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Resident Supervision

The Residency Supervision Area is designed to assist hospitals and clinics with the protocols outlined for specific duties residents and fellows can perform. These guidelines are determined by the faculty of the University of Tennessee Health Science Center. Any questions about certain procedures not listed should be addressed to the faculty and not decided by the resident or fellow.

A credentialed and privileged attending physician ultimately provides supervision or oversight of each resident's patient care activities. Direct supervision by a qualified attending physician is required in the OR/Delivery Room or for non-routine invasive procedures like Cardiac Cath, Endoscopy, and Interventional Radiology. The standards for resident supervision in patient care settings are described in GME Policy #410.

John Worthen

Worthen, John - PGY - 1

Department of Surgery
Resident Supervision

All PGY1 General Surgery residents are supervised either directly or indirectly with the supervisor available to provide direct supervision.

 

PGY 2, 3, 4, or 5 General Surgery trainees can perform the procedures listed below with indirect supervision:

 

PGY2

PGY3

PGY4

PGY5

Advanced Cardiac Life Support

X

X

X

X

Advanced Trauma Life Support

X

X

X

X

Central Line Placement

X

X

X

X

History and Physical Examination

X

X

X

X

Interpretation of Laboratory studies

X

X

X

X

Basic Cardiopulmonary Resuscitation

X

X

X

X

Closure of Lacerations

X

X

X

X

Debridement/closure of wounds under local anesthesia (Non-OR)

X

X

X

X

Debridement of pressure ulcers (Non-OR)

X

X

X

X

Drainage of superficial abscess (Non-OR)

X

X

X

X

Venipuncture

X

X

X

X

Excision of skin lesion (Non-OR)

X

X

X

X

Arterial Puncture

X

X

X

X

Nasotracheal or Orotracheal intubation

X

X

X

X

Interpretation of Basic Radiologic exams

X

X

X

X

Emergency Drug therapy

X

X

X

X

Write admission, preoperative or postoperative orders

X

X

X

X

Bronchoscopy

X

X

X

X

Pulmonary Artery Catheterization

X

X

X

X

Peritoneal Lavage

X

X

X

X

Thoracentesis

X

X

X

X

Tube Thoracostomy

X

X

X

X

Central Venous Pressure Line

X

X

X

X

Venous Cutdown

X

X

X

X

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

 

 

May 26, 2022

Dec 1, 2023