Nicole Palin, MD
PGY-1 Emergency Medicine Resident · Class of 2028
ACGME Procedure Portfolio
260 totalMet 3 of 12 graded ACGME requirements.
CARDIAC PACING TOTALS0/6Below
CVL TOTALS16/20Below
Conscious (Procedural) Sedation & Analgesia - ACGME10/15Below
INTUBATION TOTALS52/35Met
Intubation - Endotracheal - ACGME34cohort avg 29.6
Intubation - Fiberoptic Scope3cohort avg 2.1
Intubation - Supraglottic (LMA-King Tube-iGel)6cohort avg 3.1
Intubation, Pediatric (8cohort avg 5.6
Nasotracheal Intubation1cohort avg 0.6
LUMBAR PUNCTURE TOTALS7/15Below
OB/GYN - Vaginal delivery - ACGME13/10Met
Pericardiocentesis - ACGME (SIM)0/3Below
REDUCTION TOTALS12/10Met
Reduction - (Digit-Nursemaid's Elbow-Patella) - ACGME5cohort avg 1.9
Reduction - (Shoulder-Elbow-Hip-Knee-Ankle) - ACGME7cohort avg 8.5
Reduction - Mandible - ACGME0cohort avg 0.1
Resuscitation25cohort avg 63.7
Resuscitation - Adult Medical - ACGME12/45Below
Resuscitation - Adult Trauma - ACGME10/35Below
Resuscitation - Pediatric Medical - ACGME3/15Below
Resuscitation - Pediatric Trauma - ACGME0/10Below
Surgical Airway - Cricothyrotomy - ACGME (SIM)1/3Below
AIRWAY TOTALS1cohort avg 1.7
Thoracostomy - Chest Tube - ACGME3/10Below
ULTRASOUND TOTALS120/150Below
Ultrasound - 1st Trimester Pregnancy3cohort avg 1
Ultrasound - Aorta9cohort avg 6.4
Ultrasound - Cardiac35cohort avg 33.1
Ultrasound - CVL Access10cohort avg 1.2
Ultrasound - DVT Assessment4cohort avg 1.9
Ultrasound - FAST Exam (Trauma)24cohort avg 29
Ultrasound - IV Access1cohort avg 7.3
Ultrasound - Ocular6cohort avg 3.1
Ultrasound - Other9cohort avg 16.1
Ultrasound - Pelvic US0cohort avg 2.4
Ultrasound - Renal3cohort avg 4.6
Ultrasound - RUQ7cohort avg 5.1
Ultrasound - RUSH Exam (Shock)8cohort avg 3.8
Ultrasound - Soft Tissue1cohort avg 5.5
›All logged procedures (83)
- Anoscopy - CRED0
- Arterial Line Placement28
- Arterial puncture (ABG) - CRED6
- Arthrocentesis - CRED5
- Bag/valve/mask (BVM)19
- Cardiac Defibrillation5
- Cardiac Pacing - ACGME0
- Cardiac Pacing - Transvenous - ACGME (SIM)0
- Cardiopulmonary Resuscitation (CPR)6
- Cardioversion - Electrical - CRED3
- Cardioversion - Pharmacological3
- Central Venous Line (CVL) - ACGME14
- Central Venous Line (CVL) - Umbilical Catheter2
- Conscious (Procedural) Sedation & Analgesia - ACGME10
- Foley Catheter Insertion CRED0
- Follow-Up, Inpatient0
- Follow-Up, Outpatient0
- Foreign Body Removal - CRED4
- G-tube replacement0
- Hernia Reduction0
- I&D - (Abscess-Felon-Paronychia-Bartholins-PTA-Pilonidal Cyst)3
- Intubation - Endotracheal - ACGME34
- Intubation - Fiberoptic Scope3
- Intubation - Supraglottic (LMA-King Tube-iGel)6
- Intubation, Pediatric (8
- Laceration Repair - CRED8
- Laceration Repair - Face6
- Laceration Repair - Hand5
- Lumbar puncture - Adult - ACGME4
- Lumbar Puncture - Pediatric - ACGME3
- Nail Bed Repair0
- Nail Removal0
- Nail Trephination1
- Nasal Cautery0
- Nasal Packing0
- Nasotracheal Intubation1
- Nerve block - CRED5
- Nerve block - Hematoma Block4
- NGT / OGT (Nasogastric / Orogastric Tube) insertion1
- OB/GYN - Vaginal delivery - ACGME13
- OB/GYN - Vaginal lac repair0
- Paracentesis9
- PEG tube insertion0
- Pericardiocentesis - ACGME (SIM)0
- Phimosis / Paraphimosis Reduction0
- Priapism Drainage0
- Reduction - (Digit-Nursemaid's Elbow-Patella) - ACGME5
- Reduction - (Shoulder-Elbow-Hip-Knee-Ankle) - ACGME7
- Reduction - Mandible - ACGME0
- Resuscitation - Adult Medical - ACGME12
- Resuscitation - Adult Trauma - ACGME10
- Resuscitation - Pediatric Medical - ACGME3
- Resuscitation - Pediatric Trauma - ACGME0
- Sexual Assault Exam0
- Slit Lamp Examination - CRED0
- Spinal Immobilization - CRED1
- Splint - CRED10
- Surgical Airway - Cricothyrotomy - ACGME (SIM)1
- Surgical Airway - Trach Tube Replacement0
- Surgical Airway - Tracheostomy0
- Thoracentesis1
- Thoracostomy - Chest Tube - ACGME3
- Thoracostomy - Needle0
- Tonometry0
- Ultrasound - 1st Trimester Pregnancy3
- Ultrasound - Aorta9
- Ultrasound - Cardiac35
- Ultrasound - CVL Access10
- Ultrasound - DVT Assessment4
- Ultrasound - FAST Exam (Trauma)24
- Ultrasound - IV Access1
- Ultrasound - Ocular6
- Ultrasound - Other9
- Ultrasound - Pelvic US0
- Ultrasound - Renal3
- Ultrasound - RUQ7
- Ultrasound - RUSH Exam (Shock)8
- Ultrasound - Soft Tissue1
- Venipuncture - Femoral (not CVL)0
- Venipuncture - Pediatric0
- Venipuncture - Peripheral Vein0
- Venous Access - IO (Intraosseous) Placement5
- Venous Access - IV Catheter Placement3
Strengths, Growth & Trends
- Dr. Palin proactively seeks out interesting cases, procedures in the Ped ED. She seeks feedback and quickly incorporates...
- Enthusiastic to learn and perform scans that she is less comfortable with to get better at them.
- Strong work. You had good ultrasound scanning skills and general knowledge about U/S
- Keep scanning and make it a part of your EM practice!
- Continue to find and read pediatric emergency medicine specific resources. Read with the specific goal of understanding ...
- Continue to use POCUS on your patients so you don
- Logged 130 procedures in the last 90 days, up 21% from 107 in the prior 90.
- Most active categories recently: Central Venous Line (18), Arterial Line (11).
- Has met the PGY-1 ACGME minimum in 3 of 12 tracked categories.
- Most recent logged procedure: Jun 15, 2026.