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Procedural Skill
Fellows must be able to competently perform all medical, diagnostic and surgical procedures considered essential for the area of practice.

Before Graduation, the Fellowship requires its fellows to demonstrate proficiency in:
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Performance of diagnostic and therapeutic procedures;
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Management of critically-ill and injured patients who present to the emergency department, prioritizing critical initial stabilization and reassessing after a stabilizing intervention;
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Performing critical actions for patient care in an appropriate order
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Generating a differential diagnosis for an undifferentiated patient;​
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Performance of invasive procedures, managing unstable patients, and directing major resuscitations of all types on all age groups;
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Performing indicated procedures on all appropriate patients, including those who are uncooperative, at the extremes of age, hemodynamically unstable and who have multiple co-morbidities, poorly defined anatomy, high risk for pain or procedural complications, or require sedation, taking steps to avoid potential complications; and recognizing the outcome and/or complications resulting from the procedures;