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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 Pedersen

Pedersen, Robert - PGY - 2

Department of Radiology
Resident Supervision

 

PGY 2, 3, 4, or 5 Radiology trainees can perform the procedures listed below with indirect supervision:

 

Radiology Residency Program

PGY2

PGY3

PGY4

PGY5

Review and Preliminarily Read:

 

 

 

 

Plain films

X

X

X

X

Fluoroscopic exams

X

X

X

X

CT

X

X

X

X

Ultrasound

X

X

X

X

MR

X

X

X

X

Nuclear medicine exams

X

X

X

X

Consult on technique and work-up methods using any of the modalities available to the Dept. of Radiology

X

X

X

X

Perform fluoroscopic exams

X

X

X

X

 

Radiology program-specific Supervision Policy and Clinical Activities Addendum is available below.

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

 

The UT/Methodist Healthcare Diagnostic Radiology Residency follows the UTHSC institutional policy on Resident Supervision. Program- specific policy items are found below.

 

1.     Supervision of Residents: See addendum Specific Clinical Activities and Level of Supervision.

2.     Procedure Competence: See addendum Specific Clinical Activities and Level of Supervision.

3.     PGY1 resident supervision: The diagnostic radiology residency program does not have PGY1 residents. The program starts at the PGY2 level; residents on track to start the radiology residency program must complete an internship year in another preliminary program, such as the Transitional Year program.

4.     Supervision guidelines for circumstances and events: The radiology resident would contact her/his supervisor in the event of any of the following:

a.     Any significant complication from a radiology procedure

b.     Any case in which the resident does not feel qualified to make a decision

c.     Any situation in which patient care is compromised by the lack of a supervisor

5.     Description of Resident Clinical Responsibilities: See addendum Specific Clinical Activities and Level of Supervision.

6.     Resident and Faculty Policy Awareness: Residents and faculty will be educated on supervision policies and procedures (including the ACGME requirement that residents and faculty members should inform patients of their respective roles in each patient’s care) annually. A copy of the policy will be kept on the residency’s private webpage.

 

The Full UT Policy is available here: http://www.uthsc.edu/GME/policies/supervision_pla2011.pdf

 

See also Addendum to the Radiology Program Supervision Policy: Specific Clinical Activities and Level of Supervision


Addendum to the Radiology Program Supervision Policy: Specific Clinical Activities and Level of Supervision

 

 

Clinical Activity

 

Resident Level

 

Method of Instruction

 

Instructor Level

 

Supervision Level

 

Certification Requirements to Perform Activity without Direct Supervision

Method to Confirm Competent to Perform Procedure/Activity

 

H&P

 

PGY1+

Direct Clinical Instruction

 

PGY2+

Indirect after Instruction

 

PGY1+ after Initial Instruction

PGY Level since all Radiology Residents are PGY2+

Informed Consent for NVIR Procedures

 

PGY1+

Direct Clinical Instruction

 

PGY2+

Indirect after Instruction

 

PGY1+ after Initial Instruction

PGY Level since all Radiology Residents are PGY2+

Informed Consent for IR Procedures

 

PGY1+

Direct Clinical Instruction

 

PGY2+

Indirect after Instruction

 

PGY1+ after Initial Instruction

PGY Level since all Radiology Residents are PGY2+

 

Resuscitating Patients

 

PGY1+

Direct Clinical Instruction

 

PGY2+

Indirect after Instruction

 

PGY1+ after Initial Instruction

PGY Level since all Radiology Residents are PGY2+

Post-Procedural Examination of Vascular Access

 

 

PGY2+

 

Direct Clinical Instruction

 

 

PGY3+

 

Indirect after Instruction

 

PGY2+ after satisfactory completion of Interventional Radiology rotation

Satisfactory completion of Interventional Radiology rotation

Fouroscopy:

 

 

 

 

 

 

 

 

Barium Enema

 

 

PGY2+

 

Direct Clinical Instruction

 

 

PGY3+

 

Indirect after Instruction

PGY2+ after satisfactory completion of GI/ GU Radiology and Diagnostic Radiology Rotations

Satisfactory completion of GI/ GU Radiology and Diagnostic Radiology Rotations

 

 

Upper GI Series

 

 

PGY2+

 

Direct Clinical Instruction

 

 

PGY3+

 

Indirect after Instruction

PGY2+ after satisfactory completion of GI/ GU Radiology and Diagnostic Radiology Rotations

Satisfactory completion of GI/ GU Radiology and Diagnostic Radiology Rotations

 

Small Bowel Follow- Through

 

 

PGY2+

 

Direct Clinical Instruction

 

 

PGY3+

 

Indirect after Instruction

PGY2+ after satisfactory completion of GI/ GU Radiology and Diagnostic Radiology Rotations

