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.
Botsko, Gina - PGY - 3
Department of OB/GYN-Nashville
Resident Supervision
Resident supervision is provided in accordance with the department policy on resident supervision. All PGY 1 residents are supervised either directly or indirectly with the supervisor available to provide direct supervision.Residents are supervised in accordance with the following levels as promulgated by the ACGME:
A. Direct supervision-the supervising physician is physically present with the resident and patient
B. Direct supervision with direct supervision immediately available-the supervising physician is physically within the hospital or other site of patient care and is immediately available to provide direct supervision
C. Indirect supervision with direct supervision available - the supervising physician is not physically present within the hospital or other site of patient care but is immediately available by means of telephonic and/or electronic modalities and is available to provide direct supervision
D. Oversight- the supervising physician is available to provide review procedures/encounters with feedback provided after care is delivered
Levels of supervision are provided with the corresponding letter (A, B, C, D) assigned to the appropriate level of supervision. The listing of more than one level of supervision indicates that, after appropriate observation and approval by attending staff, the lesser level of supervision will be required.
|
OB/GYN – Nashville Residency Program |
PGY1 |
PGY2 |
PGY3 |
PGY4 |
|
Clinical history |
A,B |
B |
C |
D |
|
General physical examination |
A,B |
B |
C |
D |
|
Pelvic examination and Pap smear |
A |
B |
C |
D |
|
Interpretation of laboratory studies |
A,B |
B |
D |
D |
|
Endometrial biopsy |
A |
A |
B |
D |
|
Wet prep analysis |
A,B |
B |
B |
D |
|
Cervical biopsy |
A |
A,B |
B |
D |
|
Vulvar biopsy |
A |
A |
B |
D |
|
Incision and drainage of Bartholin/vulvar abscess |
A |
A |
B |
D |
|
Transvaginal Ultrasound |
A |
A,B |
B |
D |
|
OB Ultrasound for fetal heart motion and position |
A |
B |
B |
D |
|
BPP |
A |
B |
B |
D |
|
Gynecologic procedures |
|
|
|
|
|
Suture repair of vulvar/vaginal lacerations |
A |
A |
A |
A |
|
Wound debridement |
A |
A |
A |
A |
|
Bladder catheterization |
A,B,C |
B,C |
C |
C |
|
Dilation and Curettage |
A |
A |
B |
A |
|
Hysteroscopy |
A |
A |
B |
A |
|
CKC/LEEP Procedure |
A |
A |
B |
A |
|
Laparoscopy, diagnostic/operative |
A |
A |
A |
A |
|
Hysterectomy, abdominal/vaginal/laparoscopic/robotic |
A |
A |
A |
A |
|
Pelvic Support Procedures |
A |
A |
A |
A |
|
Cystoscopy |
A |
A |
A |
B |
|
Obstetric Procedures |
|
|
|
|
|
Artificial rupture of Membranes |
A,B |
B |
B |
B |
|
Application of fetal scalp electrode |
A,B |
B |
B |
B |
|
Insertion of Intrauterine Pressure Catheter |
A,B |
B |
B |
B |
|
Interpretation of fetal monitor strip |
A |
B |
B |
A |
|
Placement of cervical ripening balloon |
A,B |
B |
B |
B |
|
Ultrasound for Biometry and dating |
A,B,C |
D |
D |
D |
|
Spontaneous vaginal delivery |
A |
B |
B |
B |
|
Vacuum assisted vaginal delivery |
A |
A |
A |
B |
|
Forceps delivery |
A |
A |
A |
A |
|
Cesarean section |
A |
A |
B |
B |