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.
Hosfield, Brian - PGY - 7
Department of Surgery-Pediatric
Resident Supervision
|
|
PGY6 |
PGY7 |
|
History and Physical Examination |
X |
X |
|
Interpretation of Laboratory studies |
X |
X |
|
Basic Cardiopulmonary Resuscitation |
X |
X |
|
Venipuncture |
X |
X |
|
Arterial Puncture |
X |
X |
|
Nasotracheal or Orotracheal intubation |
X |
X |
|
Interpretation of Basic Radiologic exams |
X |
X |
|
Emergency Drug therapy |
X |
X |
|
Write admission, preoperative or postoperative orders |
X |
X |
|
Bronchoscopy |
X |
X |
|
Swan Ganz Catheterization |
X |
X |
|
Peritoneal Lavage |
X |
X |
|
Thoracentesis |
X |
X |
|
Tube Thoracostomy |
X |
X |
|
Central Venous Pressure Line |
X |
X |
|
All other procedures are performed under direct supervision of a faculty member. |
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Direct Supervision: the supervising physician is physically present with the fellow during the key portions of the patient interaction; or the supervising physician and/or patient is not physically present with the fellow and the supervising physician is concurrently monitoring the patient care through appropriate telecommunication technology.
Indirect Supervision: the supervising physician is not providing physical or concurrent visual or audio supervision but is immediately available to the fellow for guidance and is available to provide appropriate direct supervision.
Oversight: the supervising physician is available to provide review of procedures/encounters with feedback provided after care is delivered.