Vasectomy Curriculum Outcome 1 By the end of

Vasectomy Curriculum Outcome #1 • By the end of residency, residents will be able to effectively counsel patients on the following: – Benefits – Risks – Procedure – Pre- & post-procedure care instructions • Effective counseling will be determined by direct observation using a core item checklist to ensure 100% of the topics were discussed in a clear, patient-oriented manner.

Vasectomy Curriculum Outcome #2 • By the end of residency, residents will be able to perform core components of a successful vasectomy independently: – Provide adequate anesthesia – Isolate vas deferens – Occlude the vas deferens • Residents will be evaluated by staff using a skills assessment evaluation during direct observation of the procedure on 10 patients, and they should reach competency by the 10 th procedure.

Vasectomy Curriculum Outcome #3 • By the end of the residency, residents will be able to identify and manage the following complications of vasectomy: – Failure to achieve sterility – Hematoma/bleeding – Infection – Sperm granuloma – Epididymitis – Permanent pain • Residents will demonstrate their knowledge by scoring proficient on a case-based oral exam covering three of the six complications.

Vasectomy Counseling • Strategies – Group counseling observation – Review Vasectomy folder • Presentation • Forms • Articles • Assessment – Group counseling evaluation

Vasectomy Procedure • Strategies – Vasectomy folder • • Overview of procedure NSV procedure book Forms Articles – Vasectomy video – Scrotal model for practice • Assessment – 10 procedure evaluations

Vasectomy Complications • Strategies – Vasectomy folder • Overview of complications • Complication Algorithms • Articles – Case discussions • Assessment – 3 case oral exams

Questions/Contact Info Timothy J. Coker, MD, FAAFP Ehrling Bergquist Clinic Family Medicine Residency, Offutt AFB, NE 68113 Department of Family Medicine, University of Nebraska Medical Center, Omaha, NE 68198 E-Mail: – Timothy. coker@us. af. mil – T. j. coker@hotmail. com