Pediatric Otolaryngology – Oncologic Surgery Fellows can perform the procedures listed below with indirect supervision:
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PGY1 |
PGY2 |
PGY3 |
PGY4 |
PGY5 |
PGY6 |
PGY7 |
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Patient Evaluation |
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History |
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X |
X |
X |
X |
X |
X |
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Physical examination |
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X |
X |
X |
X |
X |
X |
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Interpretation of imaging studies (CT, MRI) |
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X |
X |
X |
X |
X |
X |
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Interpretation of audiometric testing |
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X |
X |
X |
X |
X |
X |
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Interpretation of laboratory studies |
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X |
X |
X |
X |
X |
X |
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Fiberoptic and rigid nasopharyngoscopy |
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X |
X |
X |
X |
X |
X |
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Therapeutic Procedures |
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Removal of foreign body ear, nose, or oral cavity |
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X |
X |
X |
X |
X |
X |
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Nasal packing an/or cauterization for epistaxis |
|
X |
X |
X |
X |
X |
X |
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Fine needle aspiration |
|
X |
X |
X |
X |
X |
X |
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Myringotomy |
|
X |
X |
X |
X |
X |
X |
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Wound care - trauma, burn, laceration |
|
X |
X |
X |
X |
X |
X |
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Emergent cricothyrotomy, tracheotomy, or endotracheal intubation |
|
X |
X |
X |
X |
X |
X |
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Biopsy of oral cavity and nasal lesions |
|
X |
X |
X |
X |
X |
X |
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I&D of oral/pharyngeal abscess (e.g. peritonsillar) |
|
X |
X |
X |
X |
X |
X |
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I&D of superficial hematoma or abscess |
|
X |
X |
X |
X |
X |
X |
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Excision of skin lesions with primary closure |
|
X |
X |
X |
X |
X |
X |
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Venous puncture with or w/o cutdown |
|
X |
X |
X |
X |
X |
X |
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Insertion of NG tube, bladder catheter, IV, A-line |
|
X |
X |
X |
X |
X |
X |
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Myringotomy and tube placement |
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|
|
X |
X |
X |
X |
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Antral puncture/lavage |
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|
|
X |
X |
X |
X |
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Closed reduction of facial/mandible fractures |
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|
|
X |
X |
X |
X |
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Intermaxillary fixation |
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|
|
X |
X |
X |
X |
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Removal of foreign body of larynx or pharynx |
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|
|
X |
X |
X |
X |
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Laryngoscopy with biopsy or injection |
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|
|
X |
X |
X |
X |
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Resection and primary closure of oral cavity lesions |
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|
|
X |
X |
X |
X |
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Excision of lymph node |
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|
|
X |
X |
X |
X |
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Bedside flexible laryngoscopy |
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|
|
X |
X |
X |
X |
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Bedside nasal endoscopy |
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|
|
X |
X |
X |
X |
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Cerumen debridement |
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|
|
X |
X |
X |
X |
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Nasal debridement |
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|
|
X |
X |
X |
X |
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All other procedures are performed under direct supervision of a faculty member. |
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