All levels of residents can do the following procedures under general supervision:

PGY1

PGY2

PGY3

PGY4

History

X

X

X

X

Physical Exam

X

X

X

X

Breast Examination

X

X

X

X

Rectal Examination

X

X

X

X

Pelvic Examination and Pap Smear

X

X

X

X

Interpretation of laboratory studies

X

X

X

X

Basic Cardiopulmonary resuscitation

X

X

X

X

Venipuncture

X

X

X

X

Electrocardiogram performance and interpretation

X

X

X

X

The following may be done by PGY2/3/4/5 residents (not fellows) in internal medicine:

PGY2

PGY3

PGY4

PGY5

Arthrocentesis

X

X

X

X

Joint injection

X

X

X

X

NG tube placement

X

X

X

X

Thoracentesis

X

X

X

X

Lumbar puncture

X

X

X

X

Central line placement

X

X

X

X

Arterial puncture for ABG collection

X

X

X

X

Nasotracheal or orotracheal intubation

X

X

X

X

Abdominal paracentesis

X

X

X

X

Pulmonary catheter insertion

X

X

X

X

Ventilator management

X

X

X

X

Skin biopsy - punch and shave

X

X

X

X