A weekly procedure clinic at Highland Family Medicine and Brown Square, provides an opportunity to focus on procedural medicine—wart and toenail removal, injections, dermatologic procedures, and a variety of other procedures. These sessions are supervised by family medicine attendings experienced in a multitude of procedures.
Procedure Teaching Cores
Supervised workshops on many simple procedures are provided as part of core teaching. These include skin surgery, suturing, nail procedures, casting and splinting, joint injection/aspiration, and gynecological procedures such as IUD insertion, endometrial biopsy, and colposcopy. Training in circumcision procedures occurs as a part of the obstetrics rotation and with each resident’s continuity deliveries. Training in obstetric ultrasound is an integrated part of the Obstetrics rotation.
GYN Procedure Clinic
Residents have the opportunity to learn to do colposcopies, IUD insertions, cervical cryotherapy and endometrial biopsies in the Colposcopy Clinic held one afternoon each week. The clinic is staffed by family medicine faculty who have had extensive experience in doing colposcopy. Given the large numbers of female patients in most primary care practices, family physicians that are able to do these procedures are in high demand and are able to offer a valuable service to their patients.
During the gynecology rotation in the 2nd year, residents spend one half day at Planned Parenthood to observe options counseling and pregnancy termination services. It is strictly observational experience and does not involve residents in directly providing medical or procedural pregnancy terminations. The intent is to give residents a more comprehensive understanding of the abortion procedure including medical eligibility, pre-procedure workup, and exposure to abortion procedure. Residents who do feel that this shadowing experience is not congruent with their personal beliefs and views, may opt out and are scheduled for office and teaching instead.
Residents also have the opportunity to observe and participate in providing medication abortion care at Highland Family Medicine under the supervision of family medicine doctos in a primary care setting. This training experience allows resident involvement in direct patient care and proivdes them with both practical and counselling skills. Residents may opt out of this experience as well.
The residency also offers more robust abortion training to those residents strongly interested in gaining procedural competency. The purpose of this elective is to provide additional training in first trimester medical and surgical abortions, as well as first trimester ultrasound, to highly motivated residents. Participants use elective blocks to work with local and national Planned Parenthood affiliates; travel is required.
The clinical practice at the Department of Family Medicine has a long standing tradition of providing osteopathic philosophy and techniques to their educational platforms and in the patient care setting. The comradery between the DO and MD professions have grown over the years and we have been successful in training many MD residents in the tenets of osteopathic technique. The experience of learning about OMT is provided to all residents of the program.
In addition to the osteopathic manipulation clinics and core lectures the residency has an OMT Area of Concentration. This AOC provides a more structured approach for the development of OMT skills as well as scholarly activity and teaching in the area of osteopathic manipulation. This AOC is available to both DO and MD residents.
Other Clinics offered at HFM
- Geriatric Consults
- Integrative Medicine
- Suboxone Clinic
- Colpo/GYN Procedure Clinic
- Medical Marijuana Consults
- Lactation Consult
Brown Square Health Center Procedures:
A twice monthly procedure clinic at Brown Square offers a variety of common family medicine procedures to our patients, including but not limited to:
- Wart removal
- Dermatologic procedures
- Simple cyst excisions
- Joint injections
- Gynecologic procedures
These procedures are performed by residents under the close supervision of experienced family medicine attendings. Brown Square residents may also schedule many of these types of procedures within their own continuity clinic schedules.