To our knowledge, there is no literature that examines the perceived importance of various qualities when selecting CRs in EM residency programs. Clipboard, Search History, and several other advanced features are temporarily unavailable. Residency can range from an additional two years of education to an additional seven years of training, depending on the specialty. Residents additionally named approachability, advocacy, and listening skills among their most valued qualities, whereas faculty named strong clinical skills and integrity. One significant limitation of this study is the response rate of 43.9%. Roman B, Khavari A, Hart D. Acad Psychiatry. This study does demonstrate a variety of opinions on trait importance between respondents (multiple qualities are potentially desirable). It is possible that in their experience, CRs can be successful with a variety of qualities, and effectiveness may be determined by the makeup of the CR group rather than by an individual chief. Table 4 displays the qualities that respondents most frequently identify as most important in the free-text response section. Chief residents in physiatry. I would be remiss without recalling a few of the pivotal lessons and poignant moments that stand out. © Copyright 2020Turner et al. Turner J, Litzau M, Mugele J, et al. Such bias is known to shape survey responses [14]. Chiefs are selected for their exceptional clinical and leadership skills. COVID-19 is an emerging, rapidly evolving situation. Please note that Cureus is not responsible for any content or activities contained within our partner or affiliate websites. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2908642/. The rank-order of the 10 pre-chosen qualities, along with the median rank position, is in Table 5. Please list the quality that you feel is most important in a chief resident: Please list the quality that you feel is the second most important in a chief resident: Please list the quality that you feel is the third most important in a chief resident: Please rank the following qualities in order of importance (1-10) for a chief resident to possess: __ Able to effectively manage multiple demands, Emergency Medicine, Indiana University School of Medicine, Indianapolis, USA, Emergency Medicine, Mercy Hospital, St. Louis, USA, Emergency Medicine, Northeast Georgia Medical Center, Gainesville, USA. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Anyone who is making a decision that affects your life should not forget what itis like to be in your shoes and to carry the workload of a resident. The president of the Russian Federation (Russian: Президент Российской Федерации, tr. Residents additionally named approachability, advocacy, and listening skills among their most valued qualities, whereas faculty named strong clinical skills and integrity. For example, a PD may value honesty and integrity in a potential CR, whereas residents might value fairness and attention to detail in a CR who will be creating a schedule. James Abram Garfield (November 19, 1831 – September 19, 1881) was the 20th president of the United States, serving from March 4, 1881, until his death by assassination six and a half months later. Organization was the only additional quality identified as most important by more than 5% of the non-chiefs (5.84% among non-chiefs vs. 3.91% among chiefs). Interestingly, there was a large difference in the importance of clinical skills between the free-text responses and the rank-order responses. Residents and faculty both cited leadership most frequently as the top quality. Leadership was the most commonly named quality by faculty. USA.gov. With which institution are you affiliated? -, Chief residency in PM&R: a balance of education and administration. While all registered Cureus users can rate any published article, the opinion of domain experts is weighted appreciably more than that of non-specialists. While not sta-tistically … Med Teach. A final notable finding is that there was little indicated importance of qualities that might traditionally be associated with academic medicine. In the analysis across groups, the greatest difference between groups was that female respondents placed more importance on effectively managing multiple demands compared to male respondents. 2007 Jul-Aug;31(4):270-6. doi: 10.1176/appi.ap.31.4.270. In emergency medicine (EM), the CR is typically chosen in an election-style process, commonly by some combination of program directors (PDs), faculty, and residents [1]. Additional research is needed to understand what qualities are associated with effective chief resident performance. Resident responses accounted for 39 of the 44 total responses for this term. Are you currently or have you ever been a chief resident? Turner J, Litzau M, Mugele J, et al. Section two asked participants to identify the first, second, and third most important qualities that a CR should possess. Some might saythat fairness or deciding what is fair is subjective. During my year as a chief resident, I have the privilege to attend on the general medicine service for 8 weeks. 1993;72:262–265. A variety of qualities are seen as being valuable in chief residents. The Chief Resident in Quality and Safety will be expected to identify a project or various projects he/she would like to work on longitudinally throughout the year that will lead to systematic improvements here at Harborview, and this person will also serve as a champion and mentor for residents interested in and actively involved in QI work. It is intuitive that different qualities will be valued differently by various stakeholders selecting CRs and different qualities will vary in importance based on specific responsibilities. 4. After multivariable adjustment, there was a statistically significant association between female gender and ranking the quality, managing multiple demands highly, and between male gender and ranking dependability highly. Females valued the ability to manage multiple demands more whereas males valued dependability more. Reviewing with Cureus is easy, fast and hassle-free! High ratings should be reserved for work that is truly groundbreaking in its respective field. There is auniversal standard of fairness that is thousands of years old. 2009;33:56–59. Cureus 12(4): e7580. 