Resident delineation of privileges process

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Be careful about making such restrictive proscriptive lists of routine  
things that a licensed physician routine do.   Remember that residents  are NOT 
sub human primates, but do have institutional license to practice  medicine 
and have judgement.    Internist and pediatricians are  not credentialled 
to do or not to do IVs, lumbar punctures, ordering of insulin,  ordering of 
cardiotonic drugs, ordering of vasoactive drugs, ordering of  anticoagulants. 
   In my experience it would be much more  important to have the non 
surgical personal have a list of just what they must  be supervised to order among 
all of the long list of drugs, than to restrict  surgeons.     Quite 
honestly, it appears to me that a PGY1  pediatrician or internist can order drugs 
the first day of July of their PGY1  year that they will be using the entire 
rest of their life.   
 
k
 
 
 
 
 
 
 
In a message dated 7/1/2009 5:10:08 P.M. Central Standard Time,  
Traumamd at nyc.rr.com writes:

Does  anyone have a delineation of privileges for surgical residents?
Something  that says at what PGY level residents should be able to do  
routine
procedures and how many they need to do to be certified to perform  w/o
supervision. Things like foley, CVP, suture wounds,  etc.
Thanks
Ronald Simon,MD
NYU Medical  Center/Bellevue

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