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.

Maria Goddard

Goddard, Maria - PGY - 4

Department of Plastic Surgery-Burn
Resident Supervision


General Supervision – Surgery Burn Residency Program

PGY-6 & PGY-7

Residents will discuss all admissions and all operative cases before patient is taken to surgical suite with attending surgeon. Procedures performed in an OR setting require direct or personal supervision for critical portions of the procedure, but noncritical portions may be done under general supervision. In a life-threatening emergency, critical operative maneuvers may be initiated under general supervision.

General Supervision (1): means that the care or procedure is conducted under the staff member’s overall direction and control but the physician’s presence is not required at the time of care.

Direct Supervision (2): requires that the physician must be immediately available to furnish assistance and direction.

Personal Supervision (3): means that the staff physician must be in attendance in the room during the procedure.

Category

PGY-6

PGY-7

 

 

 

Breast

 

 

Reduction

3

2

Augmentation

3

2

 

 

 

Reconstruction

 

 

Reconstruction-Free Tissue

3

3

Reconstruction-Myocutaneous Flap

3

2

Reconstruction-Nipple/Areola

3

2

Reconstruction-Secondary Breast Procedures

3

2

Reconstruction With Implant or Tissue Expander

3

2

 

 

 

Other (Breast)

 

 

Gynecomastia

3

2

Other (Breast)

3

2

 

 

 

Burns

 

 

Operative Treatment

3

2

Nonoperative

3

2

Reconstruction

3

2

 

 

 

Congenital Defects of the Head and Neck

 

 

Cleft Lip (primary)

 

 

Cleft Lip Nasal Deformity

3

3

Cleft Lip Repair – Primary, bilateral repair

3

3

Cleft Lip Repair – Primary, unilateral repair

3

3

 

 

 

Cleft Palate (primary)

 

 

Cleft Palate – Bilateral Primary Repair

3

3

Cleft Palate – Unilateral Primary Repair

3

3

 

 

 

 

Cleft Lip or Palate (secondary)

 

 

Cleft Lip-Secondary repair

3

3

Cleft Palate – Secondary Repairs

3

3

 

 

 

Other (Congenital Defects)

 

 

Craniomaxillofacial – Major Craniofacial Reconstruction

3

3

Craniomaxillofacial – Mandible

3

3

Craniomaxillofacial – Maxilla

3

3

Cysts, Sinuses, Angiomas and Hygromas

3

3

Other (Congenital Defects of H&N)

3

3

Otoplasty

3

3

Reconstruction of Ear

3

3

 

 

 

Cosmetic

 

 

Facelift

3

3

Browlift

3

3

Blepharoplasty

3

3

Rhinoplasty

3

3

Body contouring: Abdominoplasty

3

3

Body contouring: Suction Lipectomy

3

3

Other (Cosmetic)

3

3

Skin Resurfacing

3

3

 

 

 

Head and Neck Trauma

 

 

 

 

 

Nasal Fracture

 

 

Facial Bone Fractures – Frontal Sinus/Nasoethmoid

2

2

Facial Bone Fractures – Nasal

1

1

 

 

 

Mandibular Fracture

 2

2

Facial Bone Fractures – Mandible-Alveolar Ridge

2

1

 

 

 

Facial Laceration

 

 

Soft Tissue, Acute Repair

1

1

 

 

 

Zygomatic, Orbital Fractures

 

 

Facial Bone Fractures – Zygoma-Orbit

3

2

 

 

 

Maxilliary Fractures

 

 

Facial Bone Fractures – Maxillary/Midface

3

2

 

 

 

Other (Facial Trauma)

 

 

Eyelid

2

2

Facial Nerve

2

2

Soft Tissue – Lymph Node Resection

2

2

Soft Tissue – Scar Revision (including Dermabrasion)

2

2

Soft Tissue Revision or Reconstruction – Eyelid

2

2

Soft Tissue Revision or Reconstruction – Grafts

2

2

 

 

 

Head and Neck Neoplasms

 

 

Other (Head and Neck Neoplasms)

3

2

Reconstruction – Eyelid

3

2

Reconstruction- Flap, Multiple tissue

3

2

Reconstruction – Flap, Skin

3

2

Reconstruction – Free Tissue Transfer

3

3

Reconstruction – Nose

3

2

Resection – Antral/Orbital

3

2

Resection – Endoscopy

3

2

Resection – Lip

3

2

Resection – Lymph Node Resection

3

3

Resection – Oropharyngeal

3

3

Resection – Other (Exclude Skin Cancer)

3

3

Resection – Salivary

3

3

 

 

 

Upper Extremity

 

 

Skin Repair

2

1

Fingertip Injuries and Reconstruction

1

1

 

 

 

Tendon, Flexor

 

 

Tendon Repair – Extensor

3

2

Tendon Repair – Flexor

3

2

Tendon Repair – Tendon Transfer

3

3

Nerve Repair

3

2

Nerve Repair – Major

3

3

Fractures and Dislocations

3

2

Release Contracture, Joint & Tendon

3

2

Amputation

2

2

Dupuytrens

3

3

Nerve Decompression

3

2

 

 

 

Other (Hand)

 

 

Arterial Repair – Digital

3

2

Congenital

3

3

Other (Upper Extremity)

3

2

Replant, Revascularization, Free Transfer

3

3

Tumors – Benign

3

2

Tumors – Malignant

3

2

 

 

 

Lower Extremity

 

 

Flap

3

2

Other (Lower Extremity)

3

2

 

 

 

Skin and Soft Tissue Neoplasm

 

 

Malignant

1

1

Non-malignant (benign)

1

1

 

 

 

Trunk-Genitalia

 

 

 

 

 

Pressure sore, flap

3

2

Pressure sore – Debridement

2

1

Pressure sore – Direct Repair

3

2

 

 

 

Thoracic or abdominal flaps

 

 

Pressure Sore – Flap

3

2

Thoracic-Abdominal Defects – Debridement

2

1

Thoracic-Abdominal Defects – Repair, Direct

3

2

Thoracic-Abdominal Defects – Repair, Flap

3

2

 

 

 

Other (Trunk)

 

 

Hidradenitis

3

2

Male/Female Genitalia – Hypospadias

3

3

Male/Female Genitalia – Other

3

3

Male/Female Genitalia – Penile Replantation and Recon

3

3

Male/Female Genitalia – Vaginal Reconstruction

3

3

Other (Trunk-Genitalia)

3

3

 

 

 

Technique Groups

 

 

Free Tissue Transfer

3

3

Laser

3

3

Flap

3

2

Graft, Bone

3

2

Graft, Skin

3

2

Graft, Other

3

2

Implant

3

2

Tissue Expansion

3

2