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.

Joseph Pietrangelo

Pietrangelo, Joseph - PGY - 3

Department of Dermatology
Resident Supervision


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

PGY2 Dermatology residents can perform procedures marked in red.

PGY3 Dermatology residents can perform procedures marked in green.

PGY4 Dermatology residents can perform procedures marked in blue.

 

PGY2

PGY3

PGY4

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

Crichothyroidotomy

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

Splinting of Fractures & Dislocations

X

X

X

Emergency Closed Reduction Technique (followed by cast application)

X

X

X

I&D of Superficial Abscesses & Hematomas

X

X

X

Interpreting Arterial Blood Gases

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

Preparation and Interpretation of Microscopic Specimens:
Skin and mucosal scrapings of touch preparations, hair and nail mounts (KOH, mineral oil, Tzanck and gram stains, darkfield microscopy)

X

X

X

Biopsy of skin and mucosal surfaces (punch, shave, incisional, excisional)

X

X

X

Incision and drainage of skin lesions

X

X

X

Excision and skin lesions (simple)

X

X

X

Cryosurgical destruction of skin lesions

X

X

X

Cutaneous patch testing

X

X

X

Phototherapy (UVA, UVB)

X

X

X

Electrosurgical destruction of skin lesions

 

X

X

Excision of skin lesions (complex)

 

 

X

Phototesting

 

 

X

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