1. No category

Program: Univ. of WY Family Medicine, Casper
Old Procedure Name*
New Procedure Name*
Abruption ( Manage)
Abruption (Manage)
X
Renamed
Yes
Advanced maternal age ( Manage)
Advanced maternal age (Manage)
X
Renamed
No
Amnio infusion
Amnioinfusion
A1
Renamed
Yes
Amniocentesis
Amniocentesis
B
No change
Yes
Anterior spinal exposure
Anterior spinal exposure
X
No change
No
Appendectomy
Appendectomy
C
No change
No
AROM
AROM (Amniotomy)
A1
Renamed
Yes
Arterial Blood Gas
Arterial Blood Gas (ABG)
X
Renamed
Yes
Arterial line
Arterial line
A2
No change
Yes
Augmentation
Labor augmentation
A1
Renamed
Yes
Biopsy
See Comment
A1
Rename or archive?
Yes
Bladder Catheter (Foley)
Bladder Cathter (Foley)
A0
Renamed
Yes
Bladder suspension
Bladder suspension
X
No change
No
Bowel Resection - small
Bowel Resection - small
X
No change
No
Breast aspiration
Breast biopsy (needle/FNA)
A1
Renamed
Yes
Breast Biopsy
Breast biopsy (open)
B
Renamed
Yes
Breast biopsy (needle)
Breast biopsy (needle/FNA)
A1
Renamed
Yes
Breast biopsy (open)
Breast biopsy (open)
B
No change
Yes
Breech vag deliv
Breech vag deliv
X
No change
No
Breech vers/extract
Breech vers/extract
X
No change
No
Cardioversion
Cardioversion
B
No change
Yes
Carotid
Carotid
X
No change
No
Cast or splint application
See Comment
A2
Rename or archive?
Yes
Cast-long arm
Cast-long arm
A2
No change
Yes
Tuesday, October 20, 2009
* See note at end of section for explanation of column headers
Core* Comment*
Standardize*
Page 121 of 145
Program: Univ. of WY Family Medicine, Casper
Old Procedure Name*
New Procedure Name*
Cast-long leg
Cast-long leg
A2
No change
Yes
Cast-short arm
Cast-short arm
A2
No change
Yes
Cast-short leg walker
Cast-short leg walker
A2
No change
Yes
Cauterization
Cauterization
A1
No change
Yes
Central line
Central line
A2
No change
Yes
Central Venous Line Placement
Central line
A2
Renamed
Yes
Cervic ripen
Cervic ripen
A1
No change
Yes
Cervical Biopsy
Cervical Biopsy
X
No change
No
Cesarean Section
See Comment
B
Rename or archive?
Yes
Chest tube
Chest tube
B
No change
Yes
Cholecystectomy
Cholecystectomy
X
No change
No
Chorioamnionitis ( Manage)
Chorioamnionitis (Manage)
X
Renamed
Yes
Circumcision
Circumcision
A1
No change
Yes
Colonoscopy
Colonoscopy
A2
No change
Yes
Colposcopy
Colposcopy
A2
No change
Yes
Conscious sedation
Conscious sedation
A2
No change
Yes
Continuity delivery
See Comment
A1
Rename or archive?
Yes
Cord prolapse (Manage)
Cord prolapse (Manage)
X
No change
Yes
Cryotherapy-cervix
Cryotherapy - cervix
A2
Renamed
Yes
Cryotherapy-Skin
Cryotherapy - skin lesion
A1
Renamed
Yes
D&C
D&C
A2
No change
Yes
D&E
D&E
A2
No change
Yes
Digital block
Digital block
A1
No change
Yes
Disection
Disection
X
No change
No
Tuesday, October 20, 2009
* See note at end of section for explanation of column headers
Core* Comment*
Standardize*
Page 122 of 145
Program: Univ. of WY Family Medicine, Casper
Old Procedure Name*
New Procedure Name*
Drug/ETOH use ( Manage)
Drug/ETOH use (Manage)
ECG
ECG interpretation
Eclampsia/seizure ( Manage)
Core* Comment*
Standardize*
X
Renamed
Yes
A0
Renamed
Yes
Toxemia/seizure (Manage)
X
Renamed
Yes
EGD
EGD
B
No change
Yes
Endarterectomy
Endarterectomy
X
No change
No
Endocervical Currettage
Endocervical Currettage
X
No change
No
Endometrial bx
Endometrial biopsy
A1
Renamed
Yes
Episiotomy
See Comment
A1
Rename or archive?
