Fellow: Any individual engaged in any training period after already taking or qualifying for Board Certification in their specialty. Supervision: Refers to the authority and responsibility that a practitioner, as attending, exercises over the care delivered to a patient by a resident or fellow. Direct Supervision: Requires the presence of the attending faculty or supervising resident, appropriate record keeping, and direct involvement of the attending faculty or supervising resident during follow-up. Requires appropriate record keeping and discussion with Indirect Supervision: attending faculty or supervising resident either before or after the procedure. LEVELS OF SUPERVISION The trainee may Faculty out of Supervising Supervising The trainee will Faculty in perform hospital but Resident in Resident out of Supervising hospital and not be Faculty the available by hospital and hospital but Resident performing the available for Present (Indirect) available for available by procedure Present (Direct) procedure consultation (Direct) consultation phone (Indirect) without any (Indirect) (Indirect) supervision or oversight NA 1 2 3 4 5 6 IND Assign a supervisory level (NA, 1 6, or IND) to every procedure for every level of trainee. – NON-PROCEDURAL ACTIVITIES PGY-2 PGY-3 PGY-4 patients to this service NA NA NA Perform History and Physical Examination 2 2 2 for patients on this service Treat and Manage patients on this service 2 2 2 Make referrals and request consultations 1 1 1 Provide consultations within the scope of 2 2 2 his or her expertise Use all skills normally learned during medical IND IND IND school Render any care in a life-threatening IND IND IND Supervise emergency Allied Health Professionals on NA NA NA this service GENERAL PROCEDURES PGY-2 PGY-3 PGY-4 Administration of surgical anesthesia 1 1 1 SPECIAL PROCEDURES PGY-2 PGY-3 PGY-4 Insertion of peripheral arterial catheters 2 2 2 Pulmonary artery catheterization 1 1 1 Endotracheal intubation 1 2 2 Insertion of central venous catheters 2 2 2 Pain Management: Consultation 2 2 2 Epidural analgesia 1 2 2 Nerve block analgesia 1 2 2 Rev. 4/2011
Fellow: Any individual engaged in any training period after already taking or qualifying for Board Certification in their specialty. Supervision: Refers to the authority and responsibility that a practitioner, as attending, exercises over the care delivered to a patient by a resident or fellow. Direct Supervision: Requires the presence of the attending faculty or supervising resident, appropriate record keeping, and direct involvement of the attending faculty or supervising resident during follow-up. Indirect Supervision: Requires appropriate record keeping and discussion with attending faculty or supervising resident either before or after the procedure. LEVELS OF SUPERVISION The trainee will not be performing the procedure Faculty Present (Direct) Faculty in hospital and available for consultation (Indirect) Faculty out of hospital but available by (Indirect) Supervising Resident Present (Direct) Supervising Resident in hospital and available for consultation (Indirect) Supervising Resident out of hospital but available by phone (Indirect) The trainee may perform the procedure without any supervision or oversight NA 1 2 3 4 5 6 IND Assign a supervisory level (NA, 1 – 6, or IND) to every procedure for every level of trainee. NON-PROCEDURAL ACTIVITIES PGY-2 PGY-3 PGY-4 patients to this service NA NA NA Perform History and Physical Examination for patients on this service 2 2 2 Treat and Manage patients on this service 2 2 2 Make referrals and request consultations 1 1 1 Provide consultations within the scope of his or her expertise 2 2 2 Use all skills normally learned during medical school IND IND IND Render any care in a life-threatening emergency IND IND IND Supervise Allied Health Professionals on this service NA NA NA GENERAL PROCEDURES PGY-2 PGY-3 PGY-4 Administration of surgical anesthesia 1 1 1 SPECIAL PROCEDURES PGY-2 PGY-3 PGY-4 Insertion of peripheral arterial catheters 2 2 2 Pulmonary artery catheterization 1 1 1 Endotracheal intubation 1 2 2 Insertion of central venous catheters 2 2 2 Pain Management: Consultation 2 2 2 Epidural analgesia 1 2 2 Nerve block analgesia 1 2 2 Rev. 4/2011
2013-14%20Residency%20Manual.docx