Taxonomy I Part V-C (Minor Surgical Procedures)
Last Updated on April 16, 2022 by Lee Burnett, DO, FAAFP
(22 April 2006 17:43)
NATIONAL PROJECT ON THE COMMUNITY BENEFITS
OF FAMILY PRACTICE RESIDENCY PROGRAMS
CUMULATIVE QUESTIONNAIRE RESPONSES
Taxonomy I Section V-C
Minor Surgical Procedures
SD I.13l (L32) Does your residency provide specialty care?
SD I.13l (0) If yes, list these services in approximate order of volume or revenue.
(Is minor surgical care listed?)
Site-visited profiled residencies:
Yes:
Northridge
Harbor (1/2 day a week procedures clinic – 8 patients per clinic)
SD I.13 l(1) (L32) Does your residency program provide the following kinds of specialty care? l. Minor Surgical Procedures? Yes __ No __ Additional Info:
If yes, are these services provided during special clinics? What is the number of patients seen? What are the revenues that are generated?
Yes:
UCSD Traditional
Scripps Chula Vista
UCSD St Vincent
UC Irvine (10 patients/week in special clinic)
White Memorial (in special clinic which includes gynecological procedures)
Riverside (both in family medicine center and special clinics)
Durant
OSU Tulsa
USC Univ & SG (in the family medicine centers and private physician offices)
Modesto
Saints (lacerations repair; simple lesions, within regular family medicine center appointments)
Indiana U Methodist
SD I.13l(1.1) (SD I.13l(2) (L32)) Does your residency program provide the following kinds of specialty care? l. Minor Surgical Care? Yes__ No __
Yes:
Whittier
Pomona
Arrowhead
Loma Linda
Stockton
Louisville
MCE Birmingham
Glendale
OU Tulsa
OU Oklahoma City
Dayton Community
Miami Valley
Decatur
Mercer
Natividad
Klamath Falls
Lehigh Valley
Mercy Toledo
Kaiser LA
Tyler
Las Vegas
Fresno
Springfield
Glasgow
Lexington
OSHU Portland
SD I.13l(1.2) (SD I.13l(3)) If you do provide minor surgical care, are these services provided as normal family medicine center appointments? Yes __ No __
Yes:
Whittier
Pomona
Arrowhead
Loma Linda
Stockton
Louisville
MCE Birmingham
Glendale
OU Tulsa
OU Oklahoma City
Dayton Community
Miami Valley
Decatur
Mercer
Natividad
Klamath Falls
Lehigh Valley
Mercy Toledo
Kaiser LA
Tyler
Las Vegas
Fresno
Springfield
Glasgow
Lexington
OSHU Portland
SD I.13l(4) If you do provide minor surgical care, are these services provided during special clinics? Yes __ No __
If the answer to SD I.13l(4) is yes, what is the number of patients seen? What revenues are generated in each specialty service?
