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 Center2 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:
SummaryThis 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.
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 & ConferencesThe 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.
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
Resident Teaching Opportunities
Medical Student Teaching Opportunities
Curriculum Development/Administrative Opportunities
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:
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.