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
Ambulatory Chief Resident – 1 position
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:
This is a clinically active position, with patient care and direct teaching responsibilities comprising half of the work week: 2 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, Madison, International Medicine, 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.
Inpatient Chief Resident – 1 position
The HMC Inpatient Chief Resident position is an exciting and fulfilling, but busy position. It is a year-long position tasked with education, administration and resident morale. HMC has the largest number of residents, interns, and students of the three inpatient sites making it a vibrant and bustling institution!
Teaching – The HMC CMR is responsible for several educational experiences per week for the residents and the medical students. For morning report conference, the CMR selects cases to be presented, facilitates the discussion and provides clinical teaching relevant to the case. Intern report occurs once weekly and is a protected hour for intern-level teaching and skill building. The CMR is responsible for coordinating 4 lunch conferences per week, recruiting and scheduling high-quality speakers. Chief of Medicine Mortality and Morbidity, or Autopsy conference are presented once weekly and the CMR is responsible for identifying and presenting the cases and arranging discussants. The HMC CMR plays a large role in the education of the MS3s during their clerkship providing bedside teaching during physical exam rounds and small group teaching during weekly didactics.
Administrative – A large and important component of the HMC CMR position is the ongoing coordination of the residents and medical students on the teaching services. The CMR provides orientation for all rotating residents and students. Throughout the rotation, the CMR provides guidance for struggling residents, serves as a resource for clinical and administrative questions, arranges sick-coverage, and facilitates end-of-rotation feedback. In addition, the CMR serves as a liaison between medicine and other services to maintain strong relationships and facilitate the residents’ experience on off-service rotations. The CMR works closely with the Chief of Medicine to identify needed changes and plan solutions. Additionally, the CMR works closely with the Residency Program in coordination of program-wide events, program changes, resident feedback and supervision and other administrative duties.
Morale – The HMC CMR serves as an important resource and provides ongoing support for the residents rotating through HMC. From guiding struggling residents to planning morale-boosting events, the CMR is intimately involved in the well-being of residents on service at HMC and serves as a mentor to many. The CMR works closely with the residents incorporating their feedback into future changes within the teaching environment.
University of Washington Medical Center
Ambulatory Chief Resident – 1 position
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
Resident Teaching Opportunities
Medical Student Teaching Opportunities
Curriculum Development/Administrative Opportunities
Inpatient Chief Resident – 2 positions, split 6 months active & 6 months scholarship
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.
Veterans Affairs Puget Sound Health Care System
Clinician Teacher Fellows – 2 positions
The clinician-teacher fellowship incorporates structured time for teaching of residents and medical students, regular patient care responsibilities, and protected time for scholarship, in a year-long position intended to develop phenomenal teachers and clinicians. This year provides one of the best opportunities to prepare for a Clinician-Educator leadership position in the future, as well as general medicine practice. The clinician-teacher has his/her own patient panel and clinic sessions in the Primary Care Clinic. Some of the countless teaching opportunities include inpatient attending, precepting for medical students and residents in the Primary Care Clinic and Women’s Clinic, and creating and conducting resident pre-clinic conference. Clinician-Teachers are actively involved in curriculum development in the residency program as well as resident feedback and evaluation. 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, and there is significant flexibility to pursue specific interests as well. The focus of this position is on teaching and clinical work, rather than administrative tasks, and the schedule has been designed as such.
Direct Patient Care and Clinic Responsibilities:
Resident Teaching Responsibilities:
Medical Student Teaching Responsibilities:
Curriculum Development/Administrative Responsibilities:
Inpatient – 2 positions, split 6 months active & 6 months scholarship
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 Tuesday for the housestaff, in addition to the weekly chief of medicine conference on Wednesdays, pathology conference on Friday, as well as daily morning report and Thursday intern 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 in-hospital transfers. Teaching activities, in addition to morning report, include medical student teaching rounds two times per week, which are generally a physical exam rounds and a didactic session. Educational opportunities also include a weekly Masters' Rounds led by Drs. McGee and Hirschmann. Clinical duties involve supervising resident procedures if necessary as well as an optional once weekly primary care clinic.
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, etc.) Clinically, the chief resident on the scholarly block spends one month as a ward attending split into two week blocks. As above, they also have the opportunity to maintain a weekly primary care clinic. Most CMRs choose to moonlight in the VA ER or in the community to augment their clinical experience provided this work doesn't interfere with their chiefly duties. The chief resident on the scholarly block provides back up to the administrative chief for vacations, illness or emergency leave.
Quality and Patient Safety – 1 position
The Chief Resident in Quality and Patient Safety (CRQS) position will develop future leaders in healthcare service delivery who can improve clinical performance and disseminate knowledge to trainees and staff. At the completion of the one-year experience, the CRQS will graduate with strong experiential and theoretical foundations in quality improvement (QI), patient safety (PS) and healthcare operations.
The experience will entail direct ownership of QI/PS projects and access to QI/PS mentorship throughout the UW system. To support these activities candidates will have structured local and national education opportunities. You will have direct access to operational data and design innovative UW resident curriculum on QI/PS which integrates real time feedback on actual performance. At graduation you will have experience implementing QI projects, educational credentials, and a mentorship network to prepare candidates for leadership positions in health care service delivery.
District Hospital , Naivasha, Kenya
Clinical Education Partnership Initiative – 1 position
The UW Internal Medicine Global Health Chief Resident (GHCR) will lead the Clinical Education Partnership Initiative (CEPI) at the Naivasha District Hospital in Naivasha, Kenya. The position is focused on medical education and based in Kenya for the duration of the year.
Responsibilities will include:
The GHCR should have past experience living in a resource-limited setting, preferably in sub-Saharan Africa, and a strong interest in medical education and clinical teaching. The GHCR will be required to work in challenging environments and circumstances, including power outages, water shortages, and shortages of medicine and medical equipment., while adapting the highest clinical standards to a resource-poor environment.
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. He or she 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).
The GHCR must understand the social and economic context of patients and how this effects medical treatments and medical care. The chief 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.
The GHCR will be required to be present on-site in Naivasha daily, starting on July 1st of the chief year. The ABIM examination may be taken in Europe in August of the chief year.