Taxonomy I Part V-C (Minor Surgical Procedures) 17 years ago Bill Burnett 16 minutes Last Updated on April 16, 2022 by Lee Burnett, DO, FAAFP(22 April 2006 17:43)NATIONAL PROJECT ON THE COMMUNITY BENEFITSOF FAMILY PRACTICE RESIDENCY PROGRAMSCUMULATIVE QUESTIONNAIRE RESPONSESTaxonomy I Section V-CMinor Surgical ProceduresSD 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:NorthridgeHarbor (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 TraditionalScripps Chula VistaUCSD St VincentUC 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)DurantOSU TulsaUSC Univ & SG (in the family medicine centers and private physician offices)ModestoSaints (lacerations repair; simple lesions, within regular family medicine center appointments)Indiana U MethodistSD 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:WhittierPomonaArrowheadLoma LindaStocktonLouisvilleMCE BirminghamGlendaleOU TulsaOU Oklahoma CityDayton CommunityMiami ValleyDecaturMercerNatividadKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerLas VegasFresnoSpringfieldGlasgowLexingtonOSHU PortlandSD 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:WhittierPomonaArrowheadLoma LindaStocktonLouisvilleMCE BirminghamGlendaleOU TulsaOU Oklahoma CityDayton CommunityMiami ValleyDecaturMercerNatividadKlamath FallsLehigh ValleyMercy ToledoKaiser LATylerLas VegasFresnoSpringfieldGlasgowLexingtonOSHU PortlandSD 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)PomonaLoma 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:ArrowheadMCE BirminghamOU TulsaOU Oklahoma CityDayton CommunityMiami ValleyDecaturMercerLehigh ValleyMercy ToledoLas VegasSpringfieldLexingtonOHSU PortlandSD 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:SparrowHuntsvilleVenturaLong BeachU PennCrozer-KeystoneJeffersonMcKeesportOahu*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:SparrowHuntsvilleVenturaCrozer-KeystoneJeffersonMcKeesportOahuNo: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:SparrowHuntsvilleVenturaLong BeachU PennCrozer-KeystoneJeffersonMcKeesportOahu*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:SparrowHuntsvilleVenturaLong BeachU PennCrozer-KeystoneJeffersonMcKeesportOahu*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:SparrowVenturaLong Beach (If it fits in a specimen cup)U PennCrozer-KeystoneJeffersonMcKeesportOahuNo: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:SparrowHuntsvilleVenturaLong Beach (If it fits in a specimen cup)U PennCrozer-KeystoneJeffersonMcKeesportOahu*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:SparrowHuntsville (in hospital setting)VenturaLong BeachU PennCrozer-KeystoneJefferson (in hospital)McKeesportOahu*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:SparrowHuntsvilleVenturaLong BeachU PennCrozer-Keystone (referred to urologists)Jefferson (referred to urologists)McKeesportOahu*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:SparrowHuntsvilleVenturaLong BeachU PennCrozer-Keystone (referred to colorectal surgeons)JeffersonMcKeesportOahu*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:SparrowHuntsvilleVenturaLong BeachU PennCrozer-Keystone (referred to colorectal surgeons)JeffersonMcKeesportOahu*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:SparrowHuntsvilleVenturaLong BeachU PennCrozer-Keystone (referred to colorectal surgeons)JeffersonMcKeesport (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)VenturaLong Beach (in hospital setting)U PennCrozer-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:SparrowVenturaU PennNo:HuntsvilleLong BeachCrozer-KeystoneJeffersonMcKeesportOahu*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:SparrowHuntsvilleVenturaLong BeachU PennCrozer-KeystoneJefferson (in hospital)McKeesportOahu*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:SparrowVenturaLong BeachCrozer-KeystoneJeffersonMcKeesport (at hospital)OahuYes 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:SparrowLong BeachU PennCrozer-Keystone (referred to gastroenterology)JeffersonOahu*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:SparrowVenturaLong BeachU PennCrozer-Keystone (referred to gastroenterology)JeffersonOahu*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:SparrowHuntsvilleVenturaLong BeachU PennCrozer-KeystoneMcKeesport (at hospital)OahuNo: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:SparrowHuntsvilleVenturaLong BeachMcKeesportJefferson*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 RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton*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 RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawton*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 RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawtonDoes 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 RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawtonDoes 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 RosaReadingYorkLebanonBillingsMonroevilleBeaverLatrobeErieLawtonLast Updated (03 September 2006 18:08) people found this article helpful. What about you?