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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.

Robert Bruce

Bruce, Robert - PGY - 3

Department of Anesthesiology
Resident Supervision

The following chart shows when an Anesthesiology resident is approved to perform certain procedures or clinical activities safely and effectively without direct supervision:

Anesthesiology Residency Program

PGY1

PGY2

PGY3

PGY4

Intubation Adult Operative

 

 

 

 

Intubation Pediatric Operative

 

 

 

 

LMA placement Adult

 

 

 

X

LMA placement Pediatric

 

 

 

 

Awake Fiberoptic Intubation

 

 

 

 

Double Lumen Tube Placement

 

 

 

 

Bronchial Blocker Placement

 

 

 

 

Peripheral IV Placement

 

X

X

X

Arterial Line Placement

 

 

X

X

Midline or RIC Catheter

 

 

 

X

Central Line IJ

 

 

X

X

Central Line Subclavian

 

 

X

X

Ultrasound Guided Nerve Block

 

 

 

X

Labor Epidural

 

 

X

X

Thoracic Epidural

 

 

 

X

Chronic Pain Procedures

 

 

 

X

Spinal (OB/GYN)

 

 

 

X

Spinal (Non-OB/GYN)

 

 

 

X

Combined Spinal Epidural

 

 

X

X

Caudal (Pediatric)

 

 

 

 

Nerve Block Pediatric

 

 

 

 

TTE/FAST

 

 

X

X

IMACOR Hemodynamic Ultrasound

 

 

X

X

TEE

 

 

 

X

Coming on and off Bypass

 

 

 

 

Epidural Blood Patch

 

 

 

X

 

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

 

 

 

 

May 26, 2022

Dec 1, 2023