Satisfactory completion of GI/ GU Radiology and Diagnostic Radiology Rotations

 

 

Placement of NG Tube

 

 

PGY2+

 

Direct Clinical Instruction

 

 

PGY3+

 

Indirect after Instruction

PGY2+ after satisfactory completion of GI/ GU Radiology and Diagnostic Radiology Rotations

Satisfactory completion of GI/ GU Radiology and Diagnostic Radiology Rotations

 

 

IVP

 

 

PGY2+

 

Direct Clinical Instruction

 

 

PGY3+

 

Indirect after Instruction

PGY2+ after satisfactory completion of GI/ GU Radiology and Diagnostic Radiology Rotations

Satisfactory completion of GI/ GU Radiology and Diagnostic Radiology Rotations

 

 

Flouro-Guided LP

 

 

PGY2+

 

Direct Clinical Instruction

 

 

PGY3+

 

Indirect after Instruction

PGY2+ after satisfactory completion of GI/ GU Radiology and Diagnostic Radiology Rotations

Satisfactory completion of GI/ GU Radiology and Diagnostic Radiology Rotations

 

 

Shoulder Anthrogram

 

 

PGY2+

 

Direct Clinical Instruction

 

 

PGY3+

 

Indirect after Instruction

PGY2+ after satisfactory completion of GI/ GU Radiology and Diagnostic Radiology Rotations

Satisfactory completion of GI/ GU Radiology and Diagnostic Radiology Rotations

 

 

Hip Anthogram

 

 

PGY2+

 

Direct Clinical Instruction

 

 

PGY3+

 

Indirect after Instruction

PGY2+ after satisfactory completion of GI/ GU Radiology and Diagnostic Radiology Rotations

Satisfactory completion of GI/ GU Radiology and Diagnostic Radiology Rotations

 

 

Herniagram

 

 

PGY2+

 

Direct Clinical Instruction

 

 

PGY3+

 

Indirect after Instruction

PGY2+ after satisfactory completion of GI/ GU Radiology and Diagnostic Radiology Rotations

Satisfactory completion of GI/ GU Radiology and Diagnostic Radiology Rotations


Ultrasound:

 

 

 

 

 

 

US-Guided Thoracentesis

 

PGY2+

Direct Clinical Instruction

 

PGY3+

Indirect after Instruction

PGY2+ after satisfactory completion of Ultrasound Rotation

Satisfactory completion of Ultrasound Rotation

US-Guided Paracentesis

 

PGY2+

Direct Clinical Instruction

 

PGY3+

Indirect after Instruction

PGY2+ after satisfactory completion of Ultrasound Rotation

Satisfactory completion of Ultrasound Rotation

US-Guided Thyroid Biopsy

 

PGY2+

Direct Clinical Instruction

 

PGY3+

Indirect after Instruction

PGY2+ after satisfactory completion of Ultrasound Rotation

Satisfactory completion of Ultrasound Rotation

CT:

 

 

 

 

 

 

 

 

 

 

 

CT-Guided Core Liver Biopsy

 

 

 

 

 

 

PGY2+

 

 

 

 

 

Direct Clinical Instruction

 

 

 

 

 

Attending Physician

Indirect Supervision with Direct Supervision Immediately Available (ie, attending in hospital)

 

 

 

 

PGY2+ after satisfactory completion of Body Imaging and Non-Vascular Interventional Radiology Rotations

 

 

 

Satisfactory completion of Body Imaging and Non- Vascular Interventional Radiology Rotations

 

 

 

 

 

CT-Guided Abscess Drainage

 

 

 

 

 

 

PGY2+

 

 

 

 

 

Direct Clinical Instruction

 

 

 

 

 

Attending Physician

Indirect Supervision with Direct Supervision Immediately Available (ie, attending in hospital)

 

 

 

 

PGY2+ after satisfactory completion of Body Imaging and Non-Vascular Interventional Radiology Rotations

 

 

 

Satisfactory completion of Body Imaging and Non- Vascular Interventional Radiology Rotations

 

 

 

 

 

CT-Guided Solid Organ Fine Needle Aspiration

 

 

 

 

 

 

PGY2+

 

 

 

 

 

Direct Clinical Instruction

 

 

 

 

 

Attending Physician

Indirect Supervision with Direct Supervision Immediately Available (ie, attending in hospital)

 

 

 

 

PGY2+ after satisfactory completion of Body Imaging and Non-Vascular Interventional Radiology Rotations

 

 

 

Satisfactory completion of Body Imaging and Non- Vascular Interventional Radiology Rotations

 

 

 

 

 

CT-Guided Solid Organ Core Biopsy

 

 

 

 

 

 

PGY2+

 

 

 

 

 

Direct Clinical Instruction

 

 

 

 

 

