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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.

Christina Carpenter

Carpenter, Christina - PGY - 7

Department of Urology-Pediatric
Resident Supervision

All levels of Pediatric Urology Residents (PGY 6 or 7) can perform the procedures listed below without the presence of an attending physician:

I. Differential Diagnosis:

A. Clinical history

B. Physical exam

C. Bimanual and speculum pelvic exam

D. Interpretation of laboratory studies

E. Interpretation of all pre-op, intra-op and post-op imaging studies (KUB, IVP, renal and scrotal ultrasound, cystogram, retrograde urethrogram, CT scan, MRI including trauma situation)

F. Write admission orders, pre-op and post-op orders and discharge orders

G. Coordination of treatment with other disciplines

 

II. Urologic Procedures:

A. Bladder catheterization (transurethrally and subrapubic)

B. Introduction of NG tubes

C. Wound care (including incision and drainage of scrotal wall abscess or penile abscess and debridement)

D. Intravenous catheterization

E. Venipuncture

 

All other procedures require direct or personal supervision.

 

NOTE: The policy on resident supervision in the Operating/Delivery Room is described on the GME website: http://www.uthsc.edu/GME/supervisionpolicy.php#operating

 

Mar 8, 2017

Last Published: Mar 8, 2017