2016 Nov-Dec;73(6):e150-e157. The term “research” was not used at all. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. By joining Cureus, you agree to our Among residents, the term approachable was the second most common quality identified. In chief residency, you're in this wonky time warp between little guy and big guy. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Participants who chose to respond may value different characteristics than people who did not respond. Females valued the ability to manage multiple demands more whereas males valued dependability more. 1996;75:257–262. With this in mind, we surveyed residents and faculty at a number of EM institutions in order to assess the relative importance of various qualities when selecting CRs. 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Dependability and trustworthiness were the most valued qualities in the rank-order list, whereas strong clinical skills and self-reflection were the least valued. However, there is little literature on which qualities various stakeholders value in chief resident selection. The report provides aggregate demographic and income information that allows for an analysis of the scope and effectiveness of … SAEM Annual Meeting. I think the qualities you described would be perfect for a chief resident. We distributed the survey to all EM residents and faculty at the participating programs. Qualities Important in the Selection of Chief Residents. We chose this test due to the non-normal distribution and rank-ordered attributes of the data. 2010;34:253–257. 1993 Oct;72(5):262-5. doi: 10.1097/00002060-199310000-00002. Dependability and trustworthiness were the most valued qualities in the rank-order list, whereas strong clinical skills and self-reflection were the least valued. Learn more here. and Chief Residents. The objective of this study was to identify the qualities that residents and faculty believe are important for chief residents. SIQ™ assesses article importance and quality by embracing the collective intelligence of the Cureus community-at-large. Discuss specific scenarios in which each style would be appropriate. A BEME systematic review: BEME Guide No. Likewise, residents identified being an advocate and good listening more often than faculty. There was also a significant association between being faculty and ranking strong clinical skills highly. HHS The Resident Characteristics Report summarizes general information about households who reside in Public Housing, or who receive Section 8 assistance. All registered users are invited to contribute to the SIQ™ of any published article. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. It is reasonable to assume that a broad range of persona qualities are important to CR success and that various stakeholders will deem different qualities as important when selecting CRs, though little data exists to suggest which qualities are valued most highly. Associations were calculated between rank-order and participant age, gender, institutional position, and history of serving as a chief resident. The City of La Mesa is currently recruiting for its new Chief of Police. Fellows . CMR Qualities A chief medical resident is a leader, an educator, an administrator, a mentor, a coach, and a source of support. Identify a … † Median (IQR); *Estimated using Wilcoxon Signed Rank Test. 2012;34(6):483-503. doi: 10.3109/0142159X.2012.680937. In the free-text responses, only 15 respondents identified either ability or an interest in teaching. GRAND RAPIDS, MI -- Expectations are high for the next chief of the Grand Rapids Police Department. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. On Tuesday, Feb. 19, a couple dozen residents, city … __ Yes                                                              __ No. Expectations v training. Tables 6-9 display a comparison of the rank-order of the qualities with age, gender, position (resident vs. faculty), and history of serving as CR. PD: program director; APD: assistant program director. Dependable and trustworthy were tied for the most important quality, while self-reflective and strong clinical skills were tied for the least important. While this study does not provide a clear consensus on the importance of qualities when selecting CRs or the qualities necessary for CR success, this initial set of data could be useful in guiding chief selection processes, CR educational curricula, and CR performance evaluation methodologies. __ Indiana University                                     __ Southern Illinois University, __ Ohio State University                               __ University of Arkansas, __ University of Texas Southwestern          __ Carolinas Medical Center, __ University of Massachusetts                    __ University of Washington, __ Grand Rapids                                            __ University of Michigan. This study was designated exempt by the Indiana University review board. Peer review concluded: April 04, 2020 A Message from the Chief Residents The Yale University Anesthesiology Department is a large and diverse group of clinicians and clinician-scientists united by their commitment to excellent clinical care, active research, and the education of future leaders in the field of anesthesiology. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (Authors cannot rate their own articles.). Qualities Important in the Selection of Chief Residents. Section three asked the participant to rank 10 qualities from most important to least important from a provided list.  |  The Chief Resident position is the single largest investment in leadership made by the Department of Medicine, and the chiefs serve as key leaders for the program. I would disagree. The role and responsibilities of CR vary depending on medical specialty and institution. Multivariable linear regressions with the generalized linear model (GLM) procedure in SAS (SAS Institute, Cary, NC) was created using the variables observed to be statistically different (p = < 0.05) on the bivariate analysis, including open to multiple viewpoints, strong clinical skills, effectively manage demands, dependable, good listener, and trustworthy adjusted for age, gender, race, institutional position, and whether or not the respondent had served as CR. Read our Reviewer Guide for more info. Chief residents also fulfill multiple roles, requiring a broad skill set. Chief resident selection occurs by numerous methods. Based on our experiences as chief residents, the three fundamental qualities that a senior resident, who is being considered for this position, must possess and have exhib-ited throughout their progression in residency are leadership, respect, and a strong commitment to the residency program. San Luis Obispo officials are asking residents what qualities and priorities they want to see in their next police chief. Published: April 07, 2020. The chiefs work as a team to provide leadership and support of the key missions of the residency program and function as key mentors and advocates for the residents. This site needs JavaScript to work properly. chief resident. This is the largest study to date to survey all stakeholders in CR selection. For rank-order analysis, we compared demographic characteristics with CR qualities using the Wilcoxon Signed-Rank test. In addition to the investigators’ home institution, we chose 10 institutions to participate in the study. Leadership skills were also important, though this is a somewhat vague quality and was, therefore, not included in the rank-order portion of the survey. Associations were calculated between rank-order and participant age, gender, institutional position, and history of serving as a chief resident. And, since your chief was so good, you would obviously want to keep that tradition going. Share this article with your colleagues. These differences in quality valuation are understandable considering the differences in priorities and exposures between faculty and residents. Of the 877 responses, 816 included all response elements, whereas 61 included only demographic data and the rank-order without free-text responses. Dr. Milne: You do have to be the highest quality physician in your group, because to be a chief resident, and to gain the respect of your peers, first and foremost, you have to be a highly competent physician. Scholary Impact Quotient™ (SIQ™) is our unique post-publication peer review rating process. An article’s SIQ™ will appear alongside the article after being rated twice and is recalculated with each additional rating. -, The education chief resident in medical student education: indicators of success. Keywords: 19. NLM From the free-text responses, it was clear that all respondents valued organizational skills. Describe major leadership styles. The faculty valued strong clinical skills more than residents. Chief Resident Apr 2014 - Apr 2015 Mercy Family Medicine Resideny Program Des Moines, IA Call and rotation scheduling, PTO approval, leading resident meeting and forums, handling resident issues and concerns, attending faculty meetings, GMEC meetings. Qualities Important in the Selection of Chief Residents Introduction. For analysis, age was categorized as < 35 years old and ≥ 35 years old. Terms of Use. Leadership, organization, and communication skills were named by all participants among the most common responses. It's like suddenly being moved from the kiddie table during Thanksgiving to the grown up table, where you discover that Aunt Clara actually drinks too much or Great Uncle Mike swears like a sailor and tells racist jokes. Indiana University review board issued approval NA. Current perspectives on chief residents in psychiatry. Free-text responses from section two of the survey were reviewed by two study investigators. He is the only sitting member of the United States House of Representatives to be elected to the presidency.. Garfield was born into poverty in a log cabin and grew up poor in Northeast Ohio. I recently completed 4 weeks and, as expected, found myself in an entirely new realm of patient care and accountability. Depending on the nature of the role and responsibilities (i.e., the job description), a variety of personal characteristics or qualities may be desirable for individuals in that role. Please indicate your position within your institution: __ R1 resident                                                 __ R2 resident, __ R3-5 resident                                             __ Program director/APD/former PD, __ Other faculty/fellow <5 years from residency, __ Other faculty/fellow >/= 5 years from residency, __ Male                                                           __ Female, __ <25                                                             __ 26-30, __ 31-35                                                          __ 36-40, __ 41-45                                                          __ 45-50, __ >51-55                                                        __ >55. Another interesting finding from the free-text responses is that the PDs/APDs (the cohort that has worked most closely with CRs) emphasized many different qualities, but no particular quality stood out over others. The demographic data for the respondents are in Table 1. We calculated the difference in frequency between resident responses and faculty responses. 0 comments ... City Manager Lee Garrity said last night at the start of a public forum about what Winston-Salem residents want in the next chief. J Surg Educ. Identify characteristics that make up “good” leaders and how to become an Authentic leader. The survey was conducted using Qualtrics (Provo, UT) software. The family medicine chief resident: a national survey of leadership development. 1998) [1-5]. Multiple qualities with similar frequency were clustered following the displayed qualities. Results The response rate for the survey was 43.9% (385/877). Interviewer: For those of us that who still medical students, what could we do, as a first year resident, to prepare ourselves to eventually become a chief resident? Understand your leadership role as a Chief Resident. ** Adjusted for age, gender, and institutional position, and estimated using GLM. As Chief Residents, we are obviously partial to the University of Chicago, but we truly believe our training program ranks among the best in the country. Additionally, in some specialties, such as surgery, all residents in their last year of training are designated CRs, whereas, in others, the chief year is an extra postgraduate year [1]. -. In surgery, all final year residents are considered Chief residents. On the other hand, the faculty had a stronger appreciation for the ability to communicate and clinical skills. Medical student education: indicators of success all respondents, as expected, found myself an... 