Resident delineation of privileges process

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It is our STRONG belief that surgery residents are physicians that can do what their license and the state board of examiners allows as they function independently. However in the teaching hospital they are not credentialed to do ANY surgical procedures. They are trainees learning to be surgeons. The faculty are credentialed by the hospital to function as surgeons and MUST supervise and be responsible for any surgical procedure that is done for the patients by the residents-in-training. Until the residents graduate, become board certified and are independently credentialed in their hospital of choice, they MUST function under the supervision of the staff surgeons. The residents are not credentialed to do any procedure  independently. They are trainees, not independent practitioners
 
Norman
 
Norman McSwain MD
Trauma Director, Charity Hospital
Professor of Surgery, Tulane University
New Orleans LA
504 988 5111
norman.mcswain at tulane.edu <mailto:norman.mcswain at tulane.edu> 

________________________________

From: trauma-list-bounces at trauma.org on behalf of KMATTOX at aol.com
Sent: Wed 7/1/2009 6:41 PM
To: trauma-list at trauma.org
Subject: Re: Resident delineation of privileges process



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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