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. The Brigham has been a wonderful place to learn and train.”. After residency, Vestal will go on to finish his MBA before pursuing a fellowship in pediatric neurosurgery, but not before taking a long-overdue vacation with his wife, who is a psychiatrist. As a chief, Vestal oversees the Intensive Care Unit service and senior residents on the floor service. McGill Post Graduate Medical Education. Jose-Kampfner says that most internal medicine residents complete a year or two of fellowship before coming back to be a chief. In addition, the lack of trainee representative involvement in the design and implementation of such changes often results in a perception by trainees that they are the subjects (or in some cases victims) of change rather than stakeholders in the process. McGill chief resident job description. He describes the end of the long and challenging road of neurosurgery residency in a close-knit program as bittersweet. The US experience would benefit the UK system, argue Claire Williams and colleagues. Even if they hurt sometimes. The skills it suggests include time management, managing change, use of information, business planning, interview skills, working in committees, negotiation, and dealing with conflict and difficult colleagues. In the US context, such responsibilities may lead to the chief resident having to cover unexpected absences and trainee shortages. :) Final thoughts about chief residency: You find great lessons about leadership there. Traditionally, the chief resident plays one of the most important roles in the well being of the resident community. 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.”. The cynical answers would be "out of a misguided sense of loyalty to your program". Although ad hoc trainee representation is often sought, this is a suboptimal solution. Our hospital is, therefore, exploring the introduction of a chief resident post within the main clinical directorates. 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. 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. Implementation of the European Working Time Directive has reduced the time doctors have available for training. The other three directions will persist, but it is likely that the interaction with the trainee body will be more in the role of a representative than as an autocratic leader. 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. What does experience from the US have to show us? Click to email this to a friend (Opens in new window), Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on LinkedIn (Opens in new window). These programmes organise structured education and service provision, and are headed by a chief resident. In some specialties, all residents in their final year become chiefs; in others, a select number of chiefs are chosen. 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