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The edifice was completed in 1846, and first occupied November 7th, by the faculty and graduating class of 1847. Doctor Wooster Beach, the founder of Medical Reform, and now well along in years, came on from the East to take charge of the “clinique” and his text-book— “The American Practice”—was the only book on reformed medicine then available. Text-books of the regular school were still used, but the lectures on practice were carefully revised and presented according to the views of the reformed physicians. The new school was prosperous and had, in its first year, 81 students and 22 graduates;. | 398 June 2009 Family Medicine Residency Education__ Advanced Procedural Training in Family Medicine A Group Consensus Statement Barbara F. Kelly MD Julia M. Sicilia MD Stuart Forman MD William Ellert MD Melissa Nothnagle MD Background and Objectives Family medicine does not have a defined scope of procedures or universal standards for procedural training. This contributes to wide variation in family physician training and difficulties obtaining hospital privileges for advanced procedures. The Society of Teachers of Family Medicine STFM Group on Hospital Medicine and Procedural Training previously developed a list of core procedures to be taught in all family medicine residencies. The group reconvened to develop a consensus list of advanced procedures within the scope of family medicine. Methods Working from a master list of procedures the group which consisted of 21 family medicine educators used a multi-voting process to identify advanced procedures within the scope of family medicine. Results The group generated a list of 36 advanced procedures and added nine procedures to the previously created list of core procedures. Conclusions The STFM Group on Hospital Medicine and Procedural Training proposes a list ofadvanced procedures within the scope of family medicine and urges family medicine governing bodies to use this list to define and standardize the scope of procedural training and practice in family medicine. Fam Med 2009 41 6 398-404. Many medical subspecialties identify a narrow scope of procedures that physicians in the specialty routinely perform. In contrast because of the broad nature of family medicine and family medicine training family physicians practice a wide variety of procedural skills.1-8 These practice variations may stem from local needs and traditions historical practice norms medical staff privileging issues diversity of faculty expertise and emerging technologies. No consensus exists on the optimal