Yes:
Whittier (such services are provided in both the dermatology and procedures clinics or in a special clinic)
Pomona
Loma Linda (250/yr)
Stockton (4/clinic; revenues are generated)
Louisville (3/clinic)
Glendale (7-8 per clinic; every two weeks)
Natividad (3 a week; 150-200 a year)
Klamath Falls (3 a week; $500/week)
Kaiser LA (half-day a week for minor surgical procedures)
Tyler (4 patients every 2 weeks @ $500/patient; $4000/mo)
Fresno (4 patients/wk each at UMC, Selma and Sequoia)
Glasgow (3-4 weekly; revenues of $100-300)
No:
Arrowhead
MCE Birmingham
OU Tulsa
OU Oklahoma City
Dayton Community
Miami Valley
Decatur
Mercer
Lehigh Valley
Mercy Toledo
Las Vegas
Springfield
Lexington
OHSU Portland
SD I.13l(1.4) (SD I.13l(5)) Describe the kinds of minor surgical care that typically takes place within the family medicine center (whether as normal appointments or during special clinics):
Glendale (lumps and bumps; breast lump evaluations)
OU Tulsa (toenails; skin lesion removal; suturing; lacerations; lipomass cyst removal)
OU Oklahoma City (circumcisions; hemmorrhoidectomies; paracentesis)
Dayton Community (dermatological procedures; excisions of moles and cysts; hypercation of warts; punch biopsies; cryotherapy)
Miami Valley (excision of skin lesions; endometrial biopsies; colposcopy; toenail excision; I & D of abscess; repair of lacerations as part of family medicine center care)
Decatur (see above dermatology and gynecological procedures)
Mercer (see dermatology and gynecological procedures above; toenails; nasolaryngology; endometrial biopsies; arterial pressures in legs; hemorrhoids)
Natividad (skin biopsies; lesions excisions; cryotherapy; joint injections; aspirations)
Klamath Falls (excisions of skin tumors; subcutaneous tumors; superficial lumps and bumps)
Lehigh Valley (lacerations; wart treatments; removal of moles; abscesses)
Mercy Toledo (dermatological excision of lumps; bumps; moles; warts; aspirations; cryotherapy)
Kaiser LA (minor lacerations)
Tyler (lumps and bumps; I and D; skin biopsies; wound closure and management)
Las Vegas (circumcision; skin lumps and bumps; toenail removal)
Fresno (incision and drainage of abscesses; also see responses under dermatology and gynecology)
Springfield (abscess I&D; some circumcisions)
Glasgow (evaluating biliaricholic; colon cancer screening; laryngoscopy)
Lexington (excisions; laceration repair; abscesses; cebaceous and Bartholin cysts; nail removal; cryotherapy; electro-dessication)
OHSU Portland (abscess drainage; lumps and bumps)
*NPCB P2 I.2h.1 (RR) Indicate which of the following minor surgical procedures (in addition to those listed in the gynecology, dermatology and podiatry sections) are performed by your residency programs. If a procedure is performed by the residency program, but not within the family medicine center, please explain in what setting that procedure takes place.
Specify if any of the following procedures are performed exclusively by specialists in surgery or another specialty other than family medicine associated with your residency program; and specify in any of the procedures are performed exclusively by family medicine faculty.
1) lumps and bumps? Yes __ No __
Yes:
Sparrow
Huntsville
Ventura
Long Beach
U Penn
Crozer-Keystone
Jefferson
McKeesport
Oahu
*NPCB P2 I.2h.2 (RR) Indicate which of the following minor surgical procedures (in addition to those listed in the gynecology, dermatology and podiatry sections) are performed by your residency programs. If a procedure is performed by the residency program, but not within the family medicine center, please explain in what setting that procedure takes place.
Specify if any of the following procedures are performed exclusively by specialists in surgery or another specialty other than family medicine associated with your residency program; and specify in any of the procedures are performed exclusively by family medicine faculty.
2) breast lump evaluations? Yes __ No __
Yes:
Sparrow
Huntsville
Ventura
Crozer-Keystone
Jefferson
McKeesport
Oahu
No:
Long Beach (These go to the breast center for a comprehensive workup)
U Penn (Aspiration, yes; excision or ultrasound, no)
*NPCB P2 I.2h.3 (RR) Indicate which of the following minor surgical procedures (in addition to those listed in the gynecology, dermatology and podiatry sections) are performed by your residency programs. If a procedure is performed by the residency program, but not within the family medicine center, please explain in what setting that procedure takes place.
Specify if any of the following procedures are performed exclusively by specialists in surgery or another specialty other than family medicine associated with your residency program; and specify in any of the procedures are performed exclusively by family medicine faculty.
3) skin lesion removal? Yes __ No __
Yes:
Sparrow
Huntsville
Ventura
Long Beach
U Penn
Crozer-Keystone
Jefferson
McKeesport
Oahu
*NPCB P2 I.2h.4 (RR) Indicate which of the following minor surgical procedures (in addition to those listed in the gynecology, dermatology and podiatry sections) are performed by your residency programs. If a procedure is performed by the residency program, but not within the family medicine center, please explain in what setting that procedure takes place.
