OUTLINE FOR DESCRIPTION OF ROTATION

ROTATION: Procedures (Elective)

PRECEPTOR(S): Various

RESPONSIBLE FACULTY: David L. Fay, M.D.

DURATION: 2-4 Weeks

1. GOALS/OBJECTIVES OF ROTATION:

--- Enhance resident competency and comfort in performing a variety of procedures including: Flexible sigmoidoscopy; colposcopy; vasectomy; EKG's; minor dermatologic surgery; casting; treadmill stress tests. Residents may tailor rotation to needs/desires.

2. EXPECTATIONS OF ROTATION:

--- Must develop a written plan of goals and schedule of procedures to learn before the rotation starts (submit to Dr. Fay for approval).

--- Attend as many program functions as possible while balancing that with the need to obtain an adequate number of procedures.

3. REQUIRED PREPARATION AND REFERENCES:

--- Colposcopy curriculum and slides.

--- Flexible sigmoidoscopy curriculum and slides.

4. TYPICAL DAY/WEEK:

--- Attend clinics and procedures whenever and wherever possible. WFPC clinics should be p.m.'s whenever possible; most procedures are scheduled in the a.m. Complete days or night clinics may be helpful.

5. WORK-UPS/WRITE-UPS:

--- None.

6. PROCEDURES:

--- See attached Procedures Schedule for times available.

7. AVAILABLE EDUCATIONAL EXPERIENCES/CONFERENCES:

--- All normal program conferences.

8. IMPACT ON OFFICE SCHEDULE:

--- WFPC clinics should be p.m.’s whenever possible.

9. CALL:

--- May do clinic call.

10. WEEKEND REQUIREMENTS:

--- None.

11. VACATION/TIME OFF:

--- One week off if 4 week rotation.

12. EVALUATION:

--- Preceptors to fill out individual procedure evaluations.

13. CRITERIA FOR SUCCESSFUL COMPLETION:

--- Submit documentation of procedures done.

--- Get 2 or 3 evaluations from preceptors worked with frequently.

14. SUPERVISION:

--- Various volunteer faculty, discuss with Dr. Fay.

15. COMMENTS:

Rotation is very dependent on the resident being very aggressive on scheduling and arriving at preceptors locations for procedures, to take full advantage of rotation. Each resident shall need permission from and supervision by preceptors to do procedures. See list of resources, below.

--- Suction Curettage:

Let attendings know interest.

--- Flexible Sigmoidoscopy:

May need to observe some flex sigs before being allowed to "drive".

1. Dr. Kengis; Monday – Friday.

--- Colposcopy:

Schedules are fairly erratic; need to call and confirm prior to each month by the resident taking the rotation.

1. Drs. Epperson and Tousignant - Monday – Friday

2. Dr. Leonhardt – Monday - Friday

3. Dr. Sieraski – Wednesday 9:00am and 1:00pm

4. Dr. Lewis – Thursday p.m.

5. Drs. Douglas, Fay and Ginn – WFPC

6. Dr. Brownell – Wednesday 11am-3pm (WMC South)

7. Dr. Sukowaty – M, W, F

--- Vasectomy:

1. Dr. Long – Tuesday and Thursday late a.m., early p.m. (ProHealth North)

2. Dr. Esbensen – Friday – call Kerry to arrange (542-9100)

3. Dr. Fickel - Friday am/pm varies; call ahead

4. Drs. Fay and Mazzone – WFPC; no scalpel vasectomy

5. Dr. Williams – Friday a.m. (call Lisa to arrange – 7743)

--- Minor Dermatologic Surgery:

WMH Surgeons at outpatient: Catch as catch can; may be erratic.

--- EKG's: 7am – 9pm daily at WMH with IM's; need to confirm prior to rotation.

--- Stress Tests:

Daily at WMH; confirm with cardiologist prior to rotation, especially Drs. Saeian, Zarling, Katib, Burns, and Singh.

--- Casting:

Moreland Ortho: M, T, F - call Cindy at clinic and ask if there are opportunities that day (if no other resident).

- Dr. Sukowaty – M-F

- Dr. Zhu – Tuesday p.m.

Revised: 6/1/05 – DLF:lmc