Attending Physician

Indirect Supervision with Direct Supervision Immediately Available (ie, attending in

hospital)

 

 

 

 

PGY2+ after satisfactory completion of Body Imaging and Non-Vascular Interventional Radiology Rotations

 

 

 

Satisfactory completion of Body Imaging and Non- Vascular Interventional Radiology Rotations

 

Image-Guided Central Venous Access

 

 

PGY2+

 

Direct Clinical Instruction

 

 

PGY3+

 

Indirect after Instruction

 

PGY2+ after satisfactory completion of Interventional Radiology rotation

Satisfactory completion of Interventional Radiology rotation


 

 

 

 

Indirect

 

 

 

 

 

 

Supervision

 

 

 

 

 

 

with Direct

 

 

 

 

 

 

Supervision

 

 

 

 

 

 

Available (ie,

 

 

 

 

 

 

attending a

 

 

 

 

Direct Clinical

Attending

phone call

 

 

Chest x-ray

PGY3+

Instruction

Physician

away)

Satisfactory completion of the PGY2 year

PGY Level

 

 

 

 

Indirect

 

 

 

 

 

 

Supervision

 

 

 

 

 

 

with Direct

 

 

 

 

 

 

Supervision

 

 

 

 

 

 

Available (ie,

 

 

 

 

 

 

attending a

 

 

 

 

Direct Clinical

Attending

phone call

 

 

CT abd/pel

PGY3+

Instruction

Physician

away)

Satisfactory completion of the PGY2 year

PGY Level

 

 

 

 

Indirect

 

 

 

 

 

 

Supervision

 

 

 

 

 

 

with Direct

 

 

 

 

 

 

Supervision

 

 

 

 

 

 

Available (ie,

 

 

 

 

 

 

attending a

 

 

 

 

Direct Clinical

Attending

phone call

 

 

CTA/MRA

PGY3+

Instruction

Physician

away)

Satisfactory completion of the PGY2 year

PGY Level

 

Mammography

 

PGY2+

Direct Clinical Instruction

Attending Physician

 

Direct

 

N/A

 

PGY Level

 

 

 

 

Indirect

 

 

 

 

 

 

Supervision

 

 

 

 

 

 

with Direct

 

 

 

 

 

 

Supervision

 

 

 

 

 

 

Available (ie,

 

 

 

 

 

 

attending a

 

 

 

 

Direct Clinical

Attending

phone call

 

 

MRI body

PGY3+

Instruction

Physician

away)

Satisfactory completion of the PGY2 year

PGY Level

 

 

 

 

Indirect

 

 

 

 

 

 

Supervision

 

 

 

 

 

 

with Direct

 

 

 

 

 

 

Supervision

 

 

 

 

 

 

Available (ie,

 

 

 

 

 

 

attending a

 

 

 

 

Direct Clinical

Attending

phone call

 

 

MRI brain

PGY3+

Instruction

Physician

away)

Satisfactory completion of the PGY2 year

PGY Level


 

 

 

 

Indirect

 

 

 

 

 

 

Supervision

 

 

 

 

 

 

with Direct

 

 

 

 

 

 

Supervision

 

 

 

 

 

 

Available (ie,

 

 

 

 

 

 

attending a

 

 

 

 

Direct Clinical

Attending

phone call

 

 

MRI knee

PGY3+

Instruction

Physician

away)

Satisfactory completion of the PGY2 year

PGY Level

 

 

 

 

Indirect

 

 

 

 

 

 

Supervision

 

 

 

 

 

 

with Direct

 

 

 

 

 

 

Supervision

 

 

 

 

 

 

Available (ie,

 

 

 

 

 

 

attending a

 

 

 

 

Direct Clinical

Attending

phone call

 

 

MRI spine

PGY3+

Instruction

Physician

away)

Satisfactory completion of the PGY2 year

PGY Level

 

 

 

 

Indirect

 

 

 

 

 

 

Supervision

 

 

 

 

 

 

with Direct

 

 

 

 

 

 

Supervision

 

 

 

 

 

 

Available (ie,

 

 

 

 

 

 

attending a

 

 

 

 

Direct Clinical

Attending

phone call

 

 

PET

PGY3+

Instruction

Physician

away)

Satisfactory completion of the PGY2 year

PGY Level

 

 

 

 

Indirect

 

 

 

 

 

 

Supervision

 

 

 

 

 

 

with Direct

 

 

 

 

 

 

Supervision

 

 

 

 

 

 

Available (ie,

 

 

 

 

 

 

attending a

 

 

 

 

Direct Clinical

Attending

phone call

 

 

US abd/pel

PGY3+

Instruction

Physician

away)

Satisfactory completion of the PGY2 year

PGY Level

 

May 26, 2022

Dec 1, 2023