Supervision and Scope of Practice Policy

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Full Policy Contents

Policy Statement
Reason for Policy

Additional Contacts
Related Information

Effective: 10/25/16
Last Updated: 12/15/2016

Responsible University Office:
Medical Student Education

Responsible University Administrator
Senior Associate Dean for Medical Student Education

Policy Contact:
Phase III Dean

RESPONSIBLE Antwione Haywood, Educational Policy Sub-committee Chair, 317-278-2891,
ACCOUNTABLE Alan Ladd, Curriculum Council Steering Committee Co- Chair, 317-274-4682,
SUPPORT Educational Policy Sub-committee members
Colleen O’Brien,
CONSULT Joseph Scodro, Deputy General Counsel, (317) 274-5277,
Educational Policy Sub-committee members
Curriculum Council Steering Committee Chair
INFORM Educational Policy Sub-committee members
Andy Foster, IUSM Website,

LCME Standards

9.3 Clinical Supervision of Medical Students


Any individual, student, faculty member, administrator, staff member, group or committee involved in clinical learning situations involving patient care.

Policy Statement

All medical students participating in required educational experiences are engaged in educational environments where they are supervised by members of the faculty, and/or where present, residents. Faculty and residents are prepared for their roles as educators, and are aware of the educational program objectives and the generally expected limitations of medical student ability by level. All medical students perform medical activities within their approved scope of practice and must seek assistance if faced with a medical circumstance that is beyond their skill level or comfort.

Adherence to this policy is monitored by CCSC, reviewed on a biannual basis, and modified as appropriate.

Reason for Policy

To ensure that medical students in clinical learning situations involving patient care are appropriately supervised at all times to ensure patient and student safety.


Approved by CCSC on 11/29/2016


In addition to all components of the history and physical examination, medical students may perform any of the following without direct (in room) supervision once capable of doing them, and with the knowledge and consent of an immediate supervising health care provider.

Blood collection: arterial, venous, or capillary
Incision & Drainage of superficial wound
Injections: intramuscular, subcutaneous, intradermal, intravenous
Insert peripheral intravenous catheter
Foley catheter insertion (male and female)
Nasogastric tube insertion
Pap Smear, cervical culture, wet prep
Local anesthesia
Suture simple laceration
Suture or staple removal
Ventilation (ambu-bag)

Related Information

Required Clinical Experiences Policy

Additional Contacts

Subject Contact Phone Email
Policy; Compliance Graham Carlos, MD
Changes/Updates Neelum Safdar (317) 274-4742
Technical Assistance Joel Smith (317) 278-1762


Approved by CCSC: 11/29/2016
Revised: 12/13/2016