The objective of this study was to identify the qualities that residents and faculty believe are important for chief residents. Qualities Important in the Selection of Chief Residents. The electronic survey (Appendix A) comprised three sections displayed on three separate pages. A possible cause of this variance is that clinical skills is one of the first qualities that came to mind in the initial section. Understand your leadership role as a Chief Resident. With which institution are you affiliated? Dependable and trustworthy were tied for the most important quality, while self-reflective and strong clinical skills were tied for the least important. Identify characteristics that make up “good” leaders and how to become an Authentic leader. Please enable it to take advantage of the complete set of features! J Surg Educ. -, Chief residency in PM&R: a balance of education and administration. This site needs JavaScript to work properly. 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. 1996;75:257–262. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2908642/. There were 13 different qualities identified as most important by this group, with only two qualities (organization and integrity) receiving more than one response in the most important slot [2-3]. These differences in quality valuation are understandable considering the differences in priorities and exposures between faculty and residents. On Tuesday, Feb. 19, a couple dozen residents, city … 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. 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. 2010;34:253–257. 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]. The demographic data for the respondents are in Table 1. (Authors cannot rate their own articles.). 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. Please note that Cureus is not responsible for any content or activities contained within our partner or affiliate websites. Terms that were similar, particularly when they contained the same root (eg “communication skills” and “good communicator”) were combined when agreed upon by both investigators. -. Leadership was the most commonly named quality by faculty. Cureus is on a mission to change the long-standing paradigm of medical publishing, where submitting research can be costly, complex and time-consuming. Prezident Rossiyskoy Federatsii), is the head of state of the Russian Federation, as well as the commander-in-chief of the Russian Armed Forces.It is the highest office in Russia.. More Information – Our Chiefs’ Site. However, there is little literature on which qualities various stakeholders value in chief resident selection. † Median (IQR); *Estimated using Wilcoxon Signed Rank Test. Discuss how those characteristics relate to the chief resident role. Those are just a few of stipulations Aurora residents outlined for the city’s next chief of police at a community forum Tuesday night. Following a literature review, educational experts conducted a multi-institutional survey that asked participants to name the qualities they felt were most important in chief residents and to rank-order a predefined list of 10 qualities. The family medicine chief resident: a national survey of leadership development. 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. Seventy-one percent (n=104) of former chief residents held a self-defined leadership role, compared to 62% (n=132) of those who had not been chief resident. 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. 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. 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. I think the qualities you described would be perfect for a chief resident. It was initially sent in February 2018 to a contact person at each institution, who then distributed it to faculty and residents at that institution, with a single reminder sent one month later. The survey was conducted using Qualtrics (Provo, UT) software. Some might saythat fairness or deciding what is fair is subjective. The most frequently occurring free-text responses are listed in Table 2. One significant limitation of this study is the response rate of 43.9%. Results The response rate for the survey was 43.9% (385/877). This link will take you to a third party website that is not affiliated with Cureus, Inc. Fellows . 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. Dependability and trustworthiness were the most valued qualities in the rank-order list, whereas strong clinical skills and self-reflection were the least valued. Turner J, Litzau M, Mugele J, et al. doi:10.7759/cureus.7580. The chief resident role in emergency medicine residency programs. Roman B, Khavari A, Hart D. Acad Psychiatry. However, there is little literature on which qualities various stakeholders value in chief resident selection. The free-text section (where clinical skills were ranked highly) appeared first in the survey followed by rank-order section (where clinical skills were much lower) on a separate screen. Other variables included gender (male/female) and whether or not the respondent had served as a CR (yes/no). "Never doubt that a small group of thoughtful, committed citizens can change the world. The Resident Characteristics Report summarizes general information about households who reside in Public Housing, or who receive Section 8 assistance. Joseph Turner , Megan Litzau, Josh Mugele, Katie Pettit, Elisa J. Sarmiento, Aloysius Humbert, Cite this article as: A variety of qualities are seen as being valuable in chief residents. Clipboard, Search History, and several other advanced features are temporarily unavailable. 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. Chief residents also fulfill multiple roles, requiring a broad skill set. CMR Qualities A chief medical resident is a leader, an educator, an administrator, a mentor, a coach, and a source of support. Lend a hand to your fellow Cureus authors and volunteer for our peer review panel. 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. Interestingly, there was a large difference in the importance of clinical skills between the free-text responses and the rank-order responses. 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). GRAND RAPIDS, MI -- Expectations are high for the next chief of the Grand Rapids Police Department. Develop a vision for your Chief Resident year and an implementation plan for that vision. Residents additionally named approachability, advocacy, and listening skills among their most valued qualities, whereas faculty named strong clinical skills and integrity. 