adenoidectomy
Q: trachael puncture: transcutaneous
R: tracheostomy: elective or emergency
closure of
R R/C T E C M G D
ENDOMETABOLIC SYSTEMS
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: fine needle biopsy: superficial
lymph node or thyroid
R R/C T E C M G D
EYE
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: foreign body removal
B: slit lamp exam
C: tonometry
D: tumors of lid or orbit: biopsy
E: tumors of lid or orbit: excision
R R/C T E C M G D
GENITAL SYSTEM: FEMALE
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: bartholins cyst: drainage or marsupialization
B: biopsy: vulva and vagina
C: cervix: biopsy and polypectomy
D: cervix: cryosurgery
E: culdocentesis
F: colposcopy and biopsy
G: conization of cervix
H: dilatation and curettage
I: endometrial bx/aspiration curettage
J: hymenotomy
K: hysterectomy:
vaginal
abdominal
L: hysterosalpingogram
M. hysteroscopy
N: IUD: insertion/removal
O: laparoscopy
P: LEEP
Q: sub-cutaneous contraceptive device:
insertion/removal
insertion/removal
R: tubal ligation:
laparoscopic
open
S: veneral warts: treatment
T: vulvar abscess: treatment
R R/C T E C M G D
GENITAL SYSTEM: MALE
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: androscopy
B: circumcision: non-infant
C: epididymitis: drainage of abscess/hematoma
D: epididymitis: aspiration of spermatocele
E: hydrocelectomy & spermatocelectomy
F: meatotomy
G: testis: needle biopsy
H: tunica vaginalis: needle aspiration of hydrocele
hydrocele
I: varicocelectomy
J: vasectomy
K: veneral warts: treatment
R R/C T E C M G D
HEMATOLOGIC SYSTEM
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: bone marrow aspiration
B: bone marrow: biopsy
C: lymph node: superficial biopsy or excision
R R/C T E C M G D
HEREDOFAMILIAL DISEASES
I: Cognitive
A: general medical diagnosis and treatment
R R/C T E C M G D
IMMUNE SYSTEM
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: dermal skin testing
R R/C T E C M G D
MUSCULOSKELETAL SYSTEM
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: arthrocentesis
B: carpel tunnel release
C: dislocations: simple/closed reduction
D: dislocations: open reduction
E: extensor tendon repair: simple/primary
F: fracture care: non-operative/non-displaced
G: fracture care: closed reduction
H: fracture care: operative
I: ganglionectomy
J: ganglion: aspiration/drainage
K: hip dislocation: reduction
L: hip fractures: open reduction and treatment
M: i/d abscess
N: injection joint, tendon, or bursa
O: mortons neuroma: removal or injection
P: muscle biopsy
Q: nail matrix destruction
R: nail plate removal
R R/C T E C M G D
NERVOUS SYSTEM
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: burr hole trephination
B: lumbar puncture
R R/C T E C M G D
RENAL SYSTEM
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: aspiration of bladder: suprapubic
B: bladder catheterization
C: circumcision: adult
D: circumcision: infant
E: cystourethroscopy
F: peritoneal dialysis
G: prostate biopsy
H: urethra: dilation of female
dilation of male
R R/C T E C M G D
RESPIRATORY SYSTEM
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: biopsy of lung: needle
B: biopsy of pleura: needle
C: bronchoscopy: flexible
D: bronchoscopy: rigid
E: pulmonary function interpretation
F: respirator management
G: surgical assisting
H: thoracentesis: needle
I: tracheostomy: needle
J: tube thoracostomy (chest tube)
R R/C T E C M G D
SKIN, APPENDAGES, SUBCUTANEOUS TISSUES
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: biopsy skin and subcutaneous
B: breast
pen biopsy
C: breast: needle aspiration of cyst
D: burns: partial; full thickness
E: i/d abscess
F: laceration: simple repair
G: laceration: intermediate repair
H: lymph node excision or biopsy
I: neoplasia of skin: thermal or surgical treatment
