Taxonomy I Part V-C (Minor Surgical Procedures)

(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)