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Office-Based Minor Procedures

Approach common outpatient minor procedures with a clearer framework for technique selection, anesthesia, and complication management.

What this track covers

This track covers the minor surgical procedures routinely performed in a primary care office, including skin biopsies, cyst and lipoma removal, local anesthesia, incision and drainage, nail procedures, and lesion destruction. It focuses on technique selection, patient preparation, and recognizing when a lesion or presentation warrants referral instead of an in-office approach.

What you will practice

  • Choosing between shave, punch, and excisional biopsy based on lesion characteristics
  • Selecting local anesthesia technique (infiltration, field block, digital block) for a given site
  • Working through cyst versus lipoma excision planning and specimen handling
  • Deciding when I&D needs packing versus primary closure
  • Recognizing nail and lesion presentations that need referral rather than in-office management

Simulator scenario

A patient presents with a painful, fluctuant abscess on the thigh, and the clinician must decide on anesthesia approach, incision technique, and post-procedure wound care instructions.

Board question topics

  • Biopsy technique selection by lesion type
  • Local anesthetic agent selection and safety considerations
  • I&D and wound packing decision-making
  • Referral criteria for suspicious or complex lesions

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