J: sebaceous cyst treatment or excision
K: skin biopsy: shave, punch, incisional or excisional
excisional
L: skin graft: minor pinch graft
M: varicose vein surgery
R R/C T E C M G D
SPECIAL PROBLEMS AND SPECIAL POPULATIONS: CHILD
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: alimentary:
appendectomy
EGD
hernia repair
nasogastric intubation
paracentesis: abdomen
proctosigmoidoscopy
pyloric stenosis repair
B: cardiovascular:
CPR
EKG interpretation
exchange transfusion
internal jugular venipuncture
intravenous therapy: neonate
intravenous therapy: infant
intravenous therapy: child
venipuncture, including scalp vein
venous cutdown
C: genito-urinary:
circumcision
orchiopexy
suprapubic bladder tap
D: musculoskeletal:
arthrocentesis
fracture care: simple
E: neonatal care:
full term: uncomplicated
preterm: uncomplicated
full term: complicated
preterm: complicated
attend infant at cesarean section
exchange transfusion
infant intubation
neonatal resuscitation
umbilical artery or vein catheterization
F: nervous system:
lumbar puncture
phototherapy of hyperbilirubinemia
subdural tap
G: respiratory:
chest tube placement
endotracheal intubation
thoracentesis
tracheotomy, tracheostomy
tympanocentesis
H: skin, soft tissue, appendages:
i/d abscess
laceration repair: simple
skin biopsy: punch, shave, incisional, or excisional
I: surgical assist:
cesarean section
surgical assist non-c/s; infant
surgical assist non-c/s; child
R R/C T E C M G D
POISONING
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: poisoning: resuscitation and management
R R/C T E C M G D
VIOLENCE AND DOMESTIC ABUSE
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: sexual assault evaluation
R R/C T E C M G D
EMOTIONAL AND BEHAVIORAL DISORDERS
I: Cognitive
A: general medical diagnosis and treatment
R R/C T E C M G D
OCCUPATIONAL AND ENVIRONMENTAL PROBLEMS
I: Cognitive
A: general medical diagnosis and treatment
R R/C T E C M G D
PREGNANCY, CHILDBIRTH, AND PUERPERIUM
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: abortion: surgical interruption of pregnancy up to 12 weeks
B: abortion: chemical interruption of pregnancy up to 12 weeks
C: amniocentesis
D: cervical laceration repair
E: cesarean section
F: delivery:
uncomplicated; normal cephalic; term
with outlet forceps
normal cephalic; preterm
complicated: breech
complicated; abnormal/compound presentation
multiple delivery
G: dilatation and curettage
H: ectopic pregnancy: medical management
surgical management
I: episiotomy repair: 1st and 2nd degree
J: episiotomy repair: 3rd and 4th degree
K: fetal monitoring
L: fetal scalp pH
M: induction of labor
N: intrauterine demise; management
O: labor: augmentation
P: labor: inhibition of
Q: placenta: abruption
placenta: manual removal
placenta: previa
R: paracervical block
S: pre-eclampsia or eclampsia: management
T: pudendal block
U: regional anesthesia: epidural, spinal or saddle block
V: ultrasound assessment
W: vacuum curettage: incomplete abortion
X: vacuum delivery
R R/C T E C M G D
SPORTS AND RECREATIONAL MEDICINE
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: casting, splinting, and bracing
R R/C T E C M G D
OTHER
I: Cognitive: (specify)
II: Procedural
A: surgical assist
B: other: (specify)
Copyright © 2008 American Academy of Family Physicians
Privilege List for Family Practice Departments in Hospitals
The AAFP believes that the use of a Privilege List in conjunction with the categorization approach is the most comprehensive method for delineation of privileges. The addition of a listing of specific privilege requests will give the Credentials Committee, and ultimately the Board of Trustees, a better understanding of the scope of family practice training and experience.
