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.

Jared Tompkins

Tompkins, Jared - PGY - 4

Department of Otolaryngology
Resident Supervision


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

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

PGY2 Otolaryngology residents can perform the procedures marked in red.

PGY3 Otolaryngology residents can perform the procedures marked in green.

PGY4 Otolaryngology residents can perform the procedures marked in blue.

PGY5 Otolaryngology residents can perform the procedures marked in gray.

 

PGY2

PGY3

PGY4

PGY5

I. Patient Evaluation:

          History

X

X

X

X

          Physical examination

X

X

X

X

          Interpretation of imaging studies (i.e. CT, MRI)

X

X

X

X

          Interpretation of audiometric testing

X

X

X

X

          Interpretation of laboratory studies

X

X

X

X

          Fiberoptic and rigid nasopharyngoscopy

X

X

X

X

II. Therapeutic Procedures:

          Removal of foreign body ear, nose, or oral cavity

X

X

X

X

          Nasal packing and/or cauterization for epistaxis

X

X

X

X

          Fine needle aspiration

X

X

X

X

          Myringotomy

X

X

X

X

          Wound care - trauma, burn, laceration

X

X

X

X

          Emergent cricothyrotomy, tracheotomy, or endotracheal intubation

X

X

X

X

          Biopsy of oral cavity and nasal lesions

X

X

X

X

          I&D of oral/pharyngeal abscess (e.g. peritonsillar)

X

X

X

X

          I&D of superficial hematoma or abscess

X

X

X

X

          Excision of skin lesions with primary closure

X

X

X

X

          Venous puncture with or w/o cutdown

X

X

X

X

          Insertion of NG tube, bladder catheter, IV, A-line

X

X

X

X

          Myringotomy and tube placement

 

 

X

X

          Antral puncture/lavage

 

 

X

X

          Closed reduction of facial/mandible fractures

 

 

X

X

          Removal of foreign body of larynx or pharynx

 

 

X

X

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