Credentialed Procedures

Our program trains you in all medical procedures required by the American Board of Internal Medicine, as well as additional key competencies we require for graduation, through a standardized credentialing process.

This fulfills requirements of New York State law — and ensures that you get consistent supervision and feedback while you learn.

Before performing any of these procedures, you will review its steps with your supervisor. This individual will be credentialed in the procedure you’re learning, and may be another resident, a fellow or the attending. Refer to the University at Buffalo GME website for indications, contraindications and steps.

For a supervised procedure to count toward your credentialing, it must meet these criteria:

  • You must have an eligible supervisor present for the duration of the procedure.
  • You must demonstrate to the supervisor necessary knowledge of indications, contraindications and management options for possible complications.
  • You must correctly identify the patient by two unique identifiers before attempting the procedure.
  • If informed consent is required, it must be obtained.
  • The patient must be educated about the procedure’s risks and benefits and about what to expect during and after the procedure.
  • You must complete all steps successfully with your supervisor in attendance, for example, checking x-rays after IJ/subclavian line attempts or DHT insertion.
  • You must place a clear note in the patient’s chart designating the procedure, indication(s), supervisor, consent obtained, steps performed, outcome and any other relevant information.

See the table below for the number of times you must perform procedures required by the ABIM to obtain credentialing:

Required Procedures Sites Encountered Number Required
ACLS ACLS certification class, ER, ICU, CCU, floors Passing certification class and maintaining certification
Pelvic exam, pap smear and cervical culture Women’s Health, ER 3
Peripheral venous access ER, floors, ICU 3
Arterial blood draw ER, floors, ICU 3
Venous blood draw ER, floors, ICU 3

To perform additional procedures, such as central line placement and arthrocentesis independently, you will need to be certified. Generally, you learn these procedures in your ICU and ER experiences. Some ambulatory procedures, however, are more often available in specialized ambulatory education blocks.