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.
Samborski, Alexandra - PGY - 6
Department of OB/GYN-Gynecologic Oncology
Resident Supervision
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Basic procedures |
PGY5 |
PGY6 |
PGY7 |
|
History |
X |
X |
X |
|
Physical Exam |
X |
X |
X |
|
Bimanual and speculum pelvic examination |
X |
X |
X |
|
Rectal Examination |
X |
X |
X |
|
Pap Smear |
X |
X |
X |
|
Interpretation of laboratory studies |
X |
X |
X |
|
The following advanced procedures may be done by PGY 5/6/7 FELLOW in GYNECOLOGIC ONCOLOGY: |
PGY5 |
PGY6 |
PGY7 |
|
Bladder catheterization |
X |
X |
X |
|
Brachytherapy |
|
X |
X |
|
Cervical biopsy |
X |
X |
X |
|
Conduit |
|
X |
X |
|
Culdocentesis |
X |
X |
X |
|
Debulking |
|
X |
X |
|
Endometrial biopsy |
X |
X |
X |
|
Exenteration |
|
X |
X |
|
Hysterectomy radical (+/- BSO) |
|
X |
X |
|
Hysterectomy total or supracervical (+/- BSO) |
|
X |
X |
|
Incision and drainage of Bartholin/vulvar abscess |
X |
X |
X |
|
Inguinal node dissection |
|
X |
X |
|
Instestinal surgery |
|
X |
X |
|
Lymphatic mapping and sentinel node biopsy |
|
X |
X |
|
Paraaortic lymphadenectomy |
|
X |
X |
|
Paracentesis |
X |
X |
X |
|
Pelvic lymphadenectomy |
|
X |
X |
|
Radical trachelectomy |
|
X |
X |
|
Simple trachelectomy |
|
X |
X |
|
Suture repair of vulvar/vaginal laceration |
X |
X |
X |
|
Thoracentisis |
|
|
X |
|
Urologic procedure - bladder fistula repair |
|
X |
X |
|
Urologic procedure - ureteral neocystostomy |
|
X |
X |
|
Vulva resection |
|
X |
X |
|
Vulvar biopsy |
X |
X |
X |
|
Wet prep analysis |
X |
X |
X |
|
Wound debridement |
X |
X |
X |
All other procedures require direct or personal supervision. It is understood that emergent procedures may require performance by whatever personnel are available.