Yes
Episiotomy/lac- 3rd or 4th degree
See Comment
A2
Rename or archive?
Yes
Episiotomy/lac-2nd degree
Laceration - repair 2nd degree
A1
Renamed
Yes
Exploratory laparoscopy
Exploratory laparoscopy
C
No change
No
Failure to progress (Manage)
Failure to progress (Manage)
X
No change
Yes
Femoropopliteal Bypass
Femoropopliteal Bypass
X
No change
No
Fetal distress ( Manage)
Fetal distress (Manage)
X
Renamed
Yes
Fetal scalp electrode
Fetal scalp electrode
A1
No change
Yes
Fine Needle Aspiration
Fine Needle Aspiration (non-breast)
A1
Renamed
Yes
Fistulectomy
Fistulectomy
C
No change
No
Flexible Sigmoidoscopy
Sigmoidoscopy
A2
Renamed
Yes
Forceps low
Forceps low
B
No change
Yes
Forceps outlet
Forceps outlet
B
No change
Yes
Foreign Body Removal - Ear
Foreign Body Removal - Ear
A0
No change
Yes
Foreign Body Removal - Eye
Foreign Body Removal - Eye
A1
No change
Yes
Foreign Body Removal - Nose
Foreign Body Removal - Nose
A0
No change
Yes
Foreign Body Removal - Other
Foreign Body Removal - Other
X
No change
Yes
Tuesday, October 20, 2009
* See note at end of section for explanation of column headers
Page 123 of 145
Program: Univ. of WY Family Medicine, Casper
Old Procedure Name*
New Procedure Name*
Gestational DM class A2 ( Manage)
Gestational DM class A2 (Manage)
X
Renamed
Yes
Gestational DM class B ( Manage)
Gestational DM class B (Manage)
X
Renamed
Yes
Groin biopsy
Groin biopsy
X
No change
No
Hartmann's Procedure
Hartmann's Procedure
X
No change
No
Hemorrhoid banding
Hemorrhoid banding
X
No change
No
Hernia - incisional
Hernia - incisional
X
No change
No
Hernia repair - inguinal
Hernia repair - inguinal
X
No change
No
Hernia repair - other
Hernia repair - other
X
No change
No
Home Visit
Home Visit
X
No change
Yes
HTN chronic ( Manage)
HTN chronic (Manage)
X
Renamed
No
Hysterectomy
Hysterectomy
X
No change
No
Ileostomy repair
Ileostomy repair
X
No change
No
Incision & Drainage
I & D - skin
A1
Renamed
Yes
Induction
Labor induction
A1
Renamed
Yes
Inguinal lymph node disection
Inguinal lymph node disection
X
No change
No
Intrathecal
Intrathecal
X
No change
No
Intrauterine pressure catheter
IU press. catheter
A1
Renamed
Yes
Intubation
See Comment
X
Intubation-adult
Intubation-adult
A2
No change
Yes
Intubation-child
Intubation-child
A2
No change
Yes
Intubation-newborn
Intubation-newborn
A2
No change
Yes
Isoimmunization ( Manage)
Isoimmunization (Manage)
X
Renamed
Yes
ITP ( Manage)
ITP (Manage)
X
Renamed
Yes
IUD
IUD insertion
A1
Renamed
Yes
Tuesday, October 20, 2009
* See note at end of section for explanation of column headers
Core* Comment*
Rename or archive?
Standardize*
No
Page 124 of 145
Program: Univ. of WY Family Medicine, Casper
Old Procedure Name*
New Procedure Name*
IUFD - manage
IUFD - manage
X
No change
No
IUGR ( Manage)
IUGR (Manage)
X
Renamed
Yes
IV placement
IV placement
A0
No change
Yes
Joint aspirate/inject
Joint aspirate/inject
A1
No change
Yes
Labial laceration repair
See Comment
A1
Rename or archive?
