Residents Responsibility

Responsibilities gradually increase as residents progress through the program. First-year residents work at mastering clinical and technical skills, providing direct patient care under senior supervision. During the second year, increasing responsibility is given for supervision and teaching of junior residents and students, with an increased emphasis on acquisition of knowledge and mastery of clinical problem-solving skills. Third-year residents are expected to assume responsibility for an entire service under attending staff supervision, including clinical decision-making and teaching of junior team members.

Currently there is a Senior/Intern Night Team in place. Residents assigned to the Emergency Room work in twelve-hour shifts. There are two elective months without call in the third year. Ample moonlighting opportunities are available for senior residents with approval of the Program Director.

There will be an on-going evaluation of the progress of each resident in the program. Written evaluations of each resident's performance in the six ACGME competencies are submitted by the supervising attending and senior resident, where applicable, at the conclusion of each monthly rotation and semi-annually for Continuity Practice. Peer Evaluations, focusing on Interpersonal/Communication Skills and Professionalism, will be completed by each resident monthly for all residents they interacted with on that rotation. The residents will also be subject to full 360 degree evaluations, where their work ethic, professionalism, interpersonal and communication skills and medical knowledge is assessed on a routine (and anonymous) basis by students, RNs and patients. Residents are encouraged to review the monthly evaluations maintained in the personnel folders

In addition, end-of-rotation exams will be administered with the scores maintained both by the Education Office and in each resident's file. Prior to receiving credit for completing a subspecialty rotation, the resident must demonstrate medical knowledge competency by passing the end-of-rotation exam by a score of not less than 70.

Residents will be routinely counseled by the Program Director as to their progress twice annually.

All residents will take the annual In-Training Examination given by the American Board of Pediatrics in July as well as end-of-the-month exams provided by the Program Director.

A Written Exam and OSCE are scheduled for all PL-1 residents during the last quarter of the academic year. The PL-1 Written Exam is based on content in the PL-1 Required Reading CD provided at Orientation to each incoming resident.