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.  

Residents must be signed off as competent twice for each procedure to be deemed competent in that procedure.

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

• Online Procedure Card

Purple Signout Card

• Online Signout Card

Pink Non-Pregnant Speculum Exam Card

• Online Non-Pregnant Speculum Exam Card

Required Procedures

• Anoscopy

• Circumcisions (neonatal,  incl. Local Anes.) 

• Cryosurgery 

• CXR Interpretation

• EKG Reading

• 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.

• 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 

• Subacromial Injection 

• Toenail/Fingernail Removal 

Recommended Procedures 

• Colposcopy 

• Endometrial Biopsy 

• FB Removal from Eye 

• Lumbar Puncture- Peds or Adult 

• Splint Application (Ulnar Gutter or other)

• Vasectomy