Senior Resident

SENIOR RESIDENT

The senior resident increases his/her knowledge base and develops skills for higher acuity patient care. He/she assumes a greater supervisory role in patient management in the Emergency Room, Clinic, and Ambulatory Surgery Unit and on the in-patient service. Outside rotations for Transplantation and Surgical Oncology further enhance the resident’s knowledge in these specialties.

The resident should be able to recognize, manage and make decisions on patients who need hospitalization and surgical intervention during consultations either in the Emergency Department or on other services.

The senior resident shall have an appropriately written note on-line or in the chart of all patients admitted or seen in consultation which include an accurate history, physical examination and a detailed management plan.

The senior resident assists and supervises the junior resident.

The senior resident may act as a chief resident on some assigned services.

The senior resident will assist the chief resident in the orderly running of the services in all aspects of daily patient care and will maintain continuity of care when on-call, in the Clinics, in the Emergency Room, in the Operating Room and in the Intensive Care Unit.

The senior resident will attend all clinics, conferences, ward rounds, and assist the chief resident in decision making when on-call.

The senior resident shall be aware of the names and locations of attendings on-call for the various services at all times.
The senior resident, when on call, will be responsible for all admissions and consults to the surgical department after 6:00 p.m. on weekdays and all day on weekends and holidays working in coordination with the chief resident.

The senior resident must see all admissions, preferably in the Emergency Room, as well as all consultation, and any seriously ill patients in the house. He/she is required to inform:
1. The chief resident in the house
2. The responsible attending

The senior resident may communicate with the attending directly to discuss management of the patient when it is not convenient for the chief resident to do so.

The senior resident will present all cases during sign out with the attending if the chief resident is not available. 

Senior residents may perform minor and major operative procedures under the supervision of an attending surgeon. The senior resident must make sure a pre-operative note and a brief operative note are written on all procedures.

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