PGY 2, 3, or 4 Dermatology trainees can perform the procedures listed below with indirect supervision:

 

 

PGY2

PGY3

PGY4

Differential Diagnosis:

Clinical History

X

X

X

Physical Examination

X

X

X

Interpretation of Lab Studies

X

X

X

Interpretation of Basic X-ray Studies (skull, spine, chest, abdomen, extremities)

X

X

X

Cardiopulmonary Resuscitation:

Airway Maintenance

X

X

X

Emergency Drug Therapy

X

X

X

Rhythm Strip Interpretation

X

X

X

Intravenous Catheterization

X

X

X

Closed Chest Massage

X

X

X

Pediatric Resuscitation

X

X

X

Electrocardioversion & Defibrillation

X

X

X

Intracardiac Injection

X

X

X

Venous Cut-down

X

X

X

Airway Maintenance:

Insertion of Oral Pharyngeal Airway

X

X

X

Endotracheal Intubation

X

X

X

Crichothyroidotomy

X

X

X

Use of Mechanical Respirators

X

X

X

Additional Specific Skills:

Intra-arterial Puncture or Catheterization

X

X

X

Bladder Catheterization

X

X

X

Foreign Body Removal Techniques

X

X

X

Splinting of Fractures & Dislocations

X

X

X

Emergency Closed Reduction Technique (followed by cast application)

X

X

X

I&D of Superficial Abscesses & Hematomas

X

X

X

Interpreting Arterial Blood Gases

X

X

X

Emergency Treatment of 1st, 2nd & 3rd Degree Burns

X

X

X

Introduction of NG Tubes

X

X

X

Diagnostic Peritoneal Lavage

X

X

X

Preparation and Interpretation of Microscopic Specimens:
Skin and mucosal scrapings of touch preparations, hair and nail mounts (KOH, mineral oil, Tzanck and gram stains, darkfield microscopy)

X

X

X

Biopsy of skin and mucosal surfaces (punch, shave, incisional, excisional)

X

X

X

Incision and drainage of skin lesions

X

X

X

Excision and skin lesions (simple)

X

X

X

Cryosurgical destruction of skin lesions

X

X

X

Cutaneous patch testing

X

X

X

Phototherapy (UVA, UVB)

X

X

X

Electrosurgical destruction of skin lesions

 

X

X

Excision of skin lesions (complex)

 

 

X

Phototesting

 

X

All other procedures are performed under direct supervision of a faculty member.

 

May 26, 2022