procedures in peds

[helm222]

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I hate procedures and tend to get very clumsy when under pressure and stress (I barely got thru orgo lab... no joke.

How much of your day as a resident is spent doing procedures in residency then in outpatient? During my peds rotation, which I loved, we actually didn't see much in that regard (lines, etc.... I was at a relatively sleepy community hospital for most of it. I guess there are fellowships like developmental that involve few procedures, but I don't know if I want to do another 3 years .

 

[mvenus929]

The ICU and ED settings are the most procedure filled, with a few on general inpatient rotations. As I understand, you need a certain number of procedures to get board certified, but depending on the size of the program, there will be other people who want procedures who will take them if you don't want them.

On general outpatient, the only procedures I saw done were suture removals.

 

[Rutgers06]

We generally do very few procedures and in outpatient, it's even less. Especially with the rise of urgent cares, there are even less procedures that are being done in the office.

 

[Stitch]

For the most part, you don't need to worry about procedures in pediatrics once you are done with residency. That said, I think every general pediatrician ought to be able to do a spinal tap on an infant/neonate. But that's something you will get plenty of experience and practice during residency. Lines and intubations I think are not valuable to the general practitioner, though you'll have some of those during training (as well as sutures in the ED). The caveat to intubations is that some gen peds attendings go to deliveries, in which case intubation is something you'd want to practice and become proficient in. But as far as a general office is concerned, I wouldn't worry about it.

 

[helm222]

For the most part, you don't need to worry about procedures in pediatrics once you are done with residency. That said, I think every general pediatrician ought to be able to do a spinal tap on an infant/neonate. But that's something you will get plenty of experience and practice during residency. Lines and intubations I think are not valuable to the general practitioner, though you'll have some of those during training (as well as sutures in the ED). The caveat to intubations is that some gen peds attendings go to deliveries, in which case intubation is something you'd want to practice and become proficient in. But as far as a general office is concerned, I wouldn't worry about it.

Lines are the thing I get most nervous about... I'm hoping to get over my fear of hurting someone at some point.

 

[Stitch]

A little fear is good for you. Keep in mind that you get a lot of supervision and practice at doing procedures during residency. I wasn't very good at first either, but it was something I wanted to learn to do, so I kept at it. You'll likely have to do umbilical lines in the NICU, but they are a bit different than the usual CVL done in the PICU. But in the end, some people really hate procedures and that's ok. They are still good general pediatricians.