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Qualities and priorities they want to keep that tradition going valuation are understandable considering the differences in valuation! Cureus, you should also feel free to browse our chiefs ’ website dependable and trustworthy tied... Of responses among PDs/assistant PDs ( APDs ) University review board Signed-Rank test most common.! Leadership skills similar frequency were clustered following the displayed qualities as < 35 years old ≥. Российской Федерации, tr listening more often than faculty involve evaluation, practice. Intelligence of the grand RAPIDS police Department and participant age, gender, institutional position, and skills! You to a third party website that is truly groundbreaking in its respective field CR! Leadership role for senior residents... Materials & Methods it was clear all! A form of availability bias where respondents are more likely to list they... % response rate performance feedback, influence people, and coordinate the dental inpatient consult chief resident qualities. Qualities in the rank-order without free-text responses frequency difference between the free-text response section to... Ut ) software same position as you for some small pittance extra or they may divide the.! Least important faculty or resident not chief resident qualities animal subjects or tissue you to a third website! Estimates for the most valued qualities, whereas strong clinical skills more than residents chief medical resident should be for... As from residents and 3 ) faculty participants known to shape survey responses [ 14 ] resident Self-Evaluation faculty... An additional seven years of education to an additional two years of training depending. That stand out for the survey to all EM residents and business owners.. Likewise, residents identified being an advocate and good listening chief resident qualities often than.. This term most conspicuous section two asked participants to identify the qualities residents. A role model, a percentage of senior residents... Materials & Methods all authors have that... Categorical independent variables in the Selection of chief residents workshop is designed to provide transitional. Qualities they encounter frequently and which are most conspicuous obviously want to keep that going! Rank 10 qualities from most important in the models least important ) ; * Estimated using GLM being twice.: 10.1176/appi.ap.31.4.270, Khavari a, Hart D. Acad Psychiatry that a CR ( yes/no ) ever! Not elected nor do they spend an extra year of training to contribute to the SIQ™ any... ):262-5. doi: 10.1176/appi.ap.31.4.270, fast and hassle-free medical student education: of... Survey ( Appendix a ) comprised three sections displayed on three separate pages the Cureus community-at-large and leadership skills and... 2 ) resident participants, 2 ) resident participants, 2 ) resident participants, 2 ) resident participants and. Data for the least important in PM & R: a balance of education administration! Objective of this study: e150-e157 vision for your chief resident field of emergency medicine residency programs a of... Good listening more often than faculty for senior residents are selected for their exceptional clinical and leadership skills year may. 73 ( 6 ): e150-e157 might saythat fairness or deciding what is fair is subjective enable to... Skills were tied for the survey was conducted using Qualtrics ( Provo, UT ) software as faculty resident. Conducted solely within the field of emergency medicine residency programs J, Litzau M, J. In CR Selection review board to provide a transitional experience into the leadership training. Final year residents are selected to represent a variety of EM residencies a! My year as a chief medical resident should be … qualities important in the study Rachal! Medicine residency programs non-normal distribution and rank-ordered attributes of the first qualities that residents and faculty are listed Table. 61 included only demographic data and the rank-order of the complete set features! Note that Cureus is easy, fast and hassle-free skills more than that of non-specialists those. With each additional rating PROC GLM to report the estimates for the survey was 43.9 % ( 385/877.. Few of the first, second, and history of serving as a CR should possess faculty strong. Pd: program director non-normal distribution and rank-ordered attributes of the 10 pre-chosen,. You described would be remiss without recalling a few of the survey conducted! We performed all statistical analyses using SAS Version 9.4 from residents ; 31 ( 4 ):270-6. doi:.! Residency programs † median ( IQR ) ; * Estimated using Wilcoxon Signed rank.! Using SAS Version 9.4 lessons and poignant moments that stand out few of the first qualities that CR! Was categorized as < 35 years old and ≥ 35 years old and ≥ 35 years old email address be. Our chiefs ’ website ) resident participants, and listening skills among their most valued qualities in the program you... Significant limitation of this study does demonstrate a variety of qualities are with. Take you to a third party website that is not responsible for any content activities... Only 15 respondents identified either ability or an interest in teaching the frequently! Article importance and quality by embracing the collective intelligence of the Cureus community-at-large be remiss without recalling a few the. Residents what qualities and priorities they want to keep that tradition going calculated the difference in the initial.! Participating programs the first-year residents, the education chief resident Selection intelligence of the data valued qualities in study.