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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.

Emma Fenner

Fenner, Emma - PGY - 1

Department of Urology
Resident Supervision

PGY 1, 2, 3, 4 or 5 Urology trainees can perform procedures listed below with indirect supervision:

Urology Residency Program

PGY1

(URO-1)

PGY2

(URO-2)

PGY3

(URO-3)

PGY4

(URO-4)

PGY5

(URO-5)

I.                Differential Diagnosis:

 

 

 

 

 

A.     Clinical History

X

X

X

X

X

B.     Physical Exam

X

X

X

X

X

C.    Bimanual and Speculum Pelvic Exam

X

X

X

X

X

D.    Interpretation of Laboratory Studies

X

X

X

X

X

E.     Interpretation of basic imaging studies (KUB, bladder ultrasound, renal and scrotal ultrasound, cystogram, retrograde urethrogram)

X

X

X

X

X

F.     Write admission orders, pre-op and post-op orders and discharge orders

X

X

X

X

X

G.    Coordination of treatment with other disciplines

X

X

X

X

X

H.    Interpretation of all pre-op, intra-op and post-op imaging studies (KUB, IVP, bladder ultrasound, renal and scrotal ultrasound, cystogram, retrograde urethrogram, CT scan, MRI including trauma situation)

 

 

X

X

X

II.              Urologic Procedures:

 

 

 

 

 

A, Bladder catheterization (transurethrally and subrapubic)

 

X

X

X

X

B. Introduction of NG tubes

X

X

X

X

X

C. Wound care (including incision and drainage of scrotal wall abscess or penile

     abscess and debridement)

X

X

X

X

X

D. Intravenous catheterization

X

X

X

X

X

E. Transrectal ultrasound guided prostate biopsies with or without anesthesia block

 

X

X

X

X

F. Venipuncture

X

X

X

X

X

G. Bedside cystoscopy as a nonoperative procedure to assist with difficulty Foley

     catheter placement and/or urethral dilation of urethral stricture disease

 

X

X

X

X

H.    Cystoscopy with Double J ureteral stent placement

 

 

 

X

X

 

All other procedures are performed under direct supervision of a faculty member.

 

 

May 26, 2022

Dec 1, 2023