utility in logging minor procedures after pgyI

[surgical06]

---

Members do not see this ad.

hello all

i'm a pgy II, i was wondering if there was any utility in continuing to log minor procedures, mainly central lines, i've only logged 5 I&D's, out of probably 6o. does it help when i apply for moonlighting jobs ect?

 

[SLUser11]

hello all

i'm a pgy II, i was wondering if there was any utility in continuing to log minor procedures, mainly central lines, i've only logged 5 I&D's, out of probably 6o. does it help when i apply for moonlighting jobs ect?

I don't typically log I and D's or bedside debridements, etc.

However, I do log all central lines and art lines. I think it's good because people tend to overestimate how many they've done, and I'm just plain curious. Besides, you never know if you'll need those numbers to get hospital privileges later on. Also, when you cause a pneumothorax, you can prove to yourself that your complication rate is truly 1%.

I did a ridiculous number of EGDs and colonoscopies as an intern and PGY-2, and I was tempted to stop counting them, but I think having those numbers may be handy later on.......

 

[Winged Scapula]

Definitely log scopes you do, if you think you will want privileges for them. Many apps will ask for the # you've done in the previous 2 years.

I also logged central lines for awhile until I started getting lazy. I say do it if you have time but its probably not necessary (especially for really minor bedside procedures).

 

[ESU_MD]

log all that stuff. it doesnt count, but its nice to see
that way you can prove that you put in 1000 lines during your residency.

the funny thing is I put ALOT of lines in, and the number didnt come close to 1000!! surgeons are known for overestimating


except scopes. log every time you touch the scope, even if you just hand it to the attending since this is the one area where the GI guys will try to screw you for priveleges. some places want 100 egds ,+100 colons

 

[Winged Scapula]

the funny thing is I put ALOT of lines in, and the number didnt come close to 1000!! surgeons are known for overestimating

Except when it comes to length of case!😀

 

[Blade28]

I log absolutely everything. Every central line, a-line, I&D, lac repair. Definitely every scope.

 

[JackADeli]

I log absolutely everything. Every central line, a-line, I&D, lac repair. Definitely every scope.

Agreed.
Log what you do.

1. It is documentation that you are doing something
2. It is documentation that you have experience, are qualified to perform these procedures, and potentially experienced enough to supervise and/or teach these procedures.

I have heard of Jacaho/osha or some other safety organization (with some initials) asking for proof of what procedures residents are allowed to do, how much supervision, "who signed hem off", how many to be signed off, and how many to keep "current" in continuing to perform said "minor" procedures.

These "minor" procedures may not count toward your required numbers but are a foundation to your training and have real importance. A subclavian line placement doesn't count toward your required numbers, should we ignore meticulous and repetitive practice in good technique? Because the old surgical dictum.... if you didn't write it (or log as it may be) then you didn't do it!