4 Chiefs Objectives…officially… Liaison between the residents and the administration of the hospitalLiaison between the residents and the Postgraduate Medical Education ProgramProvide clinical guidance and support to residentsProvide case-based, didactic and bedside teaching to both residents and medical students, and administrative leadership
6 Chiefs What