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.
Edwards, William - PGY - 3
Department of Ophthalmology
Resident Supervision
All levels of Ophthalmology Residents (PGY2, 3, or 4) can perform the following procedures under
General Supervision. These procedures do not require the presence of an attending physician:
|
Differential Procedures: |
PGY2 |
PGY3 |
PGY4 |
|
1. Clinical history |
X |
X |
X |
|
2. Physical examination including: Intraocular Pressure Assessment Gonioscopy Depressed Dilated Indirect Ophthalmoscopy Ultrasonography IV Fluorescein Angiography |
X |
X |
X |
|
3. Corneal scraping for cultures |
X |
X |
X |
|
4. Probing of the nasolacrimal system |
X |
X |
X |
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|
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|
|
Laser Procedures: |
PGY2 |
PGY3 |
PGY4 |
|
1. Yag laser capsulotomy |
X |
X |
X |
|
2. Yag laser peripheral iridotomy |
X |
X |
X |
|
3. Argon laser trabeculoplasty |
X |
X |
X |
|
4. Panretinal photocoagulation |
X |
X |
X |
|
|
|
|
|
|
Surgical Procedures: |
PGY2 |
PGY3 |
PGY4 |
|
1. Repair of lid and conjunctival lacerations |
X |
X |
X |
|
2. Biopsy of lid and conjunctival lesions |
X |
X |
X |
|
3. Anterior chamber paracentesis (for diagnosis or intraocular pressure control) |
X |
X |
X |
|
4. Tarsorrhaphy of eyelids |
X |
X |
X |
|
5. Lateral canthotomy and cantholysis |
X |
X |
X |
|
6. Intravitreal injection for endophthalmitis or ocular neovascularization |
X |
X |
X |
|
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All other surgical procedures are performed under direct or personal supervision.
NOTE: The policy on resident supervision in the Operating/Delivery Room is described on the GME website: http://www.uthsc.edu/GME/supervisionpolicy.php#operating
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