Taxonomy I Part V-C (Minor Surgical Procedures)

Originally dated 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.

References

  1. lumps and bumps? Yes __ No __
  2. Yes:
  3. Sparrow
  4. Huntsville
  5. Ventura
  6. Long Beach
  7. U Penn
  8. Crozer-Keystone
  9. Jefferson
  10. McKeesport
  11. Oahu
  12. *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.
  13. 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. breast lump evaluations? Yes __ No __
  15. Yes:
  16. Sparrow
  17. Huntsville
  18. Ventura
  19. Crozer-Keystone
  20. Jefferson
  21. McKeesport
  22. Oahu
  23. No:
  24. Long Beach (These go to the breast center for a comprehensive workup)
  25. U Penn (Aspiration, yes; excision or ultrasound, no)
  26. *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.
  27. 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.
  28. skin lesion removal? Yes __ No __
  29. Yes:
  30. Sparrow
  31. Huntsville
  32. Ventura
  33. Long Beach
  34. U Penn
  35. Crozer-Keystone
  36. Jefferson
  37. McKeesport
  38. Oahu
  39. *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.
  40. 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.
  41. suturing? Yes __ No __
  42. Yes:
  43. Sparrow
  44. Huntsville
  45. Ventura
  46. Long Beach
  47. U Penn
  48. Crozer-Keystone
  49. Jefferson
  50. McKeesport
  51. Oahu
  52. *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.
  53. 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.
  54. lipoma excisions? Yes __ No __
  55. Yes:
  56. Sparrow
  57. Ventura
  58. Long Beach (If it fits in a specimen cup)
  59. U Penn
  60. Crozer-Keystone
  61. Jefferson
  62. McKeesport
  63. Oahu
  64. No:
  65. Huntsville
  66. *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.
  67. 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.
  68. cyst removal? Yes __ No __
  69. Yes:
  70. Sparrow
  71. Huntsville
  72. Ventura
  73. Long Beach (If it fits in a specimen cup)
  74. U Penn
  75. Crozer-Keystone
  76. Jefferson
  77. McKeesport
  78. Oahu
  79. *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.
  80. 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.
  81. infant circumcisions? Yes __ No __
  82. Yes:
  83. Sparrow
  84. Huntsville (in hospital setting)
  85. Ventura
  86. Long Beach
  87. U Penn
  88. Crozer-Keystone
  89. Jefferson (in hospital)
  90. McKeesport
  91. Oahu
  92. *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.
  93. 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.
  94. adult circumcisions? Yes __ No __
  95. No:
  96. Sparrow
  97. Huntsville
  98. Ventura
  99. Long Beach
  100. U Penn
  101. Crozer-Keystone (referred to urologists)
  102. Jefferson (referred to urologists)
  103. McKeesport
  104. Oahu
  105. *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.
  106. 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.
  107. hemorrhoidectomies? Yes __ No __
  108. No:
  109. Sparrow
  110. Huntsville
  111. Ventura
  112. Long Beach
  113. U Penn
  114. Crozer-Keystone (referred to colorectal surgeons)
  115. Jefferson
  116. McKeesport
  117. Oahu
  118. *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.
  119. 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.
  120. infrared hemorrhoid therapy? Yes __ No __
  121. No:
  122. Sparrow
  123. Huntsville
  124. Ventura
  125. Long Beach
  126. U Penn
  127. Crozer-Keystone (referred to colorectal surgeons)
  128. Jefferson
  129. McKeesport
  130. Oahu
  131. *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.
  132. 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.
  133. banding hemorrhoid therapy? Yes __ No __
  134. No:
  135. Sparrow
  136. Huntsville
  137. Ventura
  138. Long Beach
  139. U Penn
  140. Crozer-Keystone (referred to colorectal surgeons)
  141. Jefferson
  142. McKeesport (can do it, but not really doing it)
  143. Oahu
  144. *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.
  145. 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.
  146. paracentesis? Yes __ No __
  147. Yes:
  148. Huntsville (in hospital setting)
  149. Ventura
  150. Long Beach (in hospital setting)
  151. U Penn
  152. Crozer-Keystone (in hospital setting)
  153. Jefferson (in hospital setting)
  154. McKeesport (in hospital setting)
  155. Oahu (in hospital setting)
  156. No:
  157. Sparrow
  158. *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.
