Competencies define procedures or activities that the residents/clinical fellows can usually perform at each level without direct on site supervision:
- Patient management, including H&Ps and diagnostic and therapeutic treatments
- Procedures and interventions encompassing the areas described below and similar activities.
The underlying patient condition and complexity of the procedure might dictate the need for direct supervision and physical presence of the attending physician. Whenever a question arises about resident/clinical fellow competency to perform a procedure independently, the attending physician should be consulted.