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.
Davenport, Stephanie - PGY - 5
Department of Pediatrics-Gastroenterology
Resident Supervision
Pediatric Gastroenterology Fellows can perform the procedures listed below with indirect supervision:
|
Procedure |
Target |
Level of Supervision |
PGY4 |
PGY5 |
PGY6 |
|
Bravo pH capsule deployment |
10 |
Indirect Supervision – with Direct Supervision immediately available |
X |
X |
X |
|
Colonscopy with Biopsy |
|
|
X |
X |
X |
|
Colonscopy with snare polypectomy |
|
|
X |
X |
X |
|
EGD Diagnostic |
|
|
X |
X |
X |
|
EGD with dilation (guidewire and through the scope) |
|
|
X |
X |
X |
|
EGD with foreign body removal |
10 |
Indirect Supervision – with Direct Supervision immediately available |
|
X |
X |
|
EGD with pancreatic stimulation |
|
|
|
|
X |
|
Endoscopic Deployment WCE |
|
|
|
|
X |
|
Endoscopic Placement of Transpyloric Feeding tubes or catheters, including motility catheters |
|
|
|
|
X |
|
Enteroscopy using Colonoscope |
|
|
X |
X |
X |
|
Flexible Sigmoidoscopy |
|
|
X |
X |
X |
|
Hemoclipping/Enddoclipping |
|
|
|
|
X |
|
Injection of Ulcer |
|
|
|
|
X |
|
Percutaneous Endoscopic Gastrostomyjj |
10 |
|
|
|
X |
|
Perianal Botox |
|
|
|
X |
X |
|
Polypectomy |
|
|
|
X |
X |
|
Rectal Biopsy |
|
|
X |
X |
X |
|
Rectal Dilation |
|
|
X |
X |
X |
|
Sclerotherapy |
|
|
|
X |
X |
|
Upper Endoscopy (EGD) Diagnostic |
|
|
X |
X |
X |
|
Therapeutic endoscopy EGD with control of bleeding variceal or nonvariceal-various methods and /or colonscopy with control of bleeding-varies methods |
|
|
|
X |
X |
All other procedures are performed under the direct supervision of a faculty member.