All levels of Pediatric Urology Fellows (PGY6 or 7) can perform the procedures listed below without the presence of an attending physician:

 

Pediatric Urology Fellowship Program

PGY6

PGY7

Differential Diagnosis:

 

 

A.     Clinical History

X

X

B.     Physical Exam

X

X

C.    Bimanual and speculum pelvic exam

X

X

D.    Interpretation of laboratory studies

X

X

E.     Interpretation of all pre-op, intra-op and post-op imaging studies (KUB, IVP, renal and scrotal ultrasound, cystogram, retrograde urethrogram, CT scan, MRI including trauma situation)

X

X

F.     Write admission orders, pre-op and post-op orders and discharge orders

X

X

G.    Coordination of treatment with other disciplines

X

X

H.    Penile irrigation, aspiration, and injection for priapism

X

X

Urologic Procedures:

 

 

A.     Bladder catheterization (transurethrally and subrapubic)

X

X

B.     Introduction of NG tubes

X

X

C.    Wound care (including incision and drainage of scrotal wall abscess or penile abscess and debridement)

X

X

D.    Intravenous catheterization

X

X

E.     Venipuncture

X

X

 

All other procedures require direct or personal supervision.

 

NOTE: The policy on resident supervision in the Operating/Delivery Room is described on the GME website: http://www.uthsc.edu/GME/supervisionpolicy.php#operating

May 26, 2022