Med/Peds Resident Procedure Log
| Resident Physician | Procedure Details | ||
| Resident's first name | Date (MM/DD/YYYY) | ||
| Resident's last name | Supervisor | ||
| Resident's email address | Patient's location | ||
| Resident's Year | Patient's first name | ||
| Medicine Procedures | Patient's last name | ||
| Pediatric Procedures | Patient's MHMC # | ||
| Indication
|
Location (Example: Right knee)
|
||
| Complications
|
Comments
|
||
When submit, this form will automatically be sent Nancy Dacko.
Once submitted you will have the opportunity to print a copy for your
records.
To read to the official Accreditation Council for Graduate Medical Education (ACGME) procedure regulations, select the appropriate link below.
Medicine ACGME Procedure
Regulations
Pediatric ACGME
Procedure Regulations