Pediatric Otolaryngology – Oncologic Surgery Fellows can perform the procedures listed below with indirect supervision:

 

 

PGY1

PGY2

PGY3

PGY4

PGY5

PGY6

PGY7

 Patient Evaluation

History

 

X

X

X

X

X

X

Physical examination

 

X

X

X

X

X

X

Interpretation of imaging studies (CT, MRI)

 

X

X

X

X

X

X

Interpretation of audiometric testing

 

X

X

X

X

X

X

Interpretation of laboratory studies

 

X

X

X

X

X

X

Fiberoptic and rigid nasopharyngoscopy

 

X

X

X

X

X

X

Therapeutic Procedures

Removal of foreign body ear, nose, or oral cavity

 

X

X

X

X

X

X

Nasal packing an/or cauterization for epistaxis

 

X

X

X

X

X

X

Fine needle aspiration

 

X

X

X

X

X

X

Myringotomy

 

X

X

X

X

X

X

Wound care - trauma, burn, laceration

 

X

X

X

X

X

X

Emergent cricothyrotomy, tracheotomy, or endotracheal intubation

 

X

X

X

X

X

X

Biopsy of oral cavity and nasal lesions

 

X

X

X

X

X

X

I&D of oral/pharyngeal abscess (e.g. peritonsillar)

 

X

X

X

X

X

X

I&D of superficial hematoma or abscess

 

X

X

X

X

X

X

Excision of skin lesions with primary closure

 

X

X

X

X

X

X

Venous puncture with or w/o cutdown

 

X

X

X

X

X

X

Insertion of NG tube, bladder catheter, IV, A-line

 

X

X

X

X

X

X

Myringotomy and tube placement

 

 

 

X

X

X

X

Antral puncture/lavage

 

 

 

X

X

X

X

Closed reduction of facial/mandible fractures

 

 

 

X

X

X

X

Intermaxillary fixation

 

 

 

X

X

X

X

Removal of foreign body of larynx or pharynx

 

 

 

X

X

X

X

Laryngoscopy with biopsy or injection

 

 

 

X

X

X

X

Resection and primary closure of oral cavity lesions

 

 

 

X

X

X

X

Excision of lymph node

 

 

 

X

X

X

X

Bedside flexible laryngoscopy

 

 

 

X

X

X

X

Bedside nasal endoscopy

 

 

 

X

X

X

X

Cerumen debridement

 

 

 

X

X

X

X

Nasal debridement

 

 

 

X

X

X

X

 

All other procedures are performed under direct supervision of a faculty member.

 

 

 

May 26, 2022