Specify if any of the following procedures are performed exclusively by specialists in surgery or another specialty other than family medicine associated with your residency program; and specify in any of the procedures are performed exclusively by family medicine faculty.
4) suturing? Yes __ No __
Yes:
Sparrow
Huntsville
Ventura
Long Beach
U Penn
Crozer-Keystone
Jefferson
McKeesport
Oahu
*NPCB P2 I.2h.5 (RR) Indicate which of the following minor surgical procedures (in addition to those listed in the gynecology, dermatology and podiatry sections) are performed by your residency programs. If a procedure is performed by the residency program, but not within the family medicine center, please explain in what setting that procedure takes place.
Specify if any of the following procedures are performed exclusively by specialists in surgery or another specialty other than family medicine associated with your residency program; and specify in any of the procedures are performed exclusively by family medicine faculty.
5) lipoma excisions? Yes __ No __
Yes:
Sparrow
Ventura
Long Beach (If it fits in a specimen cup)
U Penn
Crozer-Keystone
Jefferson
McKeesport
Oahu
No:
Huntsville
*NPCB P2 I.2h.6 (RR) Indicate which of the following minor surgical procedures (in addition to those listed in the gynecology, dermatology and podiatry sections) are performed by your residency programs. If a procedure is performed by the residency program, but not within the family medicine center, please explain in what setting that procedure takes place.
Specify if any of the following procedures are performed exclusively by specialists in surgery or another specialty other than family medicine associated with your residency program; and specify in any of the procedures are performed exclusively by family medicine faculty.
6) cyst removal? Yes __ No __
Yes:
Sparrow
Huntsville
Ventura
Long Beach (If it fits in a specimen cup)
U Penn
Crozer-Keystone
Jefferson
McKeesport
Oahu
*NPCB P2 I.2h.7 (RR) Indicate which of the following minor surgical procedures (in addition to those listed in the gynecology, dermatology and podiatry sections) are performed by your residency programs. If a procedure is performed by the residency program, but not within the family medicine center, please explain in what setting that procedure takes place.
Specify if any of the following procedures are performed exclusively by specialists in surgery or another specialty other than family medicine associated with your residency program; and specify in any of the procedures are performed exclusively by family medicine faculty.
7) infant circumcisions? Yes __ No __
Yes:
Sparrow
Huntsville (in hospital setting)
Ventura
Long Beach
U Penn
Crozer-Keystone
Jefferson (in hospital)
McKeesport
Oahu
*NPCB P2 I.2h.8 (RR) Indicate which of the following minor surgical procedures (in addition to those listed in the gynecology, dermatology and podiatry sections) are performed by your residency programs. If a procedure is performed by the residency program, but not within the family medicine center, please explain in what setting that procedure takes place.
Specify if any of the following procedures are performed exclusively by specialists in surgery or another specialty other than family medicine associated with your residency program; and specify in any of the procedures are performed exclusively by family medicine faculty.
8) adult circumcisions? Yes __ No __
No:
Sparrow
Huntsville
Ventura
Long Beach
U Penn
Crozer-Keystone (referred to urologists)
Jefferson (referred to urologists)
McKeesport
Oahu
*NPCB P2 I.2h.9 (RR) Indicate which of the following minor surgical procedures (in addition to those listed in the gynecology, dermatology and podiatry sections) are performed by your residency programs. If a procedure is performed by the residency program, but not within the family medicine center, please explain in what setting that procedure takes place.
Specify if any of the following procedures are performed exclusively by specialists in surgery or another specialty other than family medicine associated with your residency program; and specify in any of the procedures are performed exclusively by family medicine faculty.
9) hemorrhoidectomies? Yes __ No __
No:
Sparrow
Huntsville
Ventura
Long Beach
U Penn
Crozer-Keystone (referred to colorectal surgeons)
Jefferson
McKeesport
Oahu
*NPCB P2 I.2h.10 (RR) Indicate which of the following minor surgical procedures (in addition to those listed in the gynecology, dermatology and podiatry sections) are performed by your residency programs. If a procedure is performed by the residency program, but not within the family medicine center, please explain in what setting that procedure takes place.
