
Tanisha Akhand, MD
PGY-2 Emergency Medicine Resident · Class of 2027
ACGME Procedure Portfolio
602 totalMet 9 of 12 graded ACGME requirements.
CARDIAC PACING TOTALS5/6Below
CVL TOTALS33/20Met
Conscious (Procedural) Sedation & Analgesia - ACGME32/15Met
INTUBATION TOTALS90/35Met
Intubation - Endotracheal - ACGME70cohort avg 53.8
Intubation - Fiberoptic Scope11cohort avg 5.1
Intubation - Supraglottic (LMA-King Tube-iGel)1cohort avg 4.1
Intubation, Pediatric (8cohort avg 6.8
Nasotracheal Intubation0cohort avg 0.2
LUMBAR PUNCTURE TOTALS17/15Met
OB/GYN - Vaginal delivery - ACGME19/10Met
Pericardiocentesis - ACGME (SIM)1/3Below
REDUCTION TOTALS58/10Met
Reduction - (Digit-Nursemaid's Elbow-Patella) - ACGME5cohort avg 4.4
Reduction - (Shoulder-Elbow-Hip-Knee-Ankle) - ACGME53cohort avg 17.7
Reduction - Mandible - ACGME0cohort avg 0.4
Resuscitation142cohort avg 199.1
Resuscitation - Adult Medical - ACGME67/45Met
Resuscitation - Adult Trauma - ACGME41/35Met
Resuscitation - Pediatric Medical - ACGME14/15Below
Resuscitation - Pediatric Trauma - ACGME20/10Met
Surgical Airway - Cricothyrotomy - ACGME (SIM)5/3Met
AIRWAY TOTALS6cohort avg 2.8
Thoracostomy - Chest Tube - ACGME22/10Met
ULTRASOUND TOTALS172/150Met
Ultrasound - 1st Trimester Pregnancy0cohort avg 1.9
Ultrasound - Aorta4cohort avg 10.1
Ultrasound - Cardiac60cohort avg 48.6
Ultrasound - CVL Access11cohort avg 9.3
Ultrasound - DVT Assessment0cohort avg 1.9
Ultrasound - FAST Exam (Trauma)30cohort avg 52.3
Ultrasound - IV Access12cohort avg 14.5
Ultrasound - Ocular8cohort avg 7.2
Ultrasound - Other23cohort avg 23.9
Ultrasound - Pelvic US5cohort avg 3.4
Ultrasound - Renal2cohort avg 5
Ultrasound - RUQ8cohort avg 5.4
Ultrasound - RUSH Exam (Shock)6cohort avg 7.7
Ultrasound - Soft Tissue3cohort avg 4.1
›All logged procedures (83)
- Anoscopy - CRED0
- Arterial Line Placement74
- Arterial puncture (ABG) - CRED1
- Arthrocentesis - CRED6
- Bag/valve/mask (BVM)11
- Cardiac Defibrillation10
- Cardiac Pacing - ACGME2
- Cardiac Pacing - Transvenous - ACGME (SIM)3
- Cardiopulmonary Resuscitation (CPR)23
- Cardioversion - Electrical - CRED8
- Cardioversion - Pharmacological6
- Central Venous Line (CVL) - ACGME33
- Central Venous Line (CVL) - Umbilical Catheter0
- Conscious (Procedural) Sedation & Analgesia - ACGME32
- Foley Catheter Insertion CRED5
- Follow-Up, Inpatient2
- Follow-Up, Outpatient0
- Foreign Body Removal - CRED11
- G-tube replacement3
- Hernia Reduction0
- I&D - (Abscess-Felon-Paronychia-Bartholins-PTA-Pilonidal Cyst)10
- Intubation - Endotracheal - ACGME70
- Intubation - Fiberoptic Scope11
- Intubation - Supraglottic (LMA-King Tube-iGel)1
- Intubation, Pediatric (8
- Laceration Repair - CRED10
- Laceration Repair - Face19
- Laceration Repair - Hand11
- Lumbar puncture - Adult - ACGME10
- Lumbar Puncture - Pediatric - ACGME7
- Nail Bed Repair0
- Nail Removal0
- Nail Trephination1
- Nasal Cautery0
- Nasal Packing0
- Nasotracheal Intubation0
- Nerve block - CRED6
- Nerve block - Hematoma Block6
- NGT / OGT (Nasogastric / Orogastric Tube) insertion4
- OB/GYN - Vaginal delivery - ACGME19
- OB/GYN - Vaginal lac repair0
- Paracentesis5
- PEG tube insertion1
- Pericardiocentesis - ACGME (SIM)1
- Phimosis / Paraphimosis Reduction2
- Priapism Drainage0
- Reduction - (Digit-Nursemaid's Elbow-Patella) - ACGME5
- Reduction - (Shoulder-Elbow-Hip-Knee-Ankle) - ACGME53
- Reduction - Mandible - ACGME0
- Resuscitation - Adult Medical - ACGME67
- Resuscitation - Adult Trauma - ACGME41
- Resuscitation - Pediatric Medical - ACGME14
- Resuscitation - Pediatric Trauma - ACGME20
- Sexual Assault Exam0
- Slit Lamp Examination - CRED0
- Spinal Immobilization - CRED3
- Splint - CRED23
- Surgical Airway - Cricothyrotomy - ACGME (SIM)5
- Surgical Airway - Trach Tube Replacement1
- Surgical Airway - Tracheostomy0
- Thoracentesis0
- Thoracostomy - Chest Tube - ACGME22
- Thoracostomy - Needle0
- Tonometry9
- Ultrasound - 1st Trimester Pregnancy0
- Ultrasound - Aorta4
- Ultrasound - Cardiac60
- Ultrasound - CVL Access11
- Ultrasound - DVT Assessment0
- Ultrasound - FAST Exam (Trauma)30
- Ultrasound - IV Access12
- Ultrasound - Ocular8
- Ultrasound - Other23
- Ultrasound - Pelvic US5
- Ultrasound - Renal2
- Ultrasound - RUQ8
- Ultrasound - RUSH Exam (Shock)6
- Ultrasound - Soft Tissue3
- Venipuncture - Femoral (not CVL)0
- Venipuncture - Pediatric2
- Venipuncture - Peripheral Vein2
- Venous Access - IO (Intraosseous) Placement4
- Venous Access - IV Catheter Placement24
Strengths, Growth & Trends
- On par for her level of training.
- Works well with others
- Tanisha is becoming a stellar emergency physician. Solid plans. Great communication with EMS.
- We did not work together much but on track for her level of training.
- Continue to advocate for EMS when possible.
- Increasing knowledge base by reading about specific cases managed
- Steady procedure volume — 104 in the last 90 days vs. 95 in the prior 90.
- Most active categories recently: Resuscitation (20), Intubation (all) (14).
- Has met the PGY-2 ACGME minimum in 9 of 12 tracked categories.
- Most recent logged procedure: May 18, 2026.