QUESTION:
What do you think about having the AAFP creating a procedures registry similar to the ACGME procedures registry in use for surgical programs?
REPLY (WMR):
Regarding the AAFP procedures registry, find the ten percent which makes ninety percent.
I agree with Bill.
My experience with lists is that they tend to become exhaustive and comprehensive and end up being relatively useless. Nobody is going to contest a familiy physician doing a punch biopsy, knee injection, or even a flexible sigmoidoscopy. But C-Section? Colonoscopy?
The risk of having an exhaustive online AAFP-sponsored list is that the important "front line" procedures that people have credentialing problems with may be lost in the forest of simple procedures that nobody has any problem with. Any thought to online lists should keep this in mind.
Stu
So true that it hurts. I think that the Hosp and Proc Group can take a leadership in what procedures HAVE to have a centralized "monitoring" or something like that.
My two cents.
Eduardo
I totally agree.
K. Ashok Kumar MD., FRCS., FAAFP
Index--Procedures, credentialing, numerology versus selective nihilism
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