Specify if any of the following procedures are performed exclusively by specialists in surgery or another specialty other than family medicine associated with your residency program; and specify in any of the procedures are performed exclusively by family medicine faculty.
10) infrared hemorrhoid therapy? Yes __ No __
No:
Sparrow
Huntsville
Ventura
Long Beach
U Penn
Crozer-Keystone (referred to colorectal surgeons)
Jefferson
McKeesport
Oahu
*NPCB P2 I.2h.11 (RR) Indicate which of the following minor surgical procedures (in addition to those listed in the gynecology, dermatology and podiatry sections) are performed by your residency programs. If a procedure is performed by the residency program, but not within the family medicine center, please explain in what setting that procedure takes place.
Specify if any of the following procedures are performed exclusively by specialists in surgery or another specialty other than family medicine associated with your residency program; and specify in any of the procedures are performed exclusively by family medicine faculty.
11) banding hemorrhoid therapy? Yes __ No __
No:
Sparrow
Huntsville
Ventura
Long Beach
U Penn
Crozer-Keystone (referred to colorectal surgeons)
Jefferson
McKeesport (can do it, but not really doing it)
Oahu
*NPCB P2 I.2h.12 (RR) Indicate which of the following minor surgical procedures (in addition to those listed in the gynecology, dermatology and podiatry sections) are performed by your residency programs. If a procedure is performed by the residency program, but not within the family medicine center, please explain in what setting that procedure takes place.
Specify if any of the following procedures are performed exclusively by specialists in surgery or another specialty other than family medicine associated with your residency program; and specify in any of the procedures are performed exclusively by family medicine faculty.
12) paracentesis? Yes __ No __
Yes:
Huntsville (in hospital setting)
Ventura
Long Beach (in hospital setting)
U Penn
Crozer-Keystone (in hospital setting)
Jefferson (in hospital setting)
McKeesport (in hospital setting)
Oahu (in hospital setting)
No:
Sparrow
*NPCB P2 I.2h.13 (RR) Indicate which of the following minor surgical procedures (in addition to those listed in the gynecology, dermatology and podiatry sections) are performed by your residency programs. If a procedure is performed by the residency program, but not within the family medicine center, please explain in what setting that procedure takes place.
Specify if any of the following procedures are performed exclusively by specialists in surgery or another specialty other than family medicine associated with your residency program; and specify in any of the procedures are performed exclusively by family medicine faculty.
13) arterial pressures in legs? Yes __ No __
Yes:
Sparrow
Ventura
U Penn
No:
Huntsville
Long Beach
Crozer-Keystone
Jefferson
McKeesport
Oahu
*NPCB P2 I.2h.14 (RR) Indicate which of the following minor surgical procedures (in addition to those listed in the gynecology, dermatology and podiatry sections) are performed by your residency programs. If a procedure is performed by the residency program, but not within the family medicine center, please explain in what setting that procedure takes place.
Specify if any of the following procedures are performed exclusively by specialists in surgery or another specialty other than family medicine associated with your residency program; and specify in any of the procedures are performed exclusively by family medicine faculty.
14) wound closure and management? Yes __ No __
Yes:
Sparrow
Huntsville
Ventura
Long Beach
U Penn
Crozer-Keystone
Jefferson (in hospital)
McKeesport
Oahu
*NPCB P2 I.2h.15 (RR) Indicate which of the following minor surgical procedures (in addition to those listed in the gynecology, dermatology and podiatry sections) are performed by your residency programs. If a procedure is performed by the residency program, but not within the family medicine center, please explain in what setting that procedure takes place.
Specify if any of the following procedures are performed exclusively by specialists in surgery or another specialty other than family medicine associated with your residency program; and specify in any of the procedures are performed exclusively by family medicine faculty.
