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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.

Enes Atac

Atac, Enes - PGY - 6

Department of Otolaryngology-Pediatric Oncologic Surgery
Resident Supervision

Pediatric Otolaryngology – Oncologic Surgery Fellows can perform the procedures listed below with indirect supervision:

 

 

PGY1

PGY2

PGY3

PGY4

PGY5

PGY6

PGY7

 Patient Evaluation

History

 

X

X

X

X

X

X

Physical examination

 

X

X

X

X

X

X

Interpretation of imaging studies (CT, MRI)

 

X

X

X

X

X

X

Interpretation of audiometric testing

 

X

X

X

X

X

X

Interpretation of laboratory studies

 

X

X

X

X

X

X

Fiberoptic and rigid nasopharyngoscopy

 

X

X

X

X

X

X

Therapeutic Procedures

Removal of foreign body ear, nose, or oral cavity

 

X

X

X

X

X

X

Nasal packing an/or cauterization for epistaxis

 

X

X

X

X

X

X

Fine needle aspiration

 

X

X

X

X

X

X

Myringotomy

 

X

X

X

X

X

X

Wound care - trauma, burn, laceration

 

X

X

X

X

X

X

Emergent cricothyrotomy, tracheotomy, or endotracheal intubation

 

X

X

X

X

X

X

Biopsy of oral cavity and nasal lesions

 

X

X

X

X

X

X

I&D of oral/pharyngeal abscess (e.g. peritonsillar)

 

X

X

X

X

X

X

I&D of superficial hematoma or abscess

 

X

X

X

X

X

X

Excision of skin lesions with primary closure

 

X

X

X

X

X

X

Venous puncture with or w/o cutdown

 

X

X

X

X

X

X

Insertion of NG tube, bladder catheter, IV, A-line

 

X

X

X

X

X

X

Myringotomy and tube placement

 

 

 

X

X

X

X

Antral puncture/lavage

 

 

 

X

X

X

X

Closed reduction of facial/mandible fractures

 

 

 

X

X

X

X

Intermaxillary fixation

 

 

 

X

X

X

X

Removal of foreign body of larynx or pharynx

 

 

 

X

X

X

X

Laryngoscopy with biopsy or injection

 

 

 

X

X

X

X

Resection and primary closure of oral cavity lesions

 

 

 

X

X

X

X

Excision of lymph node

 

 

 

X

X

X

X

Bedside flexible laryngoscopy

 

 

 

X

X

X

X

Bedside nasal endoscopy

 

 

 

X

X

X

X

Cerumen debridement

 

 

 

X

X

X

X

Nasal debridement

 

 

 

X

X

X

X

 

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

 

 

 

May 26, 2022

Dec 1, 2023