All students need to demonstrate competency in performing four core procedures on completion of medical school in order to provide basic patient care. These procedures include:
- Basic Cardiopulmonary Resuscitation (CPR)
- Bag and Mask Ventilation
- Inserting an Intravenous Line
Competency in CPR and bag and mask ventilation should be developed during the basic science years. In addition, students need to be certified in order to perform venipuncture (drawing blood) and IV insertion. This certification needs to be documented in the Patient Encounter Log under procedures (ex. Procedure - Intravenous Insertion). Students must name the physician that certified them (in the comment section) and the date of certification. This certification needs to be done only once and can be done on any service during any rotation. However, the surgery clerkship takes the primary responsibility for this certification. Once certified, students can continue to perform these procedures without additional documentation but always under supervision.
Students should become familiar with other procedures and surgeries and are encouraged to observe or participate in as many as possible. Faculty can certify students in any number of other procedures. This documentation does not have to be sent to the medical school but must be kept by the medical student. All procedures performed by medical students must be done under faculty supervision.
Demonstrating competency in manual skills requires more than just developing a technical skill. A number of overlapping functions contribute to this professional activity. The following is from the AAMC Core Entrustable Professional Activity Curriculum referring to procedures:
Wanafunzi wote wanapaswa kuonyesha uwezo katika kufanya taratibu nne za msingi juu ya kukamilika kwa shule ya matibabu ili kutoa huduma ya msingi ya mgonjwa. Utaratibu huu ni pamoja na: Basic Cardiopulmonary Resuscitation (CPR) - Bag na Mask Ventilation - Inserting Intravenous Line (ICL) - Uwezo wa CPR na mfuko na mask ya kupumua inapaswa kuendelezwa wakati wa miaka ya sayansi ya msingi. Kwa kuongezea, wanafunzi wanahitaji kuwa na vyeti ili kufanya upasuaji wa damu (kuchukua damu) na kuingiza damu ndani ya damu. Uthibitisho huu unahitaji kuandikwa katika Daftari la Kukutana na Mgonjwa chini ya taratibu (kwa mfano. Utaratibu - Uingizaji wa ndani ya mshipa). Wanafunzi lazima jina daktari kwamba kuthibitishwa yao (katika sehemu ya maoni) na tarehe ya kuthibitishwa. Uthibitisho huu unahitaji kufanywa mara moja tu na unaweza kufanywa kwenye huduma yoyote wakati wa mzunguko wowote. Hata hivyo, uandikishaji wa upasuaji huchukua jukumu la msingi la vyeti hivi. Mara baada ya kuthibitishwa, wanafunzi wanaweza kuendelea kufanya taratibu hizi bila nyaraka za ziada lakini daima chini ya usimamizi. Wanafunzi wanapaswa kufahamiana na taratibu na upasuaji mwingine na wanahimizwa kuchunguza au kushiriki katika wengi iwezekanavyo. Kitivo inaweza kuthibitisha wanafunzi katika idadi yoyote ya taratibu nyingine. Hati hizi hazihitaji kupelekwa kwa shule ya matibabu lakini lazima zihifadhiwe na mwanafunzi wa matibabu. Utaratibu wote uliofanywa na wanafunzi wa matibabu lazima ufanywe chini ya usimamizi wa kitivo. Kuonyesha ustadi katika ustadi wa mikono huhitaji mengi zaidi ya kuendeleza ustadi wa kiufundi tu. Idadi ya kazi overlapping kuchangia shughuli hii ya kitaaluma. "Kama ilivyoelezwa katika AAMC Core Entrustable Professional Activity Curriculum, ""Mtazamo wa Utafiti wa Utafiti wa Utafiti wa Utafiti wa Utafiti wa Utafiti wa Utafiti wa Utafiti wa Utafiti wa Utafiti wa Utafiti wa Utafiti wa Utafiti wa Utafiti wa Utafiti wa Utafiti."""