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.

John Harkess

Harkess, John - PGY - 3

Department of Orthopaedic Surgery
Resident Supervision


All PGY1 Orthopaedic Surgery residents are supervised either directly or indirectly with the supervisor available to provide direct supervision.

PGY 2, 3, 4, or 5 Orthopaedic Surgery trainees can perform the procedures listed below with indirect supervision:

PGY2 Orthopaedic Surgery residents can perform the procedures marked in red.

PGY3 Orthopaedic Surgery residents can perform the procedures marked in green.

PGY4 Orthopaedic Surgery residents can perform the procedures marked in blue.

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

 

PGY2

PGY3

PGY4

PGY5

Diagnosis:

1. Clinical history

X

X

X

X

2. Physical examination

X

X

X

X

3. Interpretation of imaging studies (radiographs, bone scan, CT, MRI)

X

X

X

X

4. Nonoperative and operative treatment plans

X

X

X

X

5. Protocols for rehabilitation

X

X

X

X

6. Coordination of treatment with other disciplines

X

X

X

X

7. Communication with pediatric patients and their families

X

X

X

X

8. Triage of pediatric trauma patients

X

X

X

X

9. Interpretation of specialized tests and maneuvers for diagnosis in children and adolescents

X

X

X

X

10. Differentiation of normal growth variants from pathologic conditions

X

X

X

X

Orthopaedic procedures:

1. Joint injection techniques

X

X

X

X

2. Injection techniques for degenerative/inflammatory soft-tissue conditions (DeQuervain's, carpal tunnel, tendonosis, tendonitis, tenosynovitis)

X

X

X

X

3. Traction techniques

X

X

X

X

4. Local block anesthesia

X

X

X

X

5. Foreign body removal

X

X

X

X

6. Splinting/casting of fractures and dislocations

X

X

X

X

7. Emergency closed reduction techniques

X

X

X

X

8. Joint aspiration (ankle, knee, hip, wrist, elbow, shoulder)

X

X

X

X

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