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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.

Paul Molloy

Molloy, Paul - PGY - 6

Department of Pediatrics-Neonatology
Resident Supervision

PGY 4, 5, or 6 Pediatric Neonatology trainees can perform the Neonatal-Perinatal Medicine procedures listed below with indirect supervision:

 

PGY4

PGY5

PGY6

Clinical Differential Diagnosis based on:

Clinical History

X

X

X

Physical Examination

X

X

X

Interpretation of lab studies

X

X

X

Interpretation of Basic x-ray Studies (Skull, Spine, Chest, Abdomen, Extremities)

X

X

X

Cardiopulmonary Resuscitation:

Airway Maintenance

X

X

X

Emergency Drug Therapy

X

X

X

Intravenous Catheterization

X

X

X

Neonatal Resuscitation – includes bag-mask ventilation, chest compressions and intubation

X

X

X

Emergency umbilical catheter placement

X

X

X

Airway Maintenance:

Insertion of Oral Pharyngeal Airway

X

X

X

Endotracheal Intubation

X

X

X

Use of Mechanical Respirators

X

X

X

Additional Specific Skills:

·    Venipuncture

X

X

X

·    Arterial stick

X

X

X

·    Peripheral vein or arterial cannulation

X

X

X

·    Percutaneous line insertion

X

X

X

·    Umbilical vein catheterization

X

X

X

·    Umbilical arterial catheterization

X

X

X

·    Surfactant administration

X

X

X

·    Inhaled Nitric oxide therapy

X

X

X

·    Lumbar puncture

X

X

X

·    Suprapubic tap

X

X

X

·    Exchange transfusion

X

X

X

·    Partial plasma exchange transfusion

X

X

X

·    Thoracocentesis

X

X

X

·    Abdominal Paracentesis

X

X

X

·    Chest tube insertion

X

X

X

·    Pericardial tap

X

X

X

·    Ventricular reservoir tap

X

X

X

·    Use of phototherapy

X

X

X

·    Use of inhaled nitric oxide for hypoxic respiratory failure

X

X

X

·    Use of hypothermia therapy for moderate and severe Neonatal HIE

X

X

X

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

 

May 26, 2022

Dec 1, 2023