15) endoscopy (sigmoidoscopy)? Yes __ No __
Yes:
Sparrow
Ventura
Long Beach
Crozer-Keystone
Jefferson
McKeesport (at hospital)
Oahu
Yes and No:
Huntsville (not in Huntsville; but yes, in Scottsboro during rural rotations)
No:
U Penn (we are stopping)
*NPCB P2 I.2h.16 (RR) Indicate which of the following minor surgical procedures (in addition to those listed in the gynecology, dermatology and podiatry sections) are performed by your residency programs. If a procedure is performed by the residency program, but not within the family medicine center, please explain in what setting that procedure takes place.
Specify if any of the following procedures are performed exclusively by specialists in surgery or another specialty other than family medicine associated with your residency program; and specify in any of the procedures are performed exclusively by family medicine faculty.
16) endoscopy (colonoscopy)? Yes __ No __
Yes:
Ventura (we are working on this; we have a colorectal surgeon to teach residents)
McKeesport (at hospital)
Yes and No:
Huntsville (not in Huntsville; but yes, in Scottsboro during rural rotations)
No:
Sparrow
Long Beach
U Penn
Crozer-Keystone (referred to gastroenterology)
Jefferson
Oahu
*NPCB P2 I.2h.17 (RR) Indicate which of the following minor surgical procedures (in addition to those listed in the gynecology, dermatology and podiatry sections) are performed by your residency programs. If a procedure is performed by the residency program, but not within the family medicine center, please explain in what setting that procedure takes place.
Specify if any of the following procedures are performed exclusively by specialists in surgery or another specialty other than family medicine associated with your residency program; and specify in any of the procedures are performed exclusively by family medicine faculty.
17) endoscopy (EGD)? Yes __ No __
Yes:
McKeesport (at hospital)
Yes and No:
Huntsville (not in Huntsville; but yes, in Scottsboro during rural rotations)
No:
Sparrow
Ventura
Long Beach
U Penn
Crozer-Keystone (referred to gastroenterology)
Jefferson
Oahu
*NPCB P2 I.2h.18 (RR) Indicate which of the following minor surgical procedures (in addition to those listed in the gynecology, dermatology and podiatry sections) are performed by your residency programs. If a procedure is performed by the residency program, but not within the family medicine center, please explain in what setting that procedure takes place.
Specify if any of the following procedures are performed exclusively by specialists in surgery or another specialty other than family medicine associated with your residency program; and specify in any of the procedures are performed exclusively by family medicine faculty.
18) wound/ulcer debridement (surgical)? Yes __ No __
Yes:
Sparrow
Huntsville
Ventura
Long Beach
U Penn
Crozer-Keystone
McKeesport (at hospital)
Oahu
No:
Jefferson
*NPCB P2 2j Does your residency program perform any minor surgical procedures not listed above, nor listed in the women’s health, dermatology or podiatry questions? Yes __ No __
Yes:
U Penn (manual vacuum aspiration DNC up to 12 weeks)
Crozer-Keystone (nasopharangology; joint injections)
Oahu (fine needle aspirations of breast and thyroid)
No:
Sparrow
Huntsville
Ventura
Long Beach
McKeesport
Jefferson
*NPCB P2 I. Does your residency program manage the following procedures for your family medicine center patients either in the inpatient of outpatient settings (or both)?
a) soft tissue injections? Yes __ No __
Yes:
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Erie
Lawton
*NPCB P2 I. Does your residency program manage the following procedures for your family medicine center patients either in the inpatient of outpatient settings (or both)?
b) skin biopsies? Yes __ No __
Yes:
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Erie
Lawton
*NPCB P2 I. Does your residency program manage the following procedures for your family medicine center patients either in the inpatient of outpatient settings (or both)?
c) infant circumcision? Yes __ No __
Yes:
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Erie
Lawton
Does your residency program participate in the identification, referral and follow-up care of patients requiring the following tertiary care services?
a) lymph node biopsy? Yes __ No __
Yes:
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Erie
Lawton
Does your residency program participate in the identification, referral and follow-up care of patients requiring the following tertiary care services?
b) thyroid biopsy? Yes __ No __
Yes:
Santa Rosa
Reading
York
Lebanon
Billings
Monroeville
Beaver
Latrobe
Erie
Lawton
Last Updated (03 September 2006 18:08)