Since it is impossible to make a completely comprehensive list of all possible diagnoses and procedural needs which would be applicable across the country, the AAFP recommends that the following Privilege List be used as an outline and reference material for a form which is adapted to meet local needs. The Privilege List is separated by systems rather than the usual "specialty" categories (e.g., pediatrics), which the AAFP considers as arbitrary and not applicable to the continuum of care provided in family practice. The format lists, in alphabetic order, both cognitive and procedural skills involved with the medical care of each system.
Example:
ALIMENTARY
I. Cognitive
A: general medical diagnosis and treatment
R R/C T E C M G D
[] [] [] [] [] [] [] []
II. Procedural
A: anoscopy
R R/C T E C M G D
[] [] [] [] [] [] [] []
The number of items listed under a specific system should also be tailored to meet local needs. Department committees should be aware of the political climate in their community as well as the attitudes of other types of specialists so that the list will include all items which may become problematic if not specifically listed. This is especially true regarding procedural skills.
In utilizing the categorization format in conjunction with the Privilege List, the department may wish to assign certain skills to a specific categorical level. An example would be any disease process considered acutely life threatening or requiring care in the Intensive Care Unit which the department may wish to designate as Category II and III. This, again, will need to be evaluated locally and based on local needs.
APPLICANT SECTION
R: privilege requested: indicates you believe you can properly diagnose and treat this problem
R/C: requested with consultation: indicates you can properly diagnose and treat this problem with consultative assistance and would not manage without such consultation
T: indicates your training background is sufficient to justify granting the requested privilege
E: indicates your experience with the problem is sufficient to justify granting the requested privilege
HOSPITAL SECTION
C: category this privilege is considered at your hospital
M: monitoring required before privilege granted independently
G: privilege granted
D: privilege denied
R R/C T E C M G D
ALIMENTARY SYSTEM
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: anoscopy
B: appendectomy
C: biopsy: simple oral lesion
D: cholecystectomy: open
E: cholecystectomy: laparoscopic
F: colonoscopy:
with biopsy
without biopsy
with polypectomy
without polypectomy
G: endoscopy of peritoneal cavity
H: esophagus: dilation of
I: esophagogastroduodenoscopy:
with biopsy
without biopsy
with PEG placement
J: fissurectomy: anal
K: fistulectomy
L: gastric lavage
M: hemorrhoidectomy: surgical
N: hemorrhoidectomy: banding or infrared
O: hernia: ventral
P: hernia: umbilical
Q: hernia: inguinal
R: hernia: femoral
S: hyperalimentation
T: lips: full thickness laceration repair
U: liver biopsy: fine needle
V: NG tube placement
W: paracentesis: abdominal
X: peritonsillar abscess drainage
Y: pilonidal cyst i/d or excision
Z: polypectomy: rectal
AA: proctosigmoidoscopy:
rigid with biopsy
rigid without biopsy
flexible with biopsy
flexible without biopsy
R R/C T E C M G D
CARDIOVASCULAR SYSTEM
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: arterial line placement
B: arterial puncture/cannulation
C: cardioversion: medical
D: cardioversion: electrical
E: central venous placement & monitoring
F: CPR
G: EKG interpretation
H: myocardial infarction: uncomplicated
I: myocardial infarction: complicated
J: pacemaker: venous/temporary
K: pacemaker: venous/permanent
L: pericardiocentesis
M: stress testing: exercise treadmill
N: stress testing: chemical/nuclear
O: Swan Ganz placement and monitoring
P: temporal artery biopsy
Q: thoracentesis: needle/catheter
R: venipuncture
