• If you are citizen of an European Union member nation, you may not use this service unless you are at least 16 years old.

  • Work with all your cloud files (Drive, Dropbox, and Slack and Gmail attachments) and documents (Google Docs, Sheets, and Notion) in one place. Try Dokkio (from the makers of PBworks) for free. Now available on the web, Mac, Windows, and as a Chrome extension!

View
 

Ambulatory Surgery Rotation

Page history last edited by Molly mcclain 3 weeks, 1 day ago

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

 

MON

TUE

WED

THU

FRI

Morning

Continuity Clinic

Introduction to Point-of-Care Ultrasound

 

location:

BatCave and 3N

 

Contact

Jerica Johnson MD

to confirm prior to starting rotation 

Community Project/Admin Time

 

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)

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)

 

Afternoon

Continuity Clinic

Procedures with

Daniel Stulberg MD

location:

1209 University Blvd NE, 87102

Contact

Dan Stulberg MD

to confirm prior to

starting rotation

 

FM Resident School

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

 

*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

Comments (0)

You don't have permission to comment on this page.