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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.

Hannah Estes

Estes, Hannah - PGY - 4

Department of Pediatrics-Critical Care
Resident Supervision

PGY 4, 5, or 6 Pediatric Critical Care trainees can perform the procedures listed below with indirect supervision:

 

 

PGY4

PGY5

PGY6

Differential Diagnosis:

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

Pediatric Resuscitation

X

X

X

Electrocardioversion & Defibrillation

X

X

X

Airway Maintenance:

Insertion of Oral Pharyngeal Airway

X

X

X

Bag and Mask

X

X

X

Use of Mechanical Respirators

X

X

X

Endotracheal intubation

 

X

X

Additional Specific Skills:

Intra-arterial Puncture or Catheterization

X

X

X

Bladder Catheterization

X

X

X

Use of Water Seal Drainage Devices

X

X

X

I&D of Superficial Abscesses & Hematomas

X

X

X

Interpreting Arterial Blood Gases

X

X

X

Emergency Use of External Temporary Pacemakers

X

X

X

Emergency Treatment of 1st, 2nd & 3rd Degree Burns

X

X

X

Introduction of NG Tubes

X

X

X

Central venous line placement

 

X

X

Intraosseous line placement

X

X

X

Needle thoracotomy

X

X

X

Daily ECMO Patient Management

 

X

X

Renal Replacement Therapy

 

X

X

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

 

May 26, 2022

Dec 1, 2023