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.
Lundby, Zachary - PGY - 4
Department of Anesthesiology
Resident Supervision
The
following chart shows when an Anesthesiology resident is approved to perform
certain procedures or clinical activities safely and effectively without direct
supervision:
Anesthesiology Residency Program |
PGY1 |
PGY2 |
PGY3 |
PGY4 |
Intubation Adult Operative |
|
|
|
|
Intubation Pediatric Operative |
|
|
|
|
LMA placement Adult |
|
|
|
X |
LMA placement Pediatric |
|
|
|
|
Awake Fiberoptic Intubation |
|
|
|
|
Double Lumen Tube Placement |
|
|
|
|
Bronchial Blocker Placement |
|
|
|
|
Peripheral IV Placement |
|
X |
X |
X |
Arterial Line Placement |
|
|
X |
X |
Midline or RIC Catheter |
|
|
|
X |
Central Line IJ |
|
|
X |
X |
Central Line Subclavian |
|
|
X |
X |
Ultrasound Guided Nerve Block |
|
|
|
X |
Labor Epidural |
|
|
X |
X |
Thoracic Epidural |
|
|
|
X |
Chronic Pain Procedures |
|
|
|
X |
Spinal (OB/GYN) |
|
|
|
X |
Spinal (Non-OB/GYN) |
|
|
|
X |
Combined Spinal Epidural |
|
|
X |
X |
Caudal (Pediatric) |
|
|
|
|
Nerve Block Pediatric |
|
|
|
|
TTE/FAST |
|
|
X |
X |
IMACOR Hemodynamic Ultrasound |
|
|
X |
X |
TEE |
|
|
|
X |
Coming on and off Bypass |
|
|
|
|
Epidural Blood Patch |
|
|
|
X |
All
other procedures are performed under direct supervision of a faculty member.