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.

Paige Klingborg

Klingborg, Paige - PGY - 6

Department of Pediatrics-Critical Care
Resident Supervision


PGY 4, 5, or 6 Pediatric Critical Care trainees can perform the procedures listed below with indirect supervision:

 

PGY4 Pediatric Critical Care Fellows can perform the procedures marked in blue.

PGY5 Pediatric Critical Care Fellows can perform the procedures marked in gray.

PGY6 Pediatric Critical Care Fellows can perform the procedures marked in orange.

 

PGY4

PGY5

PGY6

Differential Diagnosis:

Clinical History

X

X

X

Physical Examination

X

X

X

Interpretation of Lab Studies

X

X

X

Interpretation of Basic x-ray Studies (skull, spine, chest, abdomen, extremities)

X

X

X

Cardiopulmonary Resuscitation:

Airway Maintenance

X

X

X

Emergency Drug Therapy

X

X

X

Rhythm Strip Interpretation

X

X

X

Intravenous Catheterization

X

X

X

Closed Chest Massage

X

X

X

Pediatric Resuscitation

X

X

X

Electrocardioversion & Defibrillation

X

X

X

Intracardiac Injection

X

X

X

Venous Cut-down

X

X

X

Airway Maintenance:

Insertion of Oral Pharyngeal Airway

X

X

X

Endotracheal Intubation

X

X

X

Cricothyroidotomy

X

X

X

Use of Mechanical Respirators

X

X

X

Additional Specific Skills:

Intra-arterial Puncture or Catheterization

X

X

X

Bladder Catheterization

X

X

X

Foreign Body Removal Techniques

X

X

X

Use of Water Seal Drainage Devices

X

X

X

I&D of Superficial Abscesses & Hematomas

X

X

X

Interpreting Arterial Blood Gases

X

X

X

Emergency Use of External Temporary Pacemakers

X

X

X

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

X

X

X

Introduction of NG Tubes

X

X

X

Diagnostic Peritoneal Lavage

X

X

X

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