GME Family Medicine Special Procedures

The department offers training in special procedures that residents may pursue in their own practices. These include colposcopy, endometrial biopsy, and splinting, in addition to training in common office procedures such as minor surgery (toenail removal, skin biopsies, incision & drainage), cryotherapy, and training in inpatient procedures learned on the medical wards, such as central lines, lumbar puncture, thoracentesis, etc. Special techniques in obstetrical care are learned by residents pursuing the OB track. All residents are required to be certified in ACLS, neonatal resuscitation and ALSO (Advanced Life Support in Obstetrics). Online documentation and tracking of procedures is required.

Documentation of the types of patients cared for during residency and any procedural experience is important for obtaining hospital privileges after residency. Procedures done on inpatients should be documented, including patient name, age, and supervising resident or faculty. Common procedures requiring documentation, and for which training is possible at Mercy, include:

Inpatient Procedures

  • Abdominal paracentesis
  • Amnioinfusion placement
  • Arterial blood gas puncture
  • Cardioversion
  • Central venous line
  • Circumcision
  • Endotracheal intubation (adult/pediatric/neonatal)
  • Episiotomy repair
  • Lumbar puncture (adult and pediatric)
  • Nasogastric intubation
  • Neonatal resuscitation
  • Obstetric ultrasound – fetal position/confirmation/AFI
  • Repair of 3rd/4th degree perineal laceration
  • Thoracentesis
  • Vaginal Delivery (including via induction or after c-section)
  • Vaginal Delivery with vacuum assistance

Outpatient Procedures

  • Abscess incise and drain
  • Anoscopy
  • Arm/Wrist/Hand Splint
  • Arthrocentesis: knee/ankle/shoulder/other joint
  • Colposcopy
  • Endometrial Biopsy
  • Joint Injection
  • Laceration Repair
  • Leg/Ankle/Foot Splint
  • Nail Plate Avulsion/Removal
  • Obstetric ultrasound – fetal position/confirmation/AFI
  • Skin biopsy ( excisional, punch, shave)
  • Thrombosed Hemorrhoid Evacuation