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.

Andrew Fintel

Fintel, Andrew - PGY - 5

Department of Medicine-Hematology/Oncology
Resident Supervision


PGY 4 (1st year of fellowship), PGY5 (2nd year of fellowship) or PGY6 (3rd year of fellowship) Hematology/Oncology trainees can perform the procedures listed below with indirect supervision:

 

PGY4 Hematology/Oncology Fellows can perform the procedures marked in blue.

PGY5 Hematology/Oncology Fellows can perform the procedures marked in gray.

PGY6 Hematology/Oncology Fellows can perform the procedures marked in orange.

 

PGY4

PGY5

PGY6

Procedure Competencies for Fellows:

History taking

X

X

X

Physical Examination

X

X

X

Interpretation of laboratory studies

X

X

X

Bladder catheterization

X

X

X

Spinal tap

X

X

X

Thoracentesis

X

X

X

Paracentesis

X

X

X

Placement of peripheral intravenous access devices

X

X

X

Placement of central venous access catheters
            a. Internal jugular
            b. Subclavian

X

X

X

Interpretation of basic x-ray studies
            a. Chest
            b. Abdomen
            c. Skull
            d. Extremities

X

X

X

Basic interpretation of CT studies
            a. Chest
            b. Abdomen
            c. Pelvis
            d. Brain

X

X

X

Complete blood count, including platelets and white cell differential, by means of automated or manual techniques, with appropriate quality control

X

X

X

Preparation, staining, and interpretation of blood smears

X

X

X

Incision and drainage of superficial abscesses and hematomas

X

X

X

Bone marrow aspirates and touch preparations, as well as interpretation of bone marrow biopsies

X

X

X

Administration of intravenous chemotherapy

X

X

X

Administration of intrathecal chemotherapy

X

X

X

Use of chemotherapeutic agents and biological products through all therapeutic routes

X

X

X

Serial measurement of tumor masses

X

X

X

Accessing Ommaya reservoirs

X

X

X

Accessing sub-cutanous central line catheters

X

X

X

Writing of chemotherapy orders

X

X

X

Hematology consultation

 

X

X

Oncology consultations

 

X

X

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