  159. 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.
  160. arterial pressures in legs? Yes __ No __
  161. Yes:
  162. Sparrow
  163. Ventura
  164. U Penn
  165. No:
  166. Huntsville
  167. Long Beach
  168. Crozer-Keystone
  169. Jefferson
  170. McKeesport
  171. Oahu
  172. *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.
  173. 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.
  174. wound closure and management? Yes __ No __
  175. Yes:
  176. Sparrow
  177. Huntsville
  178. Ventura
  179. Long Beach
  180. U Penn
  181. Crozer-Keystone
  182. Jefferson (in hospital)
  183. McKeesport
  184. Oahu
  185. *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.
  186. 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.
  187. endoscopy (sigmoidoscopy)? Yes __ No __
  188. Yes:
  189. Sparrow
  190. Ventura
  191. Long Beach
  192. Crozer-Keystone
  193. Jefferson
  194. McKeesport (at hospital)
  195. Oahu
  196. Yes and No:
  197. Huntsville (not in Huntsville; but yes, in Scottsboro during rural rotations)
  198. No:
  199. U Penn (we are stopping)
  200. *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.
  201. 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.
  202. endoscopy (colonoscopy)? Yes __ No __
  203. Yes:
  204. Ventura (we are working on this; we have a colorectal surgeon to teach residents)
  205. McKeesport (at hospital)
  206. Yes and No:
  207. Huntsville (not in Huntsville; but yes, in Scottsboro during rural rotations)
  208. No:
  209. Sparrow
  210. Long Beach
  211. U Penn
  212. Crozer-Keystone (referred to gastroenterology)
  213. Jefferson
  214. Oahu
  215. *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.
  216. 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.
  217. endoscopy (EGD)? Yes __ No __
  218. Yes:
  219. McKeesport (at hospital)
  220. Yes and No:
  221. Huntsville (not in Huntsville; but yes, in Scottsboro during rural rotations)
  222. No:
  223. Sparrow
  224. Ventura
  225. Long Beach
  226. U Penn
  227. Crozer-Keystone (referred to gastroenterology)
  228. Jefferson
  229. Oahu
  230. *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.
  231. 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.
  232. wound/ulcer debridement (surgical)? Yes __ No __
  233. Yes:
  234. Sparrow
  235. Huntsville
  236. Ventura
  237. Long Beach
  238. U Penn
  239. Crozer-Keystone
  240. McKeesport (at hospital)
  241. Oahu
  242. No:
  243. Jefferson
  244. *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 __
  245. Yes:
  246. U Penn (manual vacuum aspiration DNC up to 12 weeks)
  247. Crozer-Keystone (nasopharangology; joint injections)
  248. Oahu (fine needle aspirations of breast and thyroid)
  249. No:
  250. Sparrow
  251. Huntsville
  252. Ventura
  253. Long Beach
  254. McKeesport
  255. Jefferson
  256. *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)?
  257. a) soft tissue injections? Yes __ No __
  258. Yes:
  259. Santa Rosa
  260. Reading
  261. York
  262. Lebanon
  263. Billings
  264. Monroeville
  265. Beaver
  266. Latrobe
  267. Erie
  268. Lawton
  269. *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)?
  270. b) skin biopsies? Yes __ No __
  271. Yes:
  272. Santa Rosa
  273. Reading
  274. York
  275. Lebanon
  276. Billings
  277. Monroeville
  278. Beaver
  279. Latrobe
  280. Erie
  281. Lawton
  282. *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)?
  283. c) infant circumcision? Yes __ No __
  284. Yes:
  285. Santa Rosa
  286. Reading
  287. York
  288. Lebanon
  289. Billings
  290. Monroeville
  291. Beaver
  292. Latrobe
  293. Erie
  294. Lawton
  295. Does your residency program participate in the identification, referral and follow-up care of patients requiring the following tertiary care services?
  296. a) lymph node biopsy? Yes __ No __
  297. Yes:
  298. Santa Rosa
  299. Reading
  300. York
  301. Lebanon
  302. Billings
  303. Monroeville
  304. Beaver
  305. Latrobe
  306. Erie
  307. Lawton
  308. Does your residency program participate in the identification, referral and follow-up care of patients requiring the following tertiary care services?
  309. b) thyroid biopsy? Yes __ No __
  310. Yes:
  311. Santa Rosa
  312. Reading
  313. York
  314. Lebanon
  315. Billings
  316. Monroeville
  317. Beaver
  318. Latrobe
  319. Erie
  320. Lawton
  321. Last Updated (03 September 2006 18:08)