RRC Procedure Req's?

Started by Seaglass
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Seaglass

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Hey, does anyone have a link to the RRC req's for the numbers of procedures we have to have? I've looked on ABEM, SAEM, ACEP, and EMRA but can't find one.

C
 
The list I have is this
35 intubations
10 cardioversions/defib
10 LPs
6 cardiac pacing
50 lac repairs
10 vaginal deliveries
20 central lines
40 bedside ultrasounds
15 conscious sedations
45 adult medical resuc
35 adult trauma resuc
15 pediatric resuc
10 pediatric trauma
3 cric
3 pericardio
3 DPL
10 dislocation reduction
20 closed fracture splints
 
Freeeedom! said:
The list I have is this
35 intubations
10 cardioversions/defib
10 LPs
6 cardiac pacing
50 lac repairs
10 vaginal deliveries
20 central lines
40 bedside ultrasounds
15 conscious sedations
45 adult medical resuc
35 adult trauma resuc
15 pediatric resuc
10 pediatric trauma
3 cric
3 pericardio
3 DPL
10 dislocation reduction
20 closed fracture splints
Are these requiered to be done in one year or through out the residency?
 
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You have all of residency to get those numbers. I thought it was 20 LPs, but the rest of the numbers look OK. Any current residents done a DPL out there? I haven't even seen one. (aside from the dog in ATLS of course)
 
Apollyon said:
We were talking about that (we did it on the pig in the lab), and one of my colleagues said it counts.
As far as DPL's, I just finished a trauma rotation in Chicago and did 2.
 
Desperado said:
You have all of residency to get those numbers. I thought it was 20 LPs, but the rest of the numbers look OK. Any current residents done a DPL out there? I haven't even seen one. (aside from the dog in ATLS of course)
Are these Numbers close to the real numbers of procedures which a resident usuall does? or the real number is higher? It seems to me that some of them arenot enough to make an expert and confident EP! or; I am wrong!
 
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The numbers are minimums. I am confident in saying that most get more, way more. For example, in less than 3 months I have gotten at least:

10 intubations
5 LPs
10 central lines
10 bedside ultrasounds
5 adult medical resuc
4 pediatric trauma
1 dislocation reduction
2 closed fracture splints

That's underestimating off the top of my head. I'd have to go back and count the adult traumas and such. The tough things to get are crics, DPL's and other rare procedures (post-mortem C-section anyone?).
 
Well yes they are minimum requirements...if you are anything like me, then documentation is a problem and you find yourself "missing" procedures you know you have done.
Pig labs should meet your requirements.
DPL's in our program have been with the assistance of surgery on the OBESE unstable multiple trauma patient...
 
Most residents will get many, many more. For example, I'm an R2 and I've done 105 lacs, 55 more than the requirement. I can't find enough medical students to give them away to. I checked on the LPs, I think we need 15.
 
The following list is directly from the EM RRC website. The numbers include patient and lab procedures.

Intubations (35)
Cardioversion/Defib (10)
Chest tubes (10)
Lumbar Puncture (15)
Cricothyrotomy (3)
Pericardiocentesis (3)
Periotoneal lavage (3)
Dislocation reduction (10)
Closed Fx splinting (20)
Cardiac pacing (6)
Laceration repair (50)
Vaginal delivery (10)
Central venous access (20)
Bedside ultrasound (40)
Conscious sedation (15)
Adult medical resuscitation (45)
Adult trauma resuscitation (35)
Pediatric medical resuscitation (15)
Pediatric trauma resuscitation (10)
 
On a related question, I wonder if DocB, Sessamoid, or other attendings could speak to the issue of credentialing. For example, are there procedures that are not listed here that we should keep track of for credentialing purposes?
 
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Seaglass said:
On a related question, I wonder if DocB, Sessamoid, or other attendings could speak to the issue of credentialing. For example, are there procedures that are not listed here that we should keep track of for credentialing purposes?

I've never been asked to provide a procedure list. I worked a moonlighting job during residency, and I am on my 2nd job since residency. Both of my jobs have been in the Kaiser system (norther and souther cali).

I think that most employers assume that if you were graduated from an RRC approved EM program, that you must have done the minimum amount of required procedures...

I do have all my procedures documented in a word file though...

I would definetly keep track of them...You never know, someone may one day want to view your log...

(that's right Sessamoid, huh-huh, huh-huh, he said "log")

Mark