The role and responsibilities of CR vary depending on medical specialty and institution. To our knowledge, there is no literature that examines the perceived importance of various qualities when selecting CRs in EM residency programs. The faculty valued strong clinical skills more than residents. In surgery, all final year residents are considered Chief residents. doi:10.7759/cureus.7580. The study was also only conducted solely within the field of emergency medicine and these results may not be generalizable to other specialties. In addition to the investigators’ home institution, we chose 10 institutions to participate in the study. The electronic survey (Appendix A) comprised three sections displayed on three separate pages. Scholarly Impact Quotient™ (SIQ™) is our unique post-publication peer review rating process. __ 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. ** Adjusted for age, gender, and institutional position, and estimated using GLM. 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]. 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. Turner J, Litzau M, Mugele J, et al. 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]. The faculty valued strong clinical skills more than residents. One significant limitation of this study is the response rate of 43.9%. Am J Phys Med Rehabil. 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. The report provides aggregate demographic and income information that allows for an analysis of the scope and effectiveness of … To participate, please complete the below survey by 5:00 p.m. on Thursday, December 31, 2020. Leadership, organization, and communication skills were named by all participants among the most common responses. The reason for this is unclear; however previous literature suggests it may reflect a difference in traditional domestic responsibilities between genders [15]. The term “research” was not used at all. Cureus 12(4): e7580. 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. The rank-order of the 10 pre-chosen qualities, along with the median rank position, is in Table 5. Joseph Turner , Megan Litzau, Josh Mugele, Katie Pettit, Elisa J. Sarmiento, Aloysius Humbert, Cite this article as: 1996;75:257–262. The chief resident role in emergency medicine residency programs. Qualities Important in the Selection of Chief Residents, Omecamtiv Mecarbil: A Novel Mechanistic and Therapeutic Approach to Chronic Heart Failure Management, A 21st Century Epidemy-Obesity: And Its Impact on Pregnancy Loss, Trends in the Academic Credentials of Matched Dermatology Residency Applicants, Baylor Scott & White Medical Center Department of Neurosurgery, California Institute of Behavioral Neurosciences & Psychology, Contemporary Reviews in Neurology and Neurosurgery, The Florida Medical Student Research Publications, University of Florida-Jacksonville Neurosurgery, American Red Cross Scientific Advisory Council, Canadian Association of Radiation Oncology, International Liaison Committee on Resuscitation, International Pediatric Simulation Society, Strategies to Promote Long-Term Cardiac Implant Site Health, Clinical and Economic Benefits of Autologous Epidermal Grafting, Defining Health in the Era of Value-Based Care, Optimization Strategies for Organ Donation and Utilization, MR-Guided Radiation Therapy: Clinical Applications & Experiences, Multiple Brain Metastases: Exceptional Outcomes from Stereotactic Radiosurgery, Proton Therapy: Advanced Applications for the Most Challenging Cases, Radiation Therapy as a Modality to Create Abscopal Effects: Current and Future Practices, Clinical Applications and Benefits Using Closed-Incision Negative Pressure Therapy for Incision and Surrounding Soft Tissue Management, Negative Pressure Wound Therapy with Instillation, NPWT with Instillation and Dwell: Clinical Results in Cleansing and Removal of Infectious Material with Novel Dressings, The chief resident role in emergency medicine residency programs, Chief residents in physiatry: expectations v training, The chief resident in psychiatry: roles and responsibilities, The education chief resident in medical student education: indicators of success, Chief residency in PM&R: a balance of education and administration, A curriculum to address issues and challenges of the professional developmental stage of chief residency, Effective leadership in higher education: a literature review, Developing a competency framework for academic physicians, Enhancing the effectiveness of the psychiatric chief resident, Emotional intelligence and selection to administrative chief residency, A competency-based approach to recruiting, developing, and giving feedback to department chairs, A model for selecting a psychiatry chief resident, Current perspectives on chief residents in psychiatry, Availability bias can improve women’s propensity to negotiate, Inadequate progress for women in academic medicine: findings from the national faculty study, Communication skills/Good communicator (24), Communication skills/Good communicator (27), Communication skills/Good communicator (51), Communication skills/Good communicator (19), Communication skills/Good communicator (11), Communication skills/Good communicator (8), 3. Results The response rate for the survey was 43.9% (385/877). We used PROC GLM to report the estimates for the categorical independent variables in the models. We then sorted by frequency of occurrence for: 1) all participants, 2) resident participants, and 3) faculty participants. 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. Jain SS, DeLisa JA, Campagnolo D. Am J Phys Med Rehabil. All registered users are invited to contribute to the SIQ™ of any published article. Section one surveyed participant demographics. 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. Participants who chose to respond may value different characteristics than people who did not respond. However, there is little literature on which qualities various stakeholders value in chief resident selection. 