Chief Resident

CHIEF RESIDENT

The chief resident is responsible for all surgical patients on his/her service, and will take a leadership role in teaching and providing patient care. He/she is responsible for the proper running of the clinics, the wards, the operating room and conferences under the supervision of attendings on the service.
Chief residents make rounds in the morning and evening. The morning rounds are to help organize the junior and senior resident’s workload. The evening ward rounds are detailed and are used to educate the residents on the principles and practice of surgery. Additionally, the chief resident is responsible for the hand-over of patients from the post call team to the incoming team. This has to be done in an orderly fashion.

Chief residents have greater authority and independence. They are able to assess complicated patients in a thoughtful and comprehensive manner. They are active participants and leaders in departmental conferences.

Chief residents review the statistics for the weekly Director’s Grand Rounds and present the cases including all morbidities and mortalities.

Chief residents must make sure that all patients scheduled for operation have pre-operative and brief operative notes and that consents include risks, benefits, alternative and risk and benefit of the alternative.

Chief residents examine all patients and are responsible for the care of all patients on his/her service. The chief resident oversees the appropriate use of consultation services and provides guidance in discharge planning, and complicated social situations.

Chief residents keep an accurate log of all procedures performed in the comput¬erized program provided by the Residency Review Committee.

Chief residents who are on-call in the hospital are responsible for all surgical patients in the house, (except Orthopedics & Plastic surgery patients) after 6:00 p.m. on weekdays, and all day on weekends and holidays.

Chief residents must follow all acutely ill patients in the surgical department including patients in the intensive care unit. He/she is to see the patients and offer advice as needed to the junior residents on the management of such patients.

Chief residents must know the names and locations of the attendings on-call for the various services on the day he/she is on-call.

The chief will present all cases during sign out with the attendings in the morning.

The chief resident in the hospital is responsible for all admissions and consults to the surgical department after 6:00 p.m. on weekdays and all day on weekends and holidays.

The chief resident must make sure he/she is informed of all admissions, consults and any seriously ill patient in the house.

The chief resident sees all admissions, preferably in the Emergency Room, all consults, and any seriously ill patients in the house. He/she will inform and discuss the management of the patient with the attending responsible for the patient. The post call chief resident must communicate the management plan to the chief resident taking over responsibility at the time of sign off rounds. 

The chief resident can reassign residents to cover other services when needed.

The chief resident on call should have appropriately written notes in the charts of all patients admitted or seen as consults.

The executive Chief Resident is the Chief Resident on Maynard Service and will be responsible for making the daily schedule for the residents and the day to day administrative decisions for residents. He/she will arrange for Pathology Conference every 3rd Wednesday of the month and will also be responsible for compiling the Trauma Statistics and maintaining a record of conference attendance. The executive chief resident shall make an on call schedule monthly to comply with the Bell and ACGME requirements.