Fellow Supervision

All clinical patient care activities by fellows are conducted under the direct supervision and with the full participation of the attending faculty physician. Patient assignment or referrals are to the attending physician, who maintains primary clinical responsibility, which includes new patient evaluation, re-evaluation of former patients returning with new problems, and the follow-up evaluation of treated patients. Supervision of the fellow’s clinical activities on a day-to-day basis is done by the attending physicians to whom they are assigned. When patient treatment involves technical or operative procedures, the attending physician supervises and participates fully in the procedures. All necessary and appropriate documentation is reviewed and verified by the attending physician.

Clinical activities of the fellows outside of the assigned clinical rotations will be supervised by an attending physician, which primarily includes follow-up clinics where fellows assist in the post-treatment evaluation of patients to further develop skills of patient assessment, evaluation of treatment response, detection of complications and side effects, and the detection and the management of recurrent disease.

When an attending physician is designated to assume responsibility for another physician's clinical service, the fellow then reports to the designated attending physician for all activities, clinical or otherwise, that would normally require supervision by an attending physician. If any fellow encounters a situation where the designated attending physician is not immediately available, the fellow should notify the Fellowship Program Director or Medical Director.