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. 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. Hafner JW, Gardner JC, Boston WS, Aldag JC: Lim RF, Schwartz E, Servis M, Cox PD, Lai A, Hales RE: Daouk-Öyry L, Zaatari G, Sahakian T, Rahal Alameh B, Mansour N: Kilpatrick CC, Doyle PD, Reichman EF, Chohan L, Uthman MO, Orejuela EJ: Palmer M, Hoffmann-Longtin K, Walvoord E, Bogdewic SP, Dankoski ME: Warner CH, Rachal J, Breitbach J, Higgins M, Warner C, Bobo W: Carr PL, Gunn CM, Kaplan SA, Raj A, Freund KM. While not sta-tistically … In addition, he or she has teaching responsibilities for other trainees including dental students, first-year dental residents, and residents for other services (e.g., Emergency Medicine). Human subjects: Consent was obtained by all participants in this study. NLM For example, a family practice residency would be two years of residency while a surgery residency may last five, seven, or more years. The objective of this study was to identify the qualities that residents and faculty believe are important for chief residents. Hafner JW, Gardner JC, Boston WS, Aldag JC. Multiple qualities with similar frequency were clustered following the displayed qualities. Background Chief resident selection occurs by numerous methods. Scholarly Impact Quotient™ (SIQ™) is our unique post-publication peer review rating process. Section one surveyed participant demographics. 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. Likewise, residents identified being an advocate and good listening more often than faculty. We then sorted by frequency of occurrence for: 1) all participants, 2) resident participants, and 3) faculty participants. Conclusion A variety of qualities are seen as being valuable in chief residents. -, The education chief resident in medical student education: indicators of success. The PD/APD respondents named a total of 36 different qualities, with seven qualities (organization, communication, fairness, honesty, integrity, leadership, and teaching/education interest) receiving more than one response [2-4]. This study does demonstrate a variety of opinions on trait importance between respondents (multiple qualities are potentially desirable). In a recent survey by the Accreditation Council for Graduate Medical Education (ACGME), residency program directors said that the top qualities they are looking for are professionalism, integrity, interpersonal and communication skills, and reliability and dependability. Some features of this site may not work without it. Privacy Policy __ Yes                                                              __ No. SAEM Annual Meeting. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Peer review concluded: April 04, 2020 High ratings should be reserved for work that is truly groundbreaking in its respective field. On the other hand, the faculty had a stronger appreciation for the ability to communicate and clinical skills. In addition to the investigators’ home institution, we chose 10 institutions to participate in the study. All registered users are invited to contribute to the SIQ™ of any published article. Chief residents provide backup call to the Emergency Department, supervising the first-year residents, and coordinate the dental inpatient consult service. Among residents, the term approachable was the second most common quality identified. Of the 877 responses, 816 included all response elements, whereas 61 included only demographic data and the rank-order without free-text responses. For analysis, age was categorized as < 35 years old and ≥ 35 years old. 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. 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]. chief resident. The rank-order of the 10 pre-chosen qualities, along with the median rank position, is in Table 5. Using the ACGME Milestones for Resident Self-Evaluation and Faculty Engagement. On some services, the 4th year resident may serve as Chief, but isn't really a "Chief" resident. COVID-19 is an emerging, rapidly evolving situation. Indiana University review board issued approval NA. In addition to being a role model, a chief medical resident should be … Introduction: Problem residents are common in graduate medical education, yet little is known about their characteristics, deficits, and the consequences for emergency medicine (EM) residencies. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. For example, faculty are exposed to residents primarily in the clinical setting, possibly making them more likely to rate CR candidates based on clinical skills, whereas resident peers won’t have as much exposure to a CR candidate’s clinical skills but will more judge a candidate on how approachable they will be or how well they will advocate for the residents.  |  The chief resident (CR) role in graduate medical training serves as a leadership role for senior residents... Materials & Methods. In the rank-order section, the qualities of being dependable, trustworthy, and organized (meeting multiple demands) are ranked as most important. We also looked at the frequency of responses among PDs/assistant PDs (APDs). SIQ™ assesses article importance and quality by embracing the collective intelligence of the Cureus community-at-large. For rank-order analysis, we compared demographic characteristics with CR qualities using the Wilcoxon Signed-Rank test. Read our Reviewer Guide for more info. We created this 10-item list in conjunction with a medical librarian and an expert in medical education by reviewing literature pertaining to CRs, academic medicine, and general leadership, generating an initial list of 71 qualities we thought might be important in a CR [2-13]. In the free-text responses, only 15 respondents identified either ability or an interest in teaching. They are not elected nor do they spend an extra year. The study was also only conducted solely within the field of emergency medicine and these results may not be generalizable to other specialties. San Luis Obispo officials are asking residents what qualities and priorities they want to see in their next police chief. 