Per ACGME requirements, pediatric residents must be able to competently perform procedures used by a pediatrician in general practice, including being able to describe the steps in the procedure, indications, contraindications, complications, pain management, post-procedure care, and interpretation of applicable results. Residents must demonstrate procedural competence by performing the procedures listed below. The best settings to obtain experiences are listed in parentheses:

  • bag-mask ventilation (NICU, PICU, Wards and simulation)
  • bladder catheterization (ED and NICU)
  • giving immunizations (Continuity Clinic, Wake Clinic and Cone Clinic)
  • incision and drainage of abscess (ED)
  • lumbar puncture (ED, NICU, PICU and Wards)
  • neonatal endotracheal intubation (NICU)
  • peripheral intravenous catheter placement (ED, NICU, PICU, Wards and simulation)
  • reduction of simple dislocation (ED)
  • simple laceration repair (ED)
  • simple removal of foreign body (ED and Clinics)
  • temporary splinting of fracture (ED)
  • umbilical catheter placement (NICU and simulation)
  • venipuncture (ED, NICU, PICU, Wards and simulation)

In addition, residents must be competent in the understanding of the indications, contraindications, and complications for the following and should receive real and/or simulated training when these procedures are important for a resident’s post-residency position:

  • arterial line placement (PICU and simulation)
  • arterial puncture (ED, PICU and simulation)
  • chest tube placement (ED, NICU, PICU and simulation)
  • circumcision (NBN)
  • endotracheal intubation of non-neonates (Anesthesiology, PICU and simulation)
  • thoracentesis (simulation)

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