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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.

Johann Paulo Guzman

Guzman, Johann Paulo - PGY - 6

Department of Surgery-Transplant
Resident Supervision

All levels of Transplantation Fellows (PGY6 or 7) can perform the procedures listed

below without the presence of an attending physician:

 

Transplantation Fellowship Program

PGY6

PGY7

Differential Diagnosis:

 

 

Clinical History

X

X

Physical Examination

X

X

Interpretation of Lab Studies

X

X

Interpretation of Basic X-ray Studies (Skull, Spine, Chest, Abdomen, Extremities)

X

X

Cardiopulmonary Resuscitation:

 

 

Airway Maintenance

X

X

Emergency Drug Therapy

X

X

Venipuncture

X

X

Rhythm Strip Interpretation

X

X

Intravenous Catheterization

X

X

Closed Chest Massage

X

X

Pediatric Resuscitation

X

X

Electrocardioversion & Defibrillation

X

X

Intracardiac Injection

X

X

Venous Cut-down

X

X

Airway Maintenance:

 

 

Insertion of Oral Pharyngeal Airway

X

X

Endotracheal Intubation

X

X

Cricothyroidotomy

X

X

Use of Mechanical Respirators

X

X

Additional Specific Skills:

 

 

Intra-arterial Puncture of Catheterization

X

X

Bladder Catheterization

X

X

Foreign Body Removal Techniques

X

X

Use of Water Seal Drainage Devices

X

X

I&D of Superficial Abscesses & Hematomas

X

X

Interpreting Arterial Blood Gases

X

X

Emergency Use of External Temporary Pacemakers

X

X

Emergency Treatment of 1st, 2nd & 3rd Degree Burns

X

X

Introduction of NG Tubes

X

X

Diagnostic Peritoneal Lavage

X

X

Diagnostic/Therapeutic Paracentesis

X

X

Percutaneous Liver Biopsy

X

X

Percutaneous Kidney Allograft Biopsy

X

X

Percutaneous Pancreas Allograft Biopsy

X

X

Tube Thoracostomy

X

X

Central Venous Catheter Placement

X

X

Skin Graft

X

X

Vascular Access for Hemodialysis

X

X

Debridement of Wounds or Necrotic Tissue

X

X

Written Admission, Preoperative, and Postoperative Orders

X

X

 

All other procedures require direct or personal supervision.

Feb 14, 2023

Dec 1, 2023