Ambulatory/Outpatient Surgery Rotation Objectives
The Family Medicine Resident should be aware of the increasing number of surgical problems that can be managed without hospitalization. The office evaluation of such problems and the utilization of ambulatory surgical techniques are requisite skills for Family Medicine Residents.
- The resident must be competent in the recognition and diagnosis of surgical illnesses as they present in the physician's office. He/she must be able to determine the setting in which the problem can most appropriately be managed.
- The resident should acquire the following technical skills:
- The utilization of sterile technique
- Suturing of lacerations utilizing a variety of techniques for closure
- The use of electrocautery to control bleeding or carry out minor procedures
- Excision of benign lesions, including lipomas, sebaceous cysts, nevi, fibromas, etc.
- The removal of ingrown toenails
- The treatment of first and second degree burns
- The removal of foreign bodies where appropriate
- Incision and drainage of abscesses and hematomas
- Rubberband ligation of hemorrhoids
- The performance of proctoscopy/sigmoidoscopy
- The debridement of ulcers and wounds
- Aspiration of breast cysts
- The resident should be able to manage the follow-up office care of post-operative surgical patients.
The resident should be aware of his/her knowledge and limitations in surgery and know when and how to initiate proper consultation.