Procedural Competency
Procedure Tracking Overview
All procedures should be logged into New Innovations. This log is self-reported and is a helpful record of your residency. We receive a number of requests for the log from R3s’ prospective employers. You should always log procedures in NI.
The electronic procedure cards (formerly physical yellow cards) are for documenting competency for a specific list of procedures. The list of procedures is shown below. You can always submit procedure cards for non-listed procedures as we will just add them to your file (we don’t add them to NI, though). You should submit procedure cards even if you are not marked as competent. In addition to showing procedure competency, the cards are also helpful because they allow the faculty to give narrative comments on your procedures.
We encourage you to use the electronic versions of the cards below. Any remaining physical yellow cards will still be accepted (your clinic will send these to Danielle via inter-D).
Each month, Katy will send you a list of procedures for which you have been marked as competent.
If you need to opt out of a specific procedure for a religious, conscientious, or medical reason, please contact the Program Director to discuss required steps for documenting this necessary omission and alternative ways of gaining the pertinent medical knowledge.
Resources
Yellow Procedure Card
Purple Signout Card
Pink Non-Pregnant Speculum Exam Card
Required Procedures
Anoscopy
Circumcisions (neonatal, incl. Local Anes.)
Cryosurgery
CXR Interpretation
EKG Reading
Endometrial Biopsy
I and D of Abscess
IUD Placement
Knee Injection
Laceration Repair -Simple
Neonatal Resuscitation (attend 3) - Note: Procedure cards are not required for this procedure. We gather this information from New Innovations.
Newborn Encounters (40 logged) - Note: Procedure cards are not required for this procedure. We gather this information from New Innovations.
Nexplanon - Placement/Removal
NSVD (80 logged) - Note: Procedure cards are not required for this procedure. We gather this information from New Innovations.
Non-Pregnant Speculum Exam (3) - Completed by early R1 - Note: Please use the Pink Non-Pregnant Speculum Exam Card link above to document this procedure.
Signout Competency (3) - Note: Please use the Purple Signout Card link above to document this procedure.
Skin Biopsy Excisional, Punch, Excision
Splint Application (Ulnar Gutter or other)
Subacromial Injection
Toenail/Fingernail Removal
Recommended Procedures
FB Removal from Eye
Lumbar Puncture- Peds or Adult
Optional Procedures
Colposcopy
Vasectomy