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Office Procedures for Primary Care

Build confidence and clinical reasoning around common in-office procedures, from joint injections to skin biopsies and laceration repair.

What this track covers

This track covers the decision-making and technique considerations behind everyday office procedures: joint and soft tissue injections, skin biopsies and lesion removal, wound care and suturing, and other common minor procedures like incision and drainage. It focuses on patient selection, anatomy, technique sequencing, and complication recognition rather than step-by-step motor skill practice.

What you will practice

  • Choosing an injection approach and landmark for knee, shoulder, or elbow joints
  • Selecting shave, punch, or excisional biopsy based on lesion characteristics
  • Deciding between simple interrupted, mattress, or subcuticular closure for a wound
  • Recognizing when a lesion or wound needs referral instead of an office procedure
  • Anticipating and managing complications like bleeding, infection, or poor wound healing

Simulator scenario

A patient presents with knee pain and swelling after a fall, and the clinician must decide whether joint injection is appropriate or further workup is needed first.

Board question topics

  • Indications and contraindications for joint injections
  • Biopsy technique selection for suspicious skin lesions
  • Suture technique selection by wound type and location
  • Recognizing complications after office-based procedures

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