Medical
Housestaff Training Program:
On-line
Procedure Policy and Instruction Manual
Credentialing of Procedural Skills
Each house officer will gain progressive experience with a
number of procedural skills essential to the practice of internal medicine
throughout the three years of training. The American Board of Internal Medicine
(ABIM) also requires documentation of competency for the essential procedures
listed below as a requirement for ABIM certification.
In addition, opportunity exists to gain experience in a number of advanced and
specialized skills through careful utilization of elective time. Table 18 lists
both the skills considered "essential" (ABIM) for house staff
training and a representative list of "advanced" or "specialized"
skills. It is expected that all house officers will be fully competent to
perform "essential" skills by the conclusion of their training under General
Supervision.
The acquisition of competency in procedural skills requires
a careful initial introduction and supervision of the specific procedure. For essential
skills this occurs under the Personal Supervision of a physician who
has been credentialed as competent to perform that specific procedure.
Successful, and technically competent, completion of a specific procedure the
listed number of times under Personal Supervision, with appropriate
documentation, is necessary if a house officer is to be considered credentialed
in a procedure.
Documentation requires listing the procedure, supervisor,
patient unit number, indication, and any complication in your procedural log
book. At periodic intervals log books should be brought to the Chief Residents'
Office, where the information will be entered into the individual's permanent
record. It is absolutely essential that such records be rigorously
maintained; both advancement in the residency program,
eligibility to sit for the ABIM exam, as well as all future hospital
appointments, require documentation. With the introduction of
E*Value later this year, we expect to be able to provide both a web-based and
hand-held based procedure tracking system.
Notable Policies
·
The
NYPH Informed Consent in the Rules and Regulation Manual
·
NYPH
Occupational Health Exposure/Needlestick Policy
·
The Department of
Medicine Needlestick/Exposure protocol
On-line Procedure
Instructions
Pre-Procedure Check List