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.. Local residents and business owners are invited to take an online survey to guide recruiters with characteristics, skills and other qualities in … J Surg Educ. "Never doubt that a small group of thoughtful, committed citizens can change the world. Females valued the ability to manage multiple demands more whereas males valued dependability more. Section two asked participants to identify the first, second, and third most important qualities that a CR should possess. USA.gov. __ Yes                                                              __ No. The chief resident (CR) role in graduate medical training serves as a leadership role for senior residents... Materials & Methods. Peer review concluded: April 04, 2020 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. 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]. † Median (IQR); *Estimated using Wilcoxon Signed Rank Test. HHS There were several interesting differences between the faculty and resident responses. 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. 2009;33:56–59. Those are just a few of stipulations Aurora residents outlined for the city’s next chief of police at a community forum Tuesday night. (April 07, 2020) Qualities Important in the Selection of Chief Residents. Interestingly, there was a large difference in the importance of clinical skills between the free-text responses and the rank-order responses. Cureus 12(4): e7580. If you are interested in the program, you should also feel free to browse our Chiefs’ website. Two programs declined to participate, leaving a total of nine programs in the study. 2012;34(6):483-503. doi: 10.3109/0142159X.2012.680937. Dependable and trustworthy were tied for the most important quality, while self-reflective and strong clinical skills were tied for the least important. GRAND RAPIDS, MI -- Expectations are high for the next chief of the Grand Rapids Police Department. doi: 10.1016/j.jsurg.2016.09.001. Leadership was the most commonly named quality by faculty. Among residents, the term approachable was the second most common quality identified. 1998) [1-5]. We performed all statistical analyses using SAS Version 9.4. Lend a hand to your fellow Cureus authors and volunteer for our peer review panel. 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). Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. 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]. Dependability and trustworthiness were the most valued qualities in the rank-order list, whereas strong clinical skills and self-reflection were the least valued. 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. We calculated the difference in frequency between resident responses and faculty responses. Anything above 5 should be considered above average. CMR Qualities A chief medical resident is a leader, an educator, an administrator, a mentor, a coach, and a source of support. On some services, the 4th year resident may serve as Chief, but isn't really a "Chief" resident. Then, we iteratively categorized, batched, and narrowed the terms to a list of 10 items that were widely represented in the literature, represented a broad range of quality types, and were felt to be important by all team members. 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.  |  The Resident Characteristics Report summarizes general information about households who reside in Public Housing, or who receive Section 8 assistance. These differences in quality valuation are understandable considering the differences in priorities and exposures between faculty and residents. The survey was conducted using Qualtrics (Provo, UT) software. 1993;72:262–265. The authors have declared that no competing interests exist. Using the ACGME Milestones for Resident Self-Evaluation and Faculty Engagement. Reviewing with Cureus is easy, fast and hassle-free! SIQ™ assesses article importance and quality by embracing the collective intelligence of the Cureus community-at-large. Dependability and trustworthiness were the most valued qualities in the rank-order list, whereas strong clinical skills and self-reflection were the least valued. Likewise, residents identified being an advocate and good listening more often than faculty. CRs have a wide variety of responsibilities and duties, including administrative duties (such as creating schedules), acting as the liaison between residents and PDs, role-modeling clinical behavior, informal mentoring of fellow residents, and educating junior residents and medical students (Abstract: Playe, Squillante, Durkin, and Brennan. A BEME systematic review: BEME Guide No. Describe major leadership styles. PD: program director; APD: assistant program director. The most frequently occurring free-text responses are listed in Table 2.  |  On Tuesday, Feb. 19, a couple dozen residents, city … 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 study does demonstrate a variety of opinions on trait importance between respondents (multiple qualities are potentially desirable). Peer review began: April 02, 2020 Chief resident selection occurs by numerous methods. For example, a family practice residency would be two years of residency while a surgery residency may last five, seven, or more years. Network with fellow Chief Residents. A final notable finding is that there was little indicated importance of qualities that might traditionally be associated with academic medicine. Organization was the most commonly named quality by all respondents, as well as from residents. 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 education chief resident in medical student education: indicators of success. Conclusion A variety of qualities are seen as being valuable in chief residents. Qualities Important in the Selection of Chief Residents. Residents and faculty both cited leadership most frequently as the top quality. We also looked at the frequency of responses among PDs/assistant PDs (APDs). During my year as a chief resident, I have the privilege to attend on the general medicine service for 8 weeks. Associations were calculated between rank-order and participant age, gender, institutional position, and history of serving as a chief resident. 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. Further research is needed to validate these qualities. They are not elected nor do they spend an extra year. 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. Within the field of emergency medicine and these results may not work it... In emergency medicine and these results may not be generalizable to other specialties police chief are... 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