S: venous cutdown and cannulation
R R/C T E C M G D
CONNECTIVE TISSUE DISEASES
I: Cognitive
A: general medical diagnosis and treatment
R R/C T E C M G D
EAR NOSE AND THROAT
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: abscess of auricle: drainage
B: adenoidectomy
C: cricothyroidotomy
D: epistaxis: anterior/posterior pack
E: endoscopy: with foreign body removal
F: endotracheal: intubation
G: foreign body: ear, nose, throat
H: frenulum release lingual or labial
I: laryngoscopy: direct
J: laryngoscopy: indirect
K: myringotomy and aspiration
L: myringotomy and tube placement
M: nasal fracture: undisplaced
N: oral lesions: biopsy and excision: simple
O: rhinolaryngoscopy: fiberoptic
P: tonsillectomy:
with adenoidectomy
Q: trachael puncture: transcutaneous
R: tracheostomy: elective or emergency
closure of
R R/C T E C M G D
ENDOMETABOLIC SYSTEMS
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: fine needle biopsy: superficial
lymph node or thyroid
R R/C T E C M G D
EYE
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: foreign body removal
B: slit lamp exam
C: tonometry
D: tumors of lid or orbit: biopsy
E: tumors of lid or orbit: excision
R R/C T E C M G D
GENITAL SYSTEM: FEMALE
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: bartholins cyst: drainage or marsupialization
B: biopsy: vulva and vagina
C: cervix: biopsy and polypectomy
D: cervix: cryosurgery
E: culdocentesis
F: colposcopy and biopsy
G: conization of cervix
H: dilatation and curettage
I: endometrial bx/aspiration curettage
J: hymenotomy
K: hysterectomy:
vaginal
abdominal
L: hysterosalpingogram
M. hysteroscopy
N: IUD: insertion/removal
O: laparoscopy
P: LEEP
Q: sub-cutaneous contraceptive device:
insertion/removal
insertion/removal
R: tubal ligation:
laparoscopic
open
S: veneral warts: treatment
T: vulvar abscess: treatment
R R/C T E C M G D
GENITAL SYSTEM: MALE
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: androscopy
B: circumcision: non-infant
C: epididymitis: drainage of abscess/hematoma
D: epididymitis: aspiration of spermatocele
E: hydrocelectomy & spermatocelectomy
F: meatotomy
G: testis: needle biopsy
H: tunica vaginalis: needle aspiration of hydrocele
hydrocele
I: varicocelectomy
J: vasectomy
K: veneral warts: treatment
R R/C T E C M G D
HEMATOLOGIC SYSTEM
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: bone marrow aspiration
B: bone marrow: biopsy
C: lymph node: superficial biopsy or excision
R R/C T E C M G D
HEREDOFAMILIAL DISEASES
I: Cognitive
A: general medical diagnosis and treatment
R R/C T E C M G D
IMMUNE SYSTEM
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: dermal skin testing
R R/C T E C M G D
MUSCULOSKELETAL SYSTEM
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: arthrocentesis
B: carpel tunnel release
C: dislocations: simple/closed reduction
D: dislocations: open reduction
E: extensor tendon repair: simple/primary
F: fracture care: non-operative/non-displaced
G: fracture care: closed reduction
H: fracture care: operative
I: ganglionectomy
J: ganglion: aspiration/drainage
K: hip dislocation: reduction
L: hip fractures: open reduction and treatment
M: i/d abscess
N: injection joint, tendon, or bursa
O: mortons neuroma: removal or injection
P: muscle biopsy
Q: nail matrix destruction
R: nail plate removal
R R/C T E C M G D
NERVOUS SYSTEM
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: burr hole trephination
B: lumbar puncture
R R/C T E C M G D
RENAL SYSTEM
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: aspiration of bladder: suprapubic
B: bladder catheterization
C: circumcision: adult
D: circumcision: infant
E: cystourethroscopy
F: peritoneal dialysis
G: prostate biopsy
H: urethra: dilation of female
dilation of male
R R/C T E C M G D
RESPIRATORY SYSTEM
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: biopsy of lung: needle
B: biopsy of pleura: needle
C: bronchoscopy: flexible
