New level descriptors (adapted from Accreditation Council for Graduate Medical Education definition of supervision)
| Level 1 | Entrusted to observe only – no execution. |
| Level 2 | Entrusted to act with direct supervision. The supervising physician is physically within the hospital or other site of patient care and is immediately available to provide direct supervision. |
| Level 3 | Entrusted to act with indirect supervision. The supervising physician is not physically present within the hospital or other site of patient care, but is immediately available by means of telephone and/or electronic media, to provide advice and can attend physically if required to provide direct supervision |
| Level 4 | Entrusted to act unsupervised. |