Procedural Training

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A Foundation in the Basics and Opportunity for More

All residents in our program become proficient in a number of basic procedures. Residents are taught by faculty who are practiced in these procedures and experienced in communicating the required skills and knowledge. The procedures we consider "basic" include:

  • Neonatal circumcision
  • Skin punch biopsy
  • Skin cryosurgery
  • Lesion excision
  • Abscess incision & drainage
  • Suturing
  • Cerumen removal anoscopy
  • Splinting
  • Epistaxis management
  • Endometrial biopsy

State-of-the-art
Equipment and Space

The Family Health Center has 3 large procedure rooms equipped with the latest technology. You will learn procedures using state-of-the-art equipment such as treadmill, colposcope, handheld and tank type cryo units, external fetal heart tracing unit, ultrasound, and dermatologic electrosurgical unit.

  • Joint injection or aspiration
  • Exercise Stress Test
  • Adult lumbar puncture
  • Pediatric lumbar puncture
  • Thoracentesis
  • Nasal/endotracheal intubation

Residents who want to gain broader experience with office procedures will find ample opportunity to do so. Among the procedures that residents may choose to learn at their discretion are:

  • Colposcopy
  • LEEP
  • IUD insertion/removal
  • Casting
  • Toenail removal
  • Flexible sigmoidoscopy
  • Chest tube placement/thoracotomy
  • Arterial line placement
  • Central line placement
  • Vasectomy
  • Obstetrical Ultrasound *
  • Paracentesis

* Obstetrical Ultrasounds plus many additional obstetrical procedures are experienced through the Maternity Care Track specifically.

CSM residents learn from some of the best in the fields of colposcopy, vasectomy and other office-based procedures. One faculty member is the author of what is commonly considered the text book on colposcopy, while another is a leader in no-scalpel vasectomy. One nurse schedules every procedure to include a resident. This means no procedure is done without resident participation. If you want to obtain privileges, you will have the opportunity to become skilled in these procedures.

"Having a strong interest in procedures, this was an important factor when I was interviewing programs. Columbia St. Mary’s really does provide the opportunity they attest to. I have been afforded lots of opportunity to become proficient in joint injections and incisions and drainage. Many of my resident colleagues are being trained in colposcopy, IUD insertion, vasectomy, and OB ultrasounds."

E. Smiltneek, PGY-3

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