D: bronchoscopy: rigid
E: pulmonary function interpretation
F: respirator management
G: surgical assisting
H: thoracentesis: needle
I: tracheostomy: needle
J: tube thoracostomy (chest tube)
R R/C T E C M G D
SKIN, APPENDAGES, SUBCUTANEOUS TISSUES
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: biopsy skin and subcutaneous
B: breast
pen biopsy C: breast: needle aspiration of cyst
D: burns: partial; full thickness
E: i/d abscess
F: laceration: simple repair
G: laceration: intermediate repair
H: lymph node excision or biopsy
I: neoplasia of skin: thermal or surgical treatment
J: sebaceous cyst treatment or excision
K: skin biopsy: shave, punch, incisional or excisional
excisional
L: skin graft: minor pinch graft
M: varicose vein surgery
R R/C T E C M G D
SPECIAL PROBLEMS AND SPECIAL POPULATIONS: CHILD
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: alimentary:
appendectomy
EGD
hernia repair
nasogastric intubation
paracentesis: abdomen
proctosigmoidoscopy
pyloric stenosis repair
B: cardiovascular:
CPR
EKG interpretation
exchange transfusion
internal jugular venipuncture
intravenous therapy: neonate
intravenous therapy: infant
intravenous therapy: child
venipuncture, including scalp vein
venous cutdown
C: genito-urinary:
circumcision
orchiopexy
suprapubic bladder tap
D: musculoskeletal:
arthrocentesis
fracture care: simple
E: neonatal care:
full term: uncomplicated
preterm: uncomplicated
full term: complicated
preterm: complicated
attend infant at cesarean section
exchange transfusion
infant intubation
neonatal resuscitation
umbilical artery or vein catheterization
F: nervous system:
lumbar puncture
phototherapy of hyperbilirubinemia
subdural tap
G: respiratory:
chest tube placement
endotracheal intubation
thoracentesis
tracheotomy, tracheostomy
tympanocentesis
H: skin, soft tissue, appendages:
i/d abscess
laceration repair: simple
skin biopsy: punch, shave, incisional, or excisional
I: surgical assist:
cesarean section
surgical assist non-c/s; infant
surgical assist non-c/s; child
R R/C T E C M G D
POISONING
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: poisoning: resuscitation and management
R R/C T E C M G D
VIOLENCE AND DOMESTIC ABUSE
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: sexual assault evaluation
R R/C T E C M G D
EMOTIONAL AND BEHAVIORAL DISORDERS
I: Cognitive
A: general medical diagnosis and treatment
R R/C T E C M G D
OCCUPATIONAL AND ENVIRONMENTAL PROBLEMS
I: Cognitive
A: general medical diagnosis and treatment
R R/C T E C M G D
PREGNANCY, CHILDBIRTH, AND PUERPERIUM
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: abortion: surgical interruption of pregnancy up to 12 weeks
B: abortion: chemical interruption of pregnancy up to 12 weeks
C: amniocentesis
D: cervical laceration repair
E: cesarean section
F: delivery:
uncomplicated; normal cephalic; term
with outlet forceps
normal cephalic; preterm
complicated: breech
complicated; abnormal/compound presentation
multiple delivery
G: dilatation and curettage
H: ectopic pregnancy: medical management
surgical management
I: episiotomy repair: 1st and 2nd degree
J: episiotomy repair: 3rd and 4th degree
K: fetal monitoring
L: fetal scalp pH
M: induction of labor
N: intrauterine demise; management
O: labor: augmentation
P: labor: inhibition of
Q: placenta: abruption
placenta: manual removal
placenta: previa
R: paracervical block
S: pre-eclampsia or eclampsia: management
T: pudendal block
U: regional anesthesia: epidural, spinal or saddle block
V: ultrasound assessment
W: vacuum curettage: incomplete abortion
X: vacuum delivery
R R/C T E C M G D
SPORTS AND RECREATIONAL MEDICINE
I: Cognitive
A: general medical diagnosis and treatment
II: Procedural
A: casting, splinting, and bracing
R R/C T E C M G D
OTHER
I: Cognitive: (specify)
II: Procedural
A: surgical assist
B: other: (specify)
Copyright © 2008 American Academy of Family Physicians
