Allow PGY 3/4's to evaluate PGY1/2's on lower level procedures.
in other words, a PGY 4 can't sign off an intern on say an AFI as they are unable to see any other residents, only staff are visable.
Edward Ferris commented
I agree. PGY4 residents, especially, should be able to be listed as faculty in addition to being listed as a resident. They they could evaluate junior residents on deliveries, c-sections, etc. This would also provide feedback on milestones that have to do with a resident being able to supervise or teach a given procedure. This is usually a level 4 milestone.