If you’re considering whether or not becoming a chief resident is the right fit, the Residency Program Director for Internal Medicine at the University of Utah has some advice for you. The chief resident could, therefore, have several roles and responsibilities, depending on the model employed, but what are the benefits to the individual who takes on the post? “Being a chief resident is the experience of learning what it’s like to be a young faculty member,” said Lassey. The correct and not very useful answer is—it depends. Clinical duties and frequency of rotation make it difficult to provide a continuing representation to relevant committees. As a chief, Vestal oversees the Intensive Care Unit service and senior residents on the floor service. Although there is a structure for the management of postgraduate medical education at a senior level, is there a case to be made for an educational advocate at trainee level? It’s the first time people are looking to you for all decision-making. What does experience from the US have to show us? Since she does not plan to specialize, Jose-Kampfner was chosen to become a chief after completing her residency last year. Programme directors placed primary importance on the administrative role of the chief resident,56 whereas chief residents themselves felt underprepared for their position with particular regard to administrative skills. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Appointment to this post is often an internal department affair with non-formalised selection criteria. Looking back on her residency, Lassey is amazed by how quickly four years have gone by and by how much she and her peers have learned. Sorry, your blog cannot share posts by email. Campaigning to be chief resident generally guarantees you won't be. “The chief residents function as a unit of four and play off each other’s strengths,” said Jose-Kampfner. In some specialties, all residents in their final year become chiefs; in others, a select number of chiefs are chosen. Despite these transatlantic differences in the proposed role, it is essential that the chief resident has the authority to deliver what is asked of her or him; not to provide such authority would make the post meaningless. The current plan in our setting is that the chief resident, while being responsible for the trainee body as a whole, would devolve the responsibilities for rota organisation to another individual and would act as a final arbiter of the fairness of such a process. McGill Post Graduate Medical Education. The cynical answers would be "out of a misguided sense of loyalty to your program". I got to see what it was to be a conscientious chief – protecting junior residents and educating them amid the craziness of the ebb and flow of what we do.”. I’m not sure what life outside of residency will be like; it shapes us for the rest of our lives.”. She says she looks forward to finding a position that will allow her to care for underserved populations of patients. Across the board, chief residents handle everything from managing care teams and teaching residents and medical students to coordinating residents’ schedules and serving as a liaison between faculty and trainees. We have taken this cautionary note on board and have also tried to modify aspects of the role to make it more applicable to local needs. When Sarah Lassey, MD, was a junior resident in the Department of Obstetrics and Gynecology, she looked at the program’s chief residents with “so much respect and awe of their knowledge base and how they managed their teams.”. Such an outcome is unfair and makes the role less popular. Student Doctor Network Forums. I would see good things my chiefs did and think, I want to be that kind of chief someday, as well as things I’d want to avoid. For example, one important decision for individual organisations to make is whether the post should include responsibilities for organisation of rotas. Even if they hurt sometimes. 2008. One hope is that these individuals will become the clinical managers of tomorrow, with pre-accreditation training that takes account of their special needs as management specialists. The chief resident could, therefore, have several roles and responsibilities, depending on the model employed, but what are the benefits to the individual who takes on the post? The Brigham has been a wonderful place to learn and train.”. What do chief residents do and what are their roles on the medical team? Post was not sent - check your email addresses! After Jose-Kampfner finishes her chief year this summer, she plans to move to Cleveland with her fiancé, who will be pursuing a cardiology fellowship. The initiative is being sponsored jointly by educational leadership (the trust director of postgraduate medical education), the medical director, and clinical service managers (departmental clinical directors). Vestal also gets to choose the operations he takes part in, coordinates the schedules of all residents, works closely with Anesthesiology and Operating Room leadership and creates operating schedules. :) Final thoughts about chief residency: You find great lessons about leadership there. In BWH’s OB/GYN and Neurosurgery Residency programs, for example, all residents who are in their final year are chiefs, but a few chiefs are selected each year for BWH’s Internal Medicine Residency, which consists of an additional year of residency. Trainee representation at specialist societies could give trainees such opportunities, but the knowledge of the workings of the NHS, organisation of training, service planning, and observing the roles available to consultants are better gained at a hospital level. The United States has had residency programmes for over 100 years. These programmes organise structured education and service provision, and are headed by a chief resident. Personal accounts of the job often emphasise the pastoral support given to trainees and the responsibility of the chief resident to cover any gaps in on-call rotas and service provision.4. The role could also be a link between hospital management, the consultant body, and the community of trainees; such a link would facilitate a two way flow of information and ideas. According to one job description,3 the chief resident is nominated by residents and his or her roles include preparing rotas, scheduling teaching rounds, organising the educational programme, organising resident meetings, acting as resident advocate, liaising with senior staff, and orienting new residents. So, there you have it, Roy. “When you start intern year, you’ve never been a doctor before or performed a surgical procedure,” said Lassey, who will stay at BWH for a fellowship in Maternal-Fetal Medicine, high-risk obstetrics. In the US context, such responsibilities may lead to the chief resident having to cover unexpected absences and trainee shortages. In the context of frequent (some would say perpetual) structural reorganisation and service change, the opinions and feedback of the trainee body are essential, but often they are difficult to obtain in a coherent fashion. Our hospital is, therefore, exploring the introduction of a chief resident post within the main clinical directorates. Jose-Kampfner says that most internal medicine residents complete a year or two of fellowship before coming back to be a chief. “There’s a lot of leadership responsibility, including figuring out how to manage teams. While she still has clinical responsibilities as an attending on an inpatient service and holds weekly clinic, she also spends a lot of time teaching, including leading daily morning reports, presenting cases to residents and organizing other didactics like noon conference. I definitely have my chief year to thank for that. It’s the first time people are looking to you for all decision-making. That's my take on the chief thing. To that end, the chief resident often becomes responsible for much of what happens in her residency program.Unfortunately at most programs, however, there is no playbook. Or another super depressing way to think of it is that I'm doing what I could have been doing as a hospitalist if I didn't decide to take this shitty path, only for about 1/4 to 1/3 of the money. He rotates being on-call with his fellow chief resident every week in addition to his other clinical duties. What is it like to be chief resident in anesthesia? Depending on the specialty, chief residency either occurs in the final year of one’s residency or as an additional year after residency. Now, Lassey supports and guides junior residents as one of 10 chief residents in the BWH/MGH Integrated Residency Program in Obstetrics and Gynecology, a four-year program. 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