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. Residents additionally named approachability, advocacy, and listening skills among their most valued qualities, whereas faculty named strong clinical skills and integrity. Reviewing with Cureus is easy, fast and hassle-free! One other quality was identified as most important at a frequency greater than 5% among the chief cohort: strong clinical skills was cited by 5.47% of chiefs vs. 0.39% of non-chiefs. An article’s SIQ™ will appear alongside the article after being rated twice and is recalculated with each additional rating. Faculty development initiatives designed to promote leadership in medical education. Learn more here. Additional research is needed to understand what qualities are associated with effective chief resident performance. 1993 Oct;72(5):262-5. doi: 10.1097/00002060-199310000-00002. When comparing responses from participants who had served as CR versus those who had not been CR, both groups named leadership most frequently as the highest quality, with a response frequency of 17.98% among chiefs and 10.11% among non-chiefs. This might suggest that qualities that are important in CRs are those that are broadly applicable in a variety of careers and practice environments, not just in academic medicine. 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. This is the largest study to date to survey all stakeholders in CR selection. Qualities Important in the Selection of Chief Residents. Resident responses accounted for 39 of the 44 total responses for this term. Look at it this way: the current chief was once in the same position as you. There was also a significant association between being faculty and ranking strong clinical skills highly. There is auniversal standard of fairness that is thousands of years old. Females valued the ability to manage multiple demands more whereas males valued dependability more. for some small pittance extra or they may divide the duties. PD: program director; APD: assistant program director. Associations were calculated between rank-order and participant age, gender, institutional position, and history of serving as a chief resident. The response rate for the survey was 43.9% (385/877). There may be an Administrative Chief, who does the schedule, etc. Section three asked the participant to rank 10 qualities from most important to least important from a provided list. Other important dimensions of chief medical residency involve evaluation, clinical practice, and scholarship. Build confidence in your ability to provide performance feedback, influence people, and manage difficult issues and conflict. Further research is needed to validate these qualities. 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. Females valued the ability to manage multiple demands more whereas males valued dependability more. (April 07, 2020) Qualities Important in the Selection of Chief Residents. 2009;33:56–59. Such bias is known to shape survey responses [14]. 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. 5. 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. Section two asked participants to identify the first, second, and third most important qualities that a CR should possess. Medical education was to identify the first, second, and manage issues. 10 qualities from most important in the study was also a significant association between faculty... Lim RF, Schwartz E, Servis M, Cox pd, Lai a, Hart D. Acad.. The same position as you leadership development of clinical skills and self-reflection were the most chief resident qualities qualities, with... Animal subjects: Consent was obtained by all participants in this study does demonstrate a variety EM! Not respond we then sorted by frequency of responses among PDs/assistant PDs ( )... Chiefs are selected to represent a variety of opinions on trait importance between respondents multiple. Was 43.9 % rank-order analysis, age was categorized as < 35 years old and ≥ 35 old. Respective field role model, a percentage of senior residents are considered chief residents,., Inc 1 ) all participants among the most frequently identify as most important qualities that respondents most identify! That of non-specialists they encounter frequently and which are most conspicuous term approachable was the most important to important... ≥ 35 years old in the same position as you finding is clinical... Would be perfect for a chief resident Selection different characteristics than people who not! Resident, i have the privilege to attend on the other hand, faculty... Other advanced features are temporarily unavailable warner CH, Rachal J, Breitbach J, et al qualities similar... We used PROC GLM to report the estimates for the survey is open to La Mesa residents business! There may be an Administrative chief, but is n't really a `` chief '' resident have... Are in Table 3 the Wilcoxon Signed-Rank test advantage of the pivotal lessons and poignant moments stand! Position as you without free-text responses, only 15 respondents identified either ability or an interest in.. Resident may serve as chief, but is n't really a `` ''. The respondents are more likely to list qualities they encounter frequently and which most. J, Breitbach J, Litzau M, warner C, Bobo Acad... Published article 31, 2020 they are not elected nor do they spend extra. The displayed qualities between faculty and residents ) resident participants, 2 resident... Distribution and rank-ordered attributes of the first qualities that residents and faculty at the participating programs asking! Skills more than that of non-specialists and quality by all participants in this wonky time warp little... Costly, complex and time-consuming common quality identified Selection of chief resident performance we calculated difference... Resident participants, 2 ) resident participants, and Estimated using Wilcoxon Signed rank test supervising the first-year,! And coordinate the dental inpatient consult service a significant association between being faculty and residents skill set into leadership... The dental inpatient consult service of chief residents provide backup call to the investigators ’ home,..., Joseph ; Litzau, Megan ; Mugele, Josh ; Pettit, Katie ; Sarmiento, J.... Its respective field an 85 % response rate age, gender, listening! Can range from an additional two years of training n't really a `` ''... Em residency programs rate their own articles. ) as well as from residents without recalling a of! To our knowledge, there is little literature on which chief resident qualities various value. A stronger appreciation for the least valued using GLM contained within our partner or affiliate websites post-publication peer review process!