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Chief Resident Job Descriptions
There are several opportunities for individuals to hone
their teaching and administrative skills following training. Descriptions
of the positions available at each site follow.
Harborview Medical Center
2 positions – Inpatient and Ambulatory
Harborview Medical Center – Inpatient Chief Resident
The role of the HMC Inpatient CMR is made up of educational, clinical, and administrative responsibilities.
The HMC CMR coordinates the majority of the housestaff teaching conferences. There is a housestaff lunch conference 5 days per week, and the CMR selects and schedules speakers for the majority of these conferences, including selecting and presenting cases to be discussed at weekly Chief of Medicine Rounds as well as identifying cases for monthly Morbidity and Mortality Conference. Morning Report occurs four days per week, and Intern Report one day per week. The CMR selects cases to be presented at report, facilitates residents’ discussion of the cases, and provides clinical teaching related to the cases. In addition to coordinating the scheduled educational activities for the residents, the HMC CMR also provides direct teaching to the MS3 students on the medicine clerkship. This teaching consists of bedside physical exam rounds each week, as well as a one hour didactic session on Wednesday afternoons.
Clinically, the HMC CMR accepts all transfers to the medicine service from non-medicine services within the hospital. The CMR also implements the admission cap system and helps distribute patients within the medicine service when the back up methods of caring for patients admitting over the cap have been exceeded.
A large component of the HMC CMR’s job is the leadership task of ensuring the quality educational experience of the residents and students rotating through the medicine service at Harborview. These duties include providing orientation to the rotation, and organizing feedback sessions at the end of rotations. The CMR provides guidance for struggling residents, arranges coverage when residents are ill, and acts as a liason for relationships with the non-medicine services. The CMR helps to ensure that the Esprit de Corp of the housestaff remains high. The CMR works closely with the Chief of Medicine in identifying the need for and planning upcoming changes to the organization of the medical service.
Harborview - Ambulatory Chief Resident
The HMC Outpatient Chief Resident position is a one-year experience that offers a unique blend of education, patient care, advocacy, and administration, with heavy emphasis on teaching outpatient medicine in a clinical context. These key components include the following duties:
Education
Residents
- One session per week staffing resident patients in the Adult Medicine Clinic (AMC) in parallel with Dr Jill Watanabe
- Organize, schedule, and contribute to weekly AMC and Pioneer Square Preclinic Conferences
- Weekly chart review with interns on clinic block rotations who have their continuity panels at AMC, International Clinic, and Pioneer Square Clinic
- Coordinate Primary Care Conference and General Medicine Conference at the UW each Thursday morning when “active”
- Conduct weekly Ambulatory Report for interns on Tuesday mornings when “active”
- Orchestrate weekly Physicians, Patients and Society conference when “inactive”
- Present HMC Ambulatory Chief of Medicine Rounds monthly
- Facilitate monthly AMC Journal Club sessions
- Participate in and shape the curriculum of the clinic immersion blocks
Students
- One session per week staffing patients in the AMC and one session per week at the Downtown Emergency Services Center (DESC) Shelter with 3rd year medical students
- One evening per week in the AMC Student Evening clinic with 4th year students
- Weekly didactic sessions with 3rd year students
- Weekly physical diagnosis rounds with 3rd year students and Dr Watanabe
Patient Care
- Precept residents and students in the above clinic sessions
- Maintain one’s own primary care panel at AMC one half-day per week
Advocacy
Patients
- Unique opportunity to advocate for very vulnerable patients, particularly those in the homeless shelter setting, and transition them into primary care.