Yes
Labor Management ( No Delivery)
Labor Management (No Delivery)
A1
Renamed
Yes
Laceration repair
Laceration repair - skin
A1
Renamed
Yes
Laparoscopic Cholecystectomy
Laparoscopic Cholecystectomy
X
No change
No
Laryngeal Mask Airway
Laryngeal Mask Airway
X
No change
No
LEEP/LETZ
LEEP
B
Renamed
Yes
Lipoma Excision
Lipoma Excision
X
No change
No
Lobectomy
Lobectomy
X
No change
No
Lumbar Puncture
LP
A1
Renamed
Yes
Lumbar puncture-adult
LP
A1
Renamed
Yes
Lumbar puncture-pediatric
LP
A1
Renamed
Yes
Malpresentation (Manage)
Malpresentation (Manage)
X
No change
Yes
Manual placenta extraction
Manual placenta extraction
A2
No change
Yes
Mass Biopsy
See Comment
X
Rename or archive?
No
Mastectomy
Mastectomy
X
No change
No
Mastectomy w/ biopsy
Mastectomy w/ biopsy
X
No change
No
Medical Management
Medical Management-non ICU
A1
Renamed
Yes
Medical Management - ICU
Med. Manage- intnsv care (ICU/PICU/NICU/SICU)
A1
Renamed
Yes
Multiple gest ( Manage)
Multiple gest (Manage)
X
Renamed
Yes
Nail excision
Toenail excision
A1
Renamed
Yes
Tuesday, October 20, 2009
* See note at end of section for explanation of column headers
Core* Comment*
Standardize*
Page 125 of 145
Program: Univ. of WY Family Medicine, Casper
Old Procedure Name*
New Procedure Name*
Nasal Pack - Epistaxis
Nasal Pack - Epistaxis
Naso scope
Naso scope
Non stress test
Non stress test (NST/fetal monitoring)
Norplant insert/remove
Implanon insert/remove
NSVD
SVD
Nursing Home Visit
Nursing Home Visit
OB US not intrapartum
Ultrasound - 3rd trimester (basic)
Oligohydramnios ( Manage)
Core* Comment*
Standardize*
A1
No change
Yes
B
No change
Yes
A1
Renamed
Yes
Change to more generic
"contraceptive insert/remove"?
Yes
A1
Renamed
Yes
X
No change
Yes
A1
Renamed
Yes
Oligohydramnios (Manage)
X
No change
Yes
Other (see comments)
Other (see comments)
X
No change
Yes
PAP/pelvic
Pap smear
A1
Renamed
Yes
Paracentesis
Paracentesis
A2
No change
Yes
PIH ( Manage)
PIH (Manage)
X
Renamed
Yes
Placenta previa ( Manage)
Placenta previa (Manage)
X
Renamed
Yes
Pleurocentesis
Thoracentesis
A2
Renamed
Yes
Pleurocentesis
Thoracentesis
A2
Renamed
Yes
Polyhydramnios ( Manage)
Polyhydramnios (Manage)
X
Renamed
Yes
Post - dates ( Manage)
Post - dates (Manage)
X
Renamed
Yes
Post-op care
Post-op care
X
No change
Yes
PP hemorrhage (Manage)
PP hemorrhage (Manage)
X
No change
Yes
Pre-eclampsia
Toxemia/seizure (Manage)
X
Renamed
Yes
Pregnancy Termination
Pregnancy Termination
X
No change
No
Premature Labor ( Manage)
Premature Labor (Manage)
X
Renamed
Yes
Primary C/S: LT
C-Section - primary - low transverse
B
Renamed
Yes
Primary C/S: LV
C-Section - primary - low vertical
B
Renamed
Yes
Tuesday, October 20, 2009
* See note at end of section for explanation of column headers
B
Page 126 of 145
Program: Univ. of WY Family Medicine, Casper
Old Procedure Name*
New Procedure Name*
Primary C/S:classic
C-Section - primary - classic
B
Renamed
Yes
PROM ( Manage)
PROM (Manage)
X
Renamed
Yes
Pudendal nerve block
Pudendal nerve block
X
No change
No
Reduce dislocated joint
Dislocated joint - reduced (shoulder)
A2
No change
Yes
Reduce fracture
Fracture management - simple reduction
A1
Renamed
Yes
Repair 1st deg laceration
Laceration - repair 1st degree
A1
Renamed
Yes
Repair 2nd deg laceration
Laceration - repair 2nd degree
A1
Renamed
Yes
Repair 3rd deg laceration
Laceration - repair 3rd degree
A2
Renamed
Yes
Repair 4th deg laceration
Laceration - repair 4th degree
A2
Renamed
Yes
Repair Cervical laceration
Repair Cervical laceration
X
No change
No
Repair Periurethral laceration
Laceration - repair periurethral
A1
Renamed
Yes
Repeat C/S
C-Section - repeat - low transverse
B
Renamed
Yes
Resuscitation-adult
Resuscitation-adult
A1
No change
Yes
Resuscitation-child
Resuscitation-child
A1
No change
Yes
Resuscitation-newborn
Resuscitation-newborn
A1
No change
Yes
Sclerotherapy
Sclerotherapy
A2
Need to be more specific?
Yes
Shoulder dystocia (Manage)
Shoulder dystocia (Manage)
X
No change
Yes
Sigmoidoscopy
Sigmoidoscopy
A2
No change
Yes
Sigmoidoscopy w/ biopsy
Sigmoidoscopy w/ biopsy
A2
No change
Yes
Skin biopsy
Skin biopsy - punch
A1
Renamed
Yes
Skin excision
Skin excision
A1
No change
Yes
Sublclavian central line
Central line
A2
Renamed
Yes
Surgical assist
Surgical assist
X
No change
Yes
Suturing
See Comment
X
Rename or archive?
Yes
Tuesday, October 20, 2009
* See note at end of section for explanation of column headers
Core* Comment*
Standardize*
Page 127 of 145
Program: Univ. of WY Family Medicine, Casper
Old Procedure Name*
New Procedure Name*
SVD w / MLE
SVD w/ midline episiotomy
A1
Renamed
Yes
SVDw / ME
SVD w/ midline episiotomy
A1
Renamed
Yes
Swan-Ganz Catheter
Swan-Ganz catheter placement
B
Renamed
Yes
Thoracentesis
Thoracentesis
A2
No change
Yes
Thoracotomy
Thoracotomy
X
No change
No
Thorascope
Thorascope
X
No change
No
Treadmill
Treadmill Stress Test
B
Renamed
Yes
Triple Lumen Catheter Placement
Central line
A2
Renamed
Yes
Tubal-Interval
Tubal-Interval
B
No change
Yes
Tubal-Postpartum
Tubal-Postpartum
B
No change
Yes
U/S
Ultrasound - 1st trimester (advanced)
A2
Renamed
Yes
U/S non-OB
See Comment
Rename or archive?
Yes
Ultrasound-basic OB
Ultrasound - 3rd trimester (basic)
A1
Renamed
Yes
Umbilical artery/vein catheterizaion
Umbilical artery/vein catheterization
A2
Renamed
Yes
Vac assist vag delivery
Vac assist vaginal delivery
A1
Renamed
Yes
Vasectomy
Vasectomy
A2
No change
Yes
VBAC
VBAC
X
No change
No
Ventilator management
Ventilator management
A2
No change
Yes
Tuesday, October 20, 2009
* See note at end of section for explanation of column headers
Core* Comment*
X
Standardize*
Page 128 of 145
Program: Univ. of WY Family Medicine, Casper
Old Procedure Name*
New Procedure Name*
Core* Comment*
Standardize*
Note: The procedure names above are all the names used by all UW FMRN programs. Column headers definitions:
Old Procedure Name is what the procedure is currently called in New Innovations
New Procedure Name is the proposed new name
Core refers to "core" or "advanced" procedures as follows: [for more information see the article by Kelly B, et al. Advanced Procedural Training in Family Medicine: A
Group Consensus Statement. Fam Med 2009;41(6):398-404]
A0 = All residents must be able to perform, but documentation not required (core)
A1 = All residents must be able to perform independently by graduation (core)
A2 = All residents must be exposed to and have the opportunity to train to independent performance (core)
B = Require focused training in residency (advanced)
C = May require additional training beyond residency or fellowship
X = not "core" or "advanced" as defined in the article, but UWFMRN program directors want to track / report some of these numbers as a network.
Standardize indicates whether or not this would be changed - if "Yes," it would be changed. If "No," it would remain the same.
Tuesday, October 20, 2009
* See note at end of section for explanation of column headers
Page 129 of 145