Procedures

[Double]

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Are there a minimum number of procedures you need to do as a resident to fulfill requirements for graduation? The reason I ask is that I liked the OHSU program, but it seems as if they don?t get many procedures and I worry that I will leave the residency without being adequately prepared. I?m also going to be interviewing in NYC and rumor has it that procedures have to be looked for. Any ideas/comments?

 

[NinerNiner999]

I had asked the same thing during my interviewing and there is a minimum number of procedures required to graduate. The list is over the three year period (not annual) and from what I have been told, the requirements are very easy to fulfill, regardless of where you train. I guess that id you like a program, go to it - if they have a good completion/board pass rate, you should be aight.

 

[EMRaiden]

My suggestion is to keep careful track of the procedures that you do and you will have no problem meeting the requirements... I used HanDBase and a small database I put together that meet my needs and got the required information together.

When you go to get credentialed the only thing anyone really cares about is the number of moderate sedations that you have performed, so make sure that you keep careful track of those especially... down to the drug used (many places credential you only you specific drugs).

Also keep track of your U/S scans b/c you need numbers to get credentialed.

 

[endo]

Here is a program for Palm that I wrote for our residency program:

it's free...

http://www.medpalmware.com

(eMedProcedures)

-Sven, Cinci EM-1

 

[southerndoc]

How many U/S's do you need to get credentialed? Is it organ-specific (e.g., x number of aorta U/S, x number of gallbladders, etc.).

Does U/S training in emergency medicine also include scanning for carotid artery dissections and lower extremity DVT's?

 

[FoughtFyr]

Originally posted by Geek Medic
How many U/S's do you need to get credentialed? Is it organ-specific (e.g., x number of aorta U/S, x number of gallbladders, etc.).

Does U/S training in emergency medicine also include scanning for carotid artery dissections and lower extremity DVT's?

There is a certificate called "RDMS" that is given to ultrasound techs (and many of the EM U/S gurus have obtained it) - but that takes quite a few U/S of all types to get. beyond that the question of "credentialed" is a bit sticky. There is no other true "credential" per se altough both SAEM and ACEP recommend 150 scans for demonstrating proficiency.

If you go the RDMS route, then carotids and LE DVTs would be included as would fetal aging and anatomy scanning. In the ED, emphasis is usually placed on FAST scans, scanning for AAAs, and occasionally thorax scans for changes associated with PE (i.e., enlarged right vent), obvious cardiac dysfunction, or pneumothorax (i.e., "sliding sign").

Remember, U/S by EPs is still a political "hot potato" in many facilities...

- H