Pediatric Residents Procedure Requirements
Development of Procedural Skills
The program must teach residents, in both hospital and ambulatory settings, those procedural skills appropriate for a general pediatrician. These educational experiences should be graduated so that residents build and maintain skills throughout the training program.Each program must have a formal system for documenting resident experience and for monitoring resident compliance with the documentation process. Documentation of skills, eg, procedure logs, must be maintained by the program in the resident files. Supervision and documentation of skills must be by faculty or others with documented competence in the procedures. Residents should be informed about the procedures they are expected to learn and must receive feedback on their proficiency as part of the evaluation process.
- Each program must provide sufficient training in and monitor resident development of at least the following skills:
- Basic and advanced life support
- Endotracheal intubation
- Placement of intraosseous and intravenous lines
- Arterial puncture
- Venipuncture
- Umbilical artery and vein catheter placement
- Lumbar puncture
- Bladder catheterization
- Thoracentesis
- Chest tube placement
- Gynecologic evaluation of prepubertal and postpubertal females
- Wound care and suturing of lacerations
- Subcutaneous, intradermal, and intramuscular injections
- Developmental screening test.
All residents should maintain certification in pediatric (PALS) and neonatal advanced cardiac life support or in equivalent lifesaving systems.
- In addition, programs should provide exposure to the following procedures or skills:
- Circumcision
- Conscious sedation
- Tympanometry and audiometry interpretation
- Vision screening
- Hearing screening
- Simple removal of foreign bodies, eg, from ears or nose
- Inhalation medications
- Incision and drainage of superficial abscesses
- Suprapubic tap
- Reduction and splinting of simple dislocations
- Pain management.