Medical Procedure Competency Requirements
Medical procedure requirements for graduation. Revised 2021, updated Oct 2021.
Medical Procedures
The practice of Internal Medicine includes the knowledge and performance of procedures in the diagnosis and management of medical conditions. The goal of this requirement is to ensure residents acquire procedural knowledge, have opportunities to perform and develop competency in these procedures, and prepare residents for future career paths. This requirement is necessary for ABIM certification.
Each categorical resident must successfully complete Requirement A and Requirement B in order to graduate from the training program.
Competency in any specific procedure can be achieved regardless of the requirement or recommendation in Requirement B. See Procedure-Specific Competency Requirements for details.
Procedure Requirement A
Every resident must demonstrate the ability to effectively and independently perform the following:
- Discuss the indications and contraindications
- Discuss the risks and complications
- Obtain consent
- Perform standard/universal precautions
- Perform a timeout
- Establish a sterile field
- Apply local anesthetic
For each of the following common internal medicine procedures:
- Lumbar Puncture
- Central Line Insertion
- Paracentesis
- Intraosseous Line Insertion
- Arterial Line Insertion
Procedure Requirement B
Every resident must select one of the procedure bundles and complete its requirements. A few procedures may be listed as recommended but not required for completion.
Procedure Service Elective
The Procedure Service is available for bedside procedures for inpatients and scheduled outpatient appointments during weekday business hours. Residents on the rotation are expected to reach the level of competency for procedures, including understanding the indications and demonstrating proper technique, under the supervision of a proceduralist attending.
Common bedside procedures:
- Paracentesis
- Lumbar Puncture
- Thoracentesis
- Skin biopsy
- Central venous catheter insertion
- Dialysis/Leukapheresis catheter insertion
- Ultrasound-guided peripheral IV insertion
- Midline peripheral IV insertion
To request a procedure during business hours, page the Procedure Service pager through amion.com.
To request an elective rotation on this service, contact Dr. Vincent Chan to confirm availability and submit an Elective Request form.
Goals & Objectives
Procedure Service Elective Curriculum
Director: Vincent Chan, M.D.
When You Start
- Add yourself to this Care Team in ORCHID:
- Medicine | OVMC Procedure Service