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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.

Christopher Koo

Koo, Christopher - PGY - 7

Department of Surgery-Transplant
Resident Supervision


All levels of Transplant Surgery Fellows (PGY 6 or 7) can perform the procedures listed below without the presence of an attending physician:

Differential Diagnosis:

Clinical History

Physical Examination

Interpretation of Lab Studies

Interpretation of Basic X-ray Studies (Skull, Spine, Chest, Abdomen, Extremities)


Cardiopulmonary Resuscitation:

Airway Maintenance

Emergency Drug Therapy


Rhythm Strip Interpretation

Intravenous Catheterization

Closed Chest Massage

Pediatric Resuscitation

Electrocardioversion & Defibrillation

Intracardiac Injection

Venous Cut-down


Airway Maintenance:

Insertion of Oral Pharyngeal Airway

Endotracheal Intubation


Use of Mechanical Respirators


Additional Specific Skills:

Intra-arterial Puncture or Catheterization

Bladder Catheterization

Foreign Body Removal Techniques

Use of Water Seal Drainage Devices

I&D of Superficial Abscesses & Hematomas

Interpreting Arterial Blood Gases

Emergency Use of External Temporary Pacemakers

Emergency Treatment of 1st, 2nd & 3rd Degree Burns

Introduction of NG Tubes

Diagnostic Peritoneal Lavage

Percutaneous Liver Biopsy

Percutaneous Kidney Allograft Biopsy

Percutaneous Pancreas Allograft Biopsy

Tube Thoracostomy

Central Venous Catheter Placement

Skin Graft

Vascular Access for Hemodialysis

Debridement of Wounds or Necrotic Tissue

Written Admission, Preoperative, and Postoperative Orders


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:

Jun 26, 2018

Last Published: Jun 26, 2018