Ivan Grela, MD
PGY-1 Emergency Medicine Resident · Class of 2028
ACGME Procedure Portfolio
233 totalMet 3 of 12 graded ACGME requirements.
CARDIAC PACING TOTALS2/6Below
CVL TOTALS7/20Below
Conscious (Procedural) Sedation & Analgesia - ACGME11/15Below
INTUBATION TOTALS49/35Met
Intubation - Endotracheal - ACGME32cohort avg 29.6
Intubation - Fiberoptic Scope9cohort avg 2.1
Intubation - Supraglottic (LMA-King Tube-iGel)2cohort avg 3.1
Intubation, Pediatric (6cohort avg 5.6
Nasotracheal Intubation0cohort avg 0.6
LUMBAR PUNCTURE TOTALS3/15Below
OB/GYN - Vaginal delivery - ACGME0/10Below
Pericardiocentesis - ACGME (SIM)1/3Below
REDUCTION TOTALS15/10Met
Reduction - (Digit-Nursemaid's Elbow-Patella) - ACGME0cohort avg 1.9
Reduction - (Shoulder-Elbow-Hip-Knee-Ankle) - ACGME15cohort avg 8.5
Reduction - Mandible - ACGME0cohort avg 0.1
Resuscitation12cohort avg 63.7
Resuscitation - Adult Medical - ACGME10/45Below
Resuscitation - Adult Trauma - ACGME0/35Below
Resuscitation - Pediatric Medical - ACGME1/15Below
Resuscitation - Pediatric Trauma - ACGME1/10Below
Surgical Airway - Cricothyrotomy - ACGME (SIM)3/3Met
AIRWAY TOTALS3cohort avg 1.7
Thoracostomy - Chest Tube - ACGME8/10Below
ULTRASOUND TOTALS119/150Below
Ultrasound - 1st Trimester Pregnancy0cohort avg 1
Ultrasound - Aorta12cohort avg 6.4
Ultrasound - Cardiac40cohort avg 33.1
Ultrasound - CVL Access0cohort avg 1.2
Ultrasound - DVT Assessment3cohort avg 1.9
Ultrasound - FAST Exam (Trauma)26cohort avg 29
Ultrasound - IV Access5cohort avg 7.3
Ultrasound - Ocular2cohort avg 3.1
Ultrasound - Other7cohort avg 16.1
Ultrasound - Pelvic US0cohort avg 2.4
Ultrasound - Renal2cohort avg 4.6
Ultrasound - RUQ6cohort avg 5.1
Ultrasound - RUSH Exam (Shock)13cohort avg 3.8
Ultrasound - Soft Tissue3cohort avg 5.5
›All logged procedures (83)
- Anoscopy - CRED0
- Arterial Line Placement19
- Arterial puncture (ABG) - CRED0
- Arthrocentesis - CRED4
- Bag/valve/mask (BVM)0
- Cardiac Defibrillation0
- Cardiac Pacing - ACGME1
- Cardiac Pacing - Transvenous - ACGME (SIM)1
- Cardiopulmonary Resuscitation (CPR)1
- Cardioversion - Electrical - CRED2
- Cardioversion - Pharmacological1
- Central Venous Line (CVL) - ACGME7
- Central Venous Line (CVL) - Umbilical Catheter0
- Conscious (Procedural) Sedation & Analgesia - ACGME11
- Foley Catheter Insertion CRED0
- Follow-Up, Inpatient0
- Follow-Up, Outpatient0
- Foreign Body Removal - CRED1
- G-tube replacement0
- Hernia Reduction1
- I&D - (Abscess-Felon-Paronychia-Bartholins-PTA-Pilonidal Cyst)2
- Intubation - Endotracheal - ACGME32
- Intubation - Fiberoptic Scope9
- Intubation - Supraglottic (LMA-King Tube-iGel)2
- Intubation, Pediatric (6
- Laceration Repair - CRED4
- Laceration Repair - Face6
- Laceration Repair - Hand4
- Lumbar puncture - Adult - ACGME2
- Lumbar Puncture - Pediatric - ACGME1
- Nail Bed Repair2
- Nail Removal1
- Nail Trephination0
- Nasal Cautery0
- Nasal Packing0
- Nasotracheal Intubation0
- Nerve block - CRED4
- Nerve block - Hematoma Block6
- NGT / OGT (Nasogastric / Orogastric Tube) insertion2
- OB/GYN - Vaginal delivery - ACGME0
- OB/GYN - Vaginal lac repair0
- Paracentesis4
- PEG tube insertion0
- Pericardiocentesis - ACGME (SIM)1
- Phimosis / Paraphimosis Reduction0
- Priapism Drainage0
- Reduction - (Digit-Nursemaid's Elbow-Patella) - ACGME0
- Reduction - (Shoulder-Elbow-Hip-Knee-Ankle) - ACGME15
- Reduction - Mandible - ACGME0
- Resuscitation - Adult Medical - ACGME10
- Resuscitation - Adult Trauma - ACGME0
- Resuscitation - Pediatric Medical - ACGME1
- Resuscitation - Pediatric Trauma - ACGME1
- Sexual Assault Exam0
- Slit Lamp Examination - CRED0
- Spinal Immobilization - CRED0
- Splint - CRED29
- Surgical Airway - Cricothyrotomy - ACGME (SIM)3
- Surgical Airway - Trach Tube Replacement0
- Surgical Airway - Tracheostomy0
- Thoracentesis0
- Thoracostomy - Chest Tube - ACGME8
- Thoracostomy - Needle0
- Tonometry2
- Ultrasound - 1st Trimester Pregnancy0
- Ultrasound - Aorta12
- Ultrasound - Cardiac40
- Ultrasound - CVL Access0
- Ultrasound - DVT Assessment3
- Ultrasound - FAST Exam (Trauma)26
- Ultrasound - IV Access5
- Ultrasound - Ocular2
- Ultrasound - Other7
- Ultrasound - Pelvic US0
- Ultrasound - Renal2
- Ultrasound - RUQ6
- Ultrasound - RUSH Exam (Shock)13
- Ultrasound - Soft Tissue3
- Venipuncture - Femoral (not CVL)0
- Venipuncture - Pediatric0
- Venipuncture - Peripheral Vein3
- Venous Access - IO (Intraosseous) Placement1
- Venous Access - IV Catheter Placement0
Strengths, Growth & Trends
- Enthusiastic to learn
- Good attitude on team. Gets notes done on time. Seeks feedback frequently.
- Good rapport with patients. good scanning skill overall. Great attitude during the rotation.
- Seek out and read pediatric emergency medicine specific resources. Read with the specific goal of understanding the unde...
- Take more initiative to review POCUS FOAMed!
- Please keep using U/S so you don
- Logged 123 procedures in the last 90 days, up 73% from 71 in the prior 90.
- Most active categories recently: Intubation (all) (11), Laceration Repair / Suturing (7).
- Has met the PGY-1 ACGME minimum in 3 of 12 tracked categories.
- Most recent logged procedure: Jun 15, 2026.