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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 in GME Policy #410.

Srishti Sareen

Sareen, Srishti - PGY - 4

Department of Medicine-Hematology/Oncology
Resident Supervision

 

 

 

 

 Basic Procedures

PGY4

PGY 5

PGY 6

History

X

X

X

Physical Exam

X

X

X

Interpretation of laboratory studies

X

X

X

 

 

 

 

The following advanced proceduers may be done by PGY 4/5/6 FELLOWS in HEMATOLOGY & MEDICAL ONCOLOGY:

PGY4

PGY 5

PGY 6

Bone marrow aspirates as well as interpretation of bone marrow biopsies

X

X

X

Intrathecal Chemotherapy Administration

X

X

X

Porta-Cath access

X

X

X

Ommya access

X

X

X

Thoracentesis

X

X

X

Paracentesis

X

X

X

Placement of peripheral intravenous access devices

 

 

 

Interpretation of basic x-ray studies

X

X

X

    a. Chest

X

X

X

    b. Abdomen

X

X

X

    c. Skull

X

X

X

    d. Extremities

X

X

X

Basic interpretation of CT studies

 

 

 

    a. Chest

X

X

X

    b. Abdomen

X

X

X

    c. Pelvis

X

X

X

    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

Interpretation of blood smears

X

X

X

Incision and drainage of superficial abscesses and hematomas

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

Writing of chemotherapy orders

X

X

X

Hematology consultation

X

X

X

Oncology consultations

X

X

X

 

All other procedures require direct or personal supervision. It is understood that emergent procedures may require performance by whatever personnel are available.

May 26, 2022

Dec 1, 2023