Residents
- Central figure for promoting resident morale in the HMC ambulatory environment
- Conduct Primary Care Quarterly meetings in conjunction with Roosevelt CMR and outpatient site directors to solicit feedback from residents on Primary Care training and education
- Attend monthly Housestaff Representative meetings
Administration
- Organize and schedule the educational conferences outlined above
- Bimonthly chief resident meetings with Residency Program leadership staff
- Assist with scheduling and coverage arrangement for housestaff
- Serve on various committees (some optional) and/or attend meetings: Clinical Competency, Housestaff Reps, AMC Leadership, AMC Staff, AMC Chronic Care, AMC Opiate Review
Summary
This is a clinically active position, with patient care and direct teaching responsibilities comprising half of the work week: 3 half-day clinic sessions with 3rd year students, 1 clinic session with 4th year students, 1 clinic session with residents, and 1 clinic session of the CMR’s own panel of primary care patients. The truly unique features of this position are: 1) the way in which resident and student education is heavily tied to patient care in a longitudinal fashion, and 2) the unparalleled opportunities for advocacy on multiple levels. For many of our vulnerable homeless patients, the HMC Outpatient Chief, in conjunction with the 3rd year medical students, can serve as an important link between the shelter environment and the Adult Medicine Clinic. On a residency program level, the HMC Outpatient Chief becomes the primary advocate for those residents who have their continuity clinic at HMC or Pioneer Square, as well as an advocate for the cause of advancing and improving primary care training within the University of Washington Internal Medicine Residency Program. While academic endeavors such as research are not required, there is both time and support for doing so if desired.
Harborview Contacts
University of Washington Medical Center
2 positions - 1 position 6 month split Inpatient and Research
University of Washington Medical Center – Inpatient CMR
The inpatient chief medical resident (CMR) is a linchpin in the Department of Medicine and the inpatient services at the UWMC. Taking advantage of the extraordinary clinical experiences at the UWMC, the inpatient CMR has unparalleled opportunities to learn and teach medicine. The inpatient CMR is also an important role model for housestaff and students, and a source of advice and mentorship. The inpatient Chief Medical Resident (CMR) at the UWMC primarily plays an educational role, but also has academic, administrative, and clinical opportunities. The CMR organizes and leads most of the UWMC conferences for the housestaff, many of which are also important for faculty education as well. The inpatient CMR also plays a critical role in the education of third year medical students during their inpatient clerkship (Medicine 665).
Administrative and leadership responsibilities include scheduling conferences, committee work related to housestaff and education issues, and coordinating patient transfers and admissions to the UWMC inpatient medicine service. These responsibilities are tremendous opportunities to be involved in advocating for the housestaff and for improving patient care.
The UWMC inpatient CMR year is divided into two halves: six months are spent as the "active" inpatient chief resident and six months with an opportunity to develop an academic project. It is anticipated there will be some sharing of the inpatient CMR responsibilities during the six months of academic time.
Teaching & Conferences
The UWMC inpatient CMR plays an important role as a teacher for the medical student and residents on inpatient rotations. There are many outstanding UWMC faculty that will help the UWMC CMRs hone their teaching skills. To hone the bedside teaching skills of the UWMC inpatient and outpatient chief residents, they participate in Specialty Rounds weekly. Each week at Specialty Rounds, the chief residents round at the bedside with 1-2 outstanding faculty from neurology, pulmonary, cardiology, dermatology, endocrinology, rheumatology, or general medicine to learn the finer points of history taking and physical examination.
The UWMC inpatient CMR will lead or help schedule the following conferences.
- Resident/Morning Report: 4 days per week
- Interns' Report: Friday
- Noon Conferences:
- Monday conference is organized by the Associate Program Director for Education, but it is facilitated by the UWMC inpatient CMR
- Chief of Medicine Rounds: Inpatient cases one week per month; Morbidity & Mortality one week per month; Autopsy Conference one week per month; outpatient cases one week per month (organized by the Roosevelt outpatient chief resident).
- Medicine 665 (3rd year Medicine clerkship): Didactic session on Tuesday afternoon & physical diagnosis rounds on Friday afternoon.
- Grand Rounds: Each Thursday from September through June. The UWMC inpatient CMR has the opportunity to create the Grand Rounds schedule, with input from other chief residents and faculty leadership.
Academic
- The inpatient CMR at the UWMC will have 6 months during the first or second half of the academic year to spend developing or completing an academic project.
- Ideally, this time will be mentored and will help further interests relevant to professional goals.
- Drs. Anawalt and Bremner and other members of the Department will be pleased to assist inpatient CMRs with identifying potential mentors.
Leadership/Administrative opportunities
- The inpatient CMR is uniquely positioned to participate in improving the educational experience of the housestaff and medical students, and to improve the quality of the inpatient medical service. To optimize the effectiveness of this unique leadership role, the inpatient CMR office is located in the same suite as the internal medicine residency program and student program leadership and just down the hall from the Chief of Medicine and Department Chair's office.
- The inpatient CMR participates in several committees that provide oversight to housestaff programs, including the Housestaff Representatives Committee, the Graduate Medical Education Committee, and the Department of Medicine Education Committee.
- For a few hours each morning on weekdays, the inpatient CMR is responsible for coordinating and triaging transfers and admissions to the UWMC inpatient general medicine service. Weekend call and transfer responsibilities are shared among all of the inpatient CMRs. However the admission and transfer calls are handled by the hospitalist/swing attending at night and on the weekends (the UWMC inpatient CMR is on-call approximately 1 out of 5 weekends).
Clinical
- The inpatient CMR maintains an outpatient clinic. This usually consists of a half day of clinic every other week.
- The inpatient CMR will attend for one month on the inpatient service during the six-month academic period.
- Inpatient CMRs may choose to moonlight in the community as an opportunity to augment their clinical experience provided such moonlighting does not interfere with their responsibilities as CMR.
- One of the great opportunities of the year is the opportunity to learn from the extraordinary breadth of clinical material (patients, studies, pathology) at the UWMC.
UWMC Roosevelt Clinic Outpatient Chief Resident
This position has been designed to enhance independent teaching for residents and medical students, provide regular patient care opportunities, and offer protected time for scholarship. It is a year of excellent preparation for a clinician-teacher position as well as general internal medicine practice or ambulatory based fellowship.
The UWMC outpatient CMR plays an important role as a teacher for the medical student and residents on inpatient rotations. There are many outstanding UWMC faculty that will help the UWMC CMRs hone their teaching skills. To hone the bedside teaching skills, the UWMC inpatient and outpatient chief residents participate in Specialty Rounds weekly. Each week at Specialty Rounds, the chief residents round at the bedside with 1-2 outstanding faculty from neurology, pulmonary, cardiology, dermatology, endocrinology, rheumatology, or general medicine to learn the finer points of history taking and physical examination.
The UMWC Outpatient CMR position also features the following:
Direct Patient Care Opportunities
- One month of UWMC ward attending, divided into two sessions
- Continuity clinic for your own panel of patients one or two half days per week
Resident Teaching Opportunities
- Precepting Roosevelt residents in clinic, supervised the first six months and independent the second six months
- Leading weekly chart review sessions (with Dr. Deb Greenberg) for interns and second year residents on ambulatory blocks
- Developing and leading pre-clinic conference didactics several times per year
- Coordinating and facilitating ambulatory care teaching conferences including the Primary Care Conference and General Medicine Lunch Conference for six months of the year (alternating with Harborview Ambulatory Chief Resident)
- Coordinating and facilitating Evidence Based Medicine conference (with Dr. John Choe) for six months of the year
- Co-direct the Patients, Physicians and Society (PPS) course. The Roosevelt and HMC chiefs determine the content and activities. In recent years these activities have included visits to the jail infirmary, art tours, narrative medicine sessions, poetry interpretation, Bastyr medicinal herb walks, and visits to skilled nursing facilities
- Conducting UWMC Chief of Medicine Rounds “Ambulatory Cases” sessions once monthly
Medical Student Teaching Opportunities
- Precepting third year medical students in your continuity clinic one month per year
- Developing and presenting core ambulatory didactic sessions to outpatient third year medical students weekly
- Developing and presenting hospital medicine didactics to inpatient medical students every other week (alternating with the inpatient chief residents)
- Teaching physical diagnosis rounds to medical students on inpatient medicine blocks every other week (alternating with the inpatient chief residents)
- Optional teaching for pre-clinical students (including Introduction to Clinical Medicine-I with first year students)
Curriculum Development/Administrative Opportunities
- Serve on the Housestaff Representatives and Clinical Competency committees
- Bi-monthly chief resident meetings with Dr. Ken Steinberg and Kelli Corning for residency program development
- Opportunity to create/facilitate intern orientation didactics and ambulatory immersion block didactics with Dr. Caroline Rhoads
Scholarship Opportunities
- Protected time for scholarship each week
- Research mentoring by Dr. Brad Anawalt and others
UWMC Contacts
Veterans Affairs Puget Sound Health Care System
2 positions – split six months
VA Puget Sound Health Care System – Inpatient
VA Chief Medical Resident Job Description
The VA chief job is divided into two six-month blocks: an administrative/leadership block of six months devoted to inpatient administration, teaching and patient care and an academic six months with a focus on scholarly work plus some teaching and patient care.
During the administrative block, the chief’s duties include arranging and attending teaching conferences on Monday and Wednesday for the housestaff, the weekly chief of medicine conference on Tuesdays, twice monthly ICU professor’s rounds, in addition to helping arrange weekly Monday conference, daily morning report and Thursday intern report. The administrative chief resident organizes morning report (where patient care is discussed) and the weekly interns’ report. Additional administrative duties include reviewing and modifying policies governing student and resident activities, and acting as liaison between admitting officer and housestaff regarding admissions from outside hospitals.. Teaching activities include medical student teaching rounds 2-3 times per week, teaching at morning report and periodically giving the didactic session for intern’s report. In addition, the administrative chief resident will often be the speaker at one of the Chief’s rounds. Clinical duties include helping supervise housestaff on procedures when needed, in addition to weekly clinic. In addition, the administrative chief attends his or her own primary care continuity clinic weekly.
During the scholarly block, the chief resident completes scholarly projects designed by each individual chief with the assistance of the chief of medicine. Scholarly activities might include graduate courses on statistics or research methods, doing basic science or clinical research, and writing review or original research articles. It also includes opportunities to help out with general residency program administrative and teaching opportunities (help organize intern procedure course the following year, volunteer for medical student procedure teaching, etcClinically, the chief resident on the scholarly block one month as a ward attending and attends a primary care continuity clinic weekly. The chief resident on the scholarly block provides back up to the administrative chief for vacations, illness or emergency leave.
VA Puget Sound Clinician Teacher Fellow
The clinician-teacher position includes extensive teaching and clinical activities and is an opportunity to expand skills in these areas. The clinician-teacher has his/her own patient panel and clinic sessions, and attends in the PEC. Teaching includes one month of inpatient attending, precepting for medical students and residents in the GIM clinic and PEC, and conducting resident pre-clinic conference. Administrative responsibilities include orientation of medical students to outpatient clerkship, medical student and resident evaluations including Mini-CEX, and monthly outpatient Chief of Medicine conference. Scholarship is an important component of the position and one day per week is set aside for development of a scholarly project, in addition to one month during the year. Strong faculty mentors are readily available and accessible to support the Clinician Teacher Fellows’ education.
Clinical Education Partnership Initiative – Kenya
Advertisement for Internal Medicine Global Health Chief Resident Position
The UW Internal Medicine Program is recruiting a current UW Internal Medicine R3 to lead the Clinical Education Partnership Initiative (CEPI) in a District Hospital in Kenya.
Responsibilities will include:
- Supervising residents (R2s and R3s) from the Department of Internal Medicine rotating in outpatient and inpatient settings in the Kenyan District Hospital.
- Developing and implementing an educational curriculum for 1) students in medicine and nursing from the University of Nairobi (UON); 2) Kenyan interns and clinical officers working at the hospital, and 3) other health care providers at the facility.
- Working with the UON/UW Medical Education Partnership Initiative (MEPI) team to promote a sustainable clinical training program in other decentralized training sites in Kenya that are being established for UON medical students and interns.
Applicants must have experience living in a resource-limited setting, preferably in sub-Saharan Africa, and a strong interest in medical education and clinical teaching.
The most successful candidate will have experience working in challenging environments, including power outages, water shortages, and shortages of medicine and medical equipment; have experience and skills to form productive and collaborative partnerships; can work independently on a variety of clinical teaching projects; and be able to adapt the highest clinical standards to a resource-poor environment. The physician filling this job will be required to be present on-site daily.
Candidates should be comfortable with using physical exam and history-taking skills to arrive at diagnoses in a setting with limited laboratory and radiologic capacity. Candidates will need to become conversant in Kenya National Guidelines and acquire new skills in the standard care and treatment of diseases that are uncommonly taught in US medical training (such as malaria and schistosomiasis) and diseases that are treated differently in Kenya (such as HIV/AIDS and management of acute MI).
Candidates should discuss their ability to understand the social and economic context of patients and how this effects medical treatments and medical care.
Finally, this person filling this position will be a role model and leader for both UW residents and medical students, and our Kenyan counterparts, and will be expected to take on additional responsibilities as necessary to achieve the goals of the CEPI.
| Initial Contact: |
Carey Farquhar (206) 543-4278
cfarq@uw.edu |
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Please submit your CV, and a brief cover letter or email expressing your interest in the position. |
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