UTHSC College of Medicine 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 on the GME web site: http://uthsc.edu/GME/pdf/supervision2011.pdf.

Richard Lou

Lou, Richard - PGY - 7

Department of Plastic Surgery
Resident Supervision


PGY 5, 6, or 7 Plastic Surgery trainees can perform the procedures listed below with indirect supervision:

PGY5 Plastic Surgery residents can perform the procedures marked in gray.

PGY6 Plastic Surgery residents can perform the procedures marked in orange.

PGY7 Plastic Surgery residents can perform the procedures marked in purple.

 

PGY5

PGY6

PGY7

Differential Diagnosis:

1. Clinical history

X

X

X

2. Physical examination

X

X

X

3. Bimanual and speculum pelvic examination

X

X

X

4. Interpretation of Basic x-ray studies (skull, spine, chest, abdomen, extremities)

X

X

X

5. Interpretation of laboratory studies

X

X

X

6. Patient Transfer to ICU

X

X

X

Plastic Surgery Procedures (Non-OR):

1. Nasal Fracture

X

X

X

2. Facial Laceration

X

X

X

3. Upper Ext-Skin repair

X

X

X

4. Upper Ext-Fingertip injuries and reconstruction

X

X

X

5. Soft Tissue Neoplasm-Malignant

X

X

X

6. Soft Tissue Neoplasm-Benign

X

X

X

7. Drain abscess

X

X

X

8. Wound debridement

X

X

X

9. Repair extensor tendon injuries

X

X

X

10. Reduce phalanx and metacarpal fractures

X

X

X

11. Reduce finger and thumb dislocations

X

X

X

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