1. 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.

2. 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 10th procedure.

3. 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.

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

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

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

7. 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 Timothy.coker@us.af.mil – T.j.coker@hotmail.com T.j.coker@hotmail.com