Procedures as an IM intern

[sluggo]

How many of each procedure (LP, thoracentesis, paracentesis,A-lines, Central lines, arthrocentesis) do you get as an intern at various programs?

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[JackBauERfan]

How many of each procedure (LP, thoracentesis, paracentesis,A-lines, Central lines, arthrocentesis) do you get as an intern at various programs?

I think this is very dependent on the person. I've talked to multiple friends and I did a preliminary medicine year in a community type hospital (of course that had an IM residency).

I got a ton of procedures, but I actively looked for them and after the first few in each type and after attendings feel comfortable with you, you can exponentially get more.

The procedures are usually there at any program, its part of the requirements to be a residency, but to get a lot depends on the aggressiveness of the resident.

And now that I'm in EM, its the same way with residents where I am, there are some that are more aggressive and confident so they do more of em, or just know where to look for them.

 

[Hernandez]

As above, it's all about making it known that you actually want to be the type of internist who can perform these procedurese and has no need to farm them out to rads.

 

[adam6]

Just remember, while programs are supposed to make procedures available (per ACGME/RRC guidelines), for current IM residents only 4 procedures are mandatory: IV placement, venous blood draw, ABGs, and PAPs. With the continued trend of procedures going to IR/fluoro, etc...it becomes even more important for housestaff to be aggressive and let people know they want to do procedures. The "scary" thing is that it only takes 3-5 supervised procedures to be "certified."

 

[tenacious11]

hi adam6!
Is this something new,regarding procedure requirements for completing int med residency?are we no longer required to be certified in LP's,central lines,paracentesis etc?

 

[adam6]

That's correct! Starting this year, those 4 are the only mandatory procedures. LPs, arthro, paras, thoras, central lines, etc are no longer required (just encouraged). I am well aware of this because I am helping to implement a standardized protocol to make sure all our residents complete things like IV placement (not tracked in the past...).

 

[tenacious11]

thanks for the update.