All levels of medicine-pediatrics residents can perform the following procedures under general supervision:

PGY1

PGY2

PGY3

PGY4

History

X

X

X

X

Physical

X

X

X

X

Breast Exam

X

X

X

X

Rectal Exam

X

X

X

X

Pelvic Examination, Pap Smear and Wet prep

X

X

X

X

Interpretation of lab studies

X

X

X

X

Interpretation of basic x-ray studies

X

X

X

X

Basic medicine and pediatric cardiopulmonary resuscitation

X

X

X

X

Venipuncture

X

X

X

X

Electrocardiogram performance and interpretation

X

X

X

X

If an attending verifies the trainee has achieved competence, PGY 2-4 medicine-pediatrics residents can perform the following procedures under general supervision:

PGY2

PGY3

PGY4

Arthrocentesis

X

X

X

Joint injection

X

X

X

NG tube placement

X

X

X

Thoracentesis

X

X

X

Lumbar puncture

X

X

X

Central line placement

X

X

X

Abdominal paracentesis

X

X

X

Arterial puncture for ABG collection or catheterization

X

X

X

Nasotracheal or orotracheal intubation

X

X

X

Pulmonary artery catheter insertion

X

X

X

Ventilator management

X

X

X

Punch and shave skin biopsy

X

X

X

Emergency closed reduction technique and cast application

X

X

X

Splinting of fractures and dislocations

X

X

X

I&D of superficial abscess and hematoma

X

X

X

Infant bladder catheterization

X

X

X

Foreign body removal techniques

X

X

X

Emergency management of 1^st, 2^nd and 3^rd degree burns

X

X

X

Umbilical artery catheterization

X

X

X

Umbilical vein catheterization

X

X

X