Junior Resident

JUNIOR RESIDENT

Department of Surgery is committed to providing excellent care of patients seen in the clinics, in consultation, or those admitted to the service. The residents perform their responsibilities under the supervision of attending surgeons. Residents are taught to have compassion for their patients, to understand patient's needs, and to communicate with the patients regularly in simple non technical language.  The ability to ask for help when needed is a sign of a good resident.

To meet these responsibilities the residents are grouped into 3 categories:

Junior Residents PGY 1 & 2
Senior Residents PGY 3 & 4
Chief Residents PGY 5

The junior resident is responsible for writing a detailed history and physical examination on all patients admitted to the ward and the ICU as directed by the chief or senior resident. He/she is to formulate care plan for the patient that includes management plan, educational plan and write orders. This should be done on-line.

The junior resident will assess all patients and be able to present each patient in a clear and cogent manner, showing understanding of the underlying disease, diagnosis, differential diagnosis, the care plan, and the ultimate implications of the diagnosis.

The junior resident on duty will write on-line an appropriate admission note and orders, within six hours of admission including plan care and education plan for every patient admitted. All appropriate laboratory data and other investigations must be checked on-line, documented in the follow up note and made available for either morning or evening rounds.  The note should meet CMS requirements for meaningful used. 

The junior resident is expected to demonstrate organizational skill in presentation of patients (including laboratory or radiological data) during morning and evening rounds as well as during attending teaching rounds. He/she is to complete daily work in a timely fashion.

The junior resident will initiate discharge planning including the 24 hour discharge notice and advanced directive at time of admission with guidance from the senior or chief resident as per CMS requirement.

The junior resident is the primary surgical staff for daily patient contact and will oversee total care for his/her patients, including daily examinations, education of each patient, writing daily notes, requesting consultations and acting as the patient's advocate.

The junior resident will make sure that the senior resident is aware of any changes in the status of the patients, including any abnormal findings and will make sure the pre-operative work-up with consent including risks, benefits, alternative with risk and benefits, is completed prior to the patient being called to the operating room.

The junior resident attends all assigned clinics and is available to assist and operate in the operating room.

The junior resident assists in the Emergency Room and is first on call to take care of inpatients as indicated on the on-call schedule. He/she learns to evaluate and manage patients with acute surgical problems and trauma in the Emergency Room setting. He/she assists or performs procedures in the operating room or on the wards When on dutyl.

The junior resident may perform minor procedures for which he/she has obtained certification of competency, according to the level of training.

The operating resident will dictate on-line the operative procedures immediately following surgery. A pre-operative note and a brief operative note must be written on all cases. Additionally, he/she will renew all medication orders immediately after surgery and write transfer notes under guidance of senior/chief residents to the unit.

The junior resident is expected to demonstrate good interpersonal interaction with peers, staff, patients and their families and to communicate with patients and family on a regular basis.

The junior resident will make sure the following computerized forms are complete:

1. Patient Education Form
2. Interdisciplinary Plan of Care
3. Continuum of Care, after Discharge
4. Medication Reconciliation
5. Problem List
6. Advanced Directives
7. DVT Prophylaxis

The junior resident will record all operative procedures performed in the computerized program provided by the Residency Review Committee