Procedures in Family Medicine

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

devilwearsprada

Full Member
10+ Year Member
15+ Year Member
Joined
Apr 8, 2007
Messages
28
Reaction score
0
Can someone tell me about the numbers you need to meet during residency ( procedure log) training for doing procedures like dermatological, biopsies, colonocopy, etc when you are a practising Family Medicine Doctor?

What about turf wars with other specialties?

Members don't see this ad.
 
It all depends on where you will do the procedures. For office based procedures like minor derm stuff and joint injections, you just need to do enough to be comfortable. I know that's kind of vague, but most insurance companies will pay you to do these things without much question, it saves them the consultant fee. The same goes for more complicated procedures like flex sigs and vasectomies as long as you are doing them in you office.

The real question comes in for procedures in the hospital, as everything you do there has to be approved by the hospital credentialing commitee, and the requirements differ from location to location. You may be able to get priviledges in a rural setting with 25 supervised colonoscopies, but unable to get creds. in an academic center with 500. There are some general guidelines, and if you have questions about specific procedures, I'll be happy to try to find them. You have to consider the source though. For example the number for colons published by the AGE is basically the lowest number a GI fellow could expect to get and is three times the number published by the surgeons. Other procedures like central lines are usually much less complicated. For example, to get creds for central lines at one of the hospitals where I have priviledges., I basically had to check the central line box on the application.

I hope this helps.
 
It's unfortunate that there are turf wars, but they do exist. It should just be about taking care of the patients, but it is really dollar driven and it's often a multi sided battle. It's not something you can escape no matter what speciality you choose though. Does ortho or plastics get the hand cases? Interventional rads sometimes squares off with cards and so on.

All in all it's a regional issue. I know a couple of FM guys with colon privs at tertiary care centers along side academic GI's. I have a friend working in a small community that built a big new endo suite to attract a GI. It worked, but a year later after the GI had an established practice, he built his own off site endoscopy center. The hospital was pleading for my friend to continue using the hospital facilities. For the most part, if you keep your focus on excellent primary care for your patients, everything else seems to work itself out.
 
Top