Ambulatory Surgery Rotation
Introduction
Year: R2/3
Location:Various Locations
Contact(s):
Faculty/preceptors
Dan Stulberg, MD dstulberg@salud.unm.edu
John Jones, MD jjones14@salud.unm.edu
Jerica Johnson, MD JeriJohnson@salud.unm.edu
IMPORTANT TO NOTE
When you work with Dr. Stulberg at 1209 University Ave. clinic DO NOT park in the lot that is immediately to the west of the building. Parking services may ticket you.
If you have a Lomas parking structure permit please park next door behind the building that houses the Satellite coffee. There are some spots marked "Physician Parking" that you can use. The other option is to park down the hill to the west and what is called Lands West parking and then walk up the hill to the clinic.
Schedule
new schedule during covid
PLEASE CONFIRM WITH EACH PRECEPTOR 2 WEEKS PRIOR TO THE START OF THE ROTATION
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MON
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TUE
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WED
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THU
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FRI
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Morning
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Continuity Clinic
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Introduction to Point-of-Care Ultrasound
location:
BatCave and 3N
Contact
Jerica Johnson MD
to confirm prior to starting rotation
|
Community Project/Admin Time
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Dr. Jones' Procedure Clinic
location:
NEH Clinic
7801 Academy Blvd NE, Albuquerque, NN 87109
Contact
John Jones MD
to confirm prior to
starting rotation
(may be on wards)
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Dr. Jones Procedure Clinic
NEH Clinic
7801 Academy Blvd NE, Albuquerque, NN 87109
Contact
John Jones MD
to confirm prior to
starting rotation
(may be on wards)
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Afternoon
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Continuity Clinic
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Procedures with
Daniel Stulberg MD
location:
1209 University Blvd NE, 87102
Contact
Dan Stulberg MD
to confirm prior to
starting rotation
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FM Resident School
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Procedures with
Daniel Stulberg MD
location:
1209 University Blvd NE, 87102
Contact
Dan Stulberg MD
to confirm prior to
starting rotation
|
Vasectomies at CRH
[1st and 3rd Fridays with Dr. Jones, 2nd and 4th Fridays with Dr. Stulberg
Center for Reproductive Health
(2301 Yale Blvd. SE, Building E
Albuquerque, NM 87106)
Center for Reproductive Health
(2301 Yale Blvd. SE, Building E
Albuquerque, NM 87106)
Contact
John Jones MD and Daniel Stulberg MD
to confirm prior to
starting rotation
(may be on wards)
|
****pre-covid schedule****
|
|
MON
|
TUE
|
WED
|
THU
|
FRI
|
|
Morning
|
Continuity Clinic
|
Introduction to Point-of-Care Ultrasound
location:
BatCave and 3N
please contact Dr. Johnson to confirm prior to starting rotation
|
Community Project/Admin Time
|
Dr. Jones' Procedure Clinic
location:
7801 Academy Blvd NE, Albuquerque, NN 87109
please contact Dr. Jones
to confirm prior to
starting rotation
(may be on wards)
|
Dr. Jones Procedure Clinic
1st/3rd Fri of Calendar Month:
Continuity Clinic will be added when Jones does not have a scheduled clinic
|
|
Afternoon
|
Continuity Clinic
|
Dr. Stulberg's Procedure Clinic
location:
1209 University Blvd NE, 87102
please contact Dr. Stulberg to confirm prior to starting rotation (may be on wards)
|
FM Resident School
|
Dr. Stulberg's Procedure Clinic
location: 1209 University Blvd NE, 87102
please contact Dr. Stulberg to confirm prior to starting rotation (may be on wards)
|
Dr. Stulberg Vasectomy Clinic at Center for Reproductive Health
(2301 Yale Blvd. SE, Building E
Albuquerque, NM 87106)
Continuity Clinic will be added when Stulberg does not have a scheduled clinic
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*Dr. Stulberg works 2 to 3 1/2 days at the Center for Reproductive Health doing vasectomies on Fridays, the schedule varies based on his other responsibilities. This changes affects what you will do with him on these days. You may work with him at CRH or in the procedures clinic. Also your continuity clinic schedule may have been altered to accomodate you to work with him at CRH.
Educational Goals
Goals and Objectives: Outpatient Procedures and Skin Care Goals and Objectives 2017.5.12.docx
The goal of the Ambulatory Surgery rotation is to attend specific specialty surgical clinics, as well as experience some ambulatory procedural training. For many, these procedural experiences are largely gained longitudinally through your clinic and other rotations such as ICU, inpatient, dermatology, Sports Medicine, etc. This block provides an opportunity to gain some additional exposure and experience, as well as brush up on medical knowledge that may not have been obtained up to this point.
Though few Family Physicians perform major surgeries, most participate in preoperative and postoperative care, either in the hospital or in clinic. Some Family Physicians choose to perform various outpatient procedures in the office setting, while almost all help counsel patients about surgical procedures, and make appropriate referrals for surgical care. Competency in specific procedural skills will of course vary based on a resident's exposure, subject to some random variation, and interests. The resources below highlight some of the surgical care management, as well as procedural skills that we believe a Family Medicine physician can attain competency in. Often the process of competency in procedures continues after residency, and is guided by what resident's choose to pursue.
This is not meant to be a complete list of what is possible; other rotations focus more on inpatient procedures such as paracentesis, lumbar puncture (inpatient wards), or joint injection (sports medicine). Please use this rotation to familiarize yourself with the conditions listed below, along with the procedures you are exposed to in your clinic. Consider the linked articles to be a functional curriculum. You are strongly encouraged to read these articles over the course of the block. If you have any questions, concerns or suggestions, please contact Dan Waldman.
Educational Resources
Aortic Abdominal Aneurysm
Abdominal Aortic Aneurysm_AAFP.pdf
Vascular Surgery
vascular surgery_an update_2007_AAFP.pdf
FAMILY MEDICINE resident handbook for vascular surgery RO
Conscious Sedation
Conscious Sedation for Minor Procedures_NEJM.pdf (2011)
Procedural Sedation_AAFP.pdf(2005)
Diabetic Foot Ulcer Care
Diabetic Foot Care_JFP.pdf
Diabetic Foot Infection_AAFP.pdf
Grading and Treatment of Decubitus Ulcers
Pressure (Decubitus) Ulcers_AAFP.pdf
Procedural sedation and analgesia in the emergency department.pdf
Local Anesthesia
Principles of Office Anesthesia Part I. Infiltrative Anesthesia_AAFP.pdf
Principles of Office Anesthesia Part II. Topical Anesthesia_AAFP.pdf
Regional Anesthesia for Office Procedures Part I. Head and Neck Surgeries_AAFP.pdf
Regional Anesthesia for Office Procedures Part II. Extremity and Inguinal Area Surgeries_AAFP.pdf
Minor Burn Care
Outpatient Burns Prevention and Care_AAFP.pdf
Wound Care
Evidence-based decisions for local and systemic wound care.pdf
Selected Specific Procedural Skills
Derm Biopsies
Shave and Punch Biopsy for Skin Lesions
Incision and Drainage of Abscess/Cyst
Minimal Excision Technique for Epidermoid (Sebaceous) Cysts_AAFP.pdf
Abscess Incision and Drainage_NEJM.pdf
Abscess Drainage Video
Cryosurgery
Cutaneous Cryosurgery_AAFP.pdf
Ingrown Toenails
Management of Ingrown Toenail (AAFP)
An example video of toenail removal
Vasectomy
Vasectomy An Update_AAFP.pdf
Addressing Post Vasectomy Questions and Concerns
Skin Laceration Repair
Essentials of Skin Laceration Repair_AAFP
Offline Resources to Check Out
Procedures in Primary Care(big book, contains articles by some of our faculty- LOTS of things covered)
Minor Emergencies (great, great book to have if you see lots of walk-ins, and bring to locums jobs. Very quick to reference as needed)
Fracture Management for Primary Care- comes from the perspective that you want.\
Tarascon Medical Procedures Pocketbook- lots of procedures, small, relatively inexpensive
POCUS Syllabus:
Point of Care Ultrasound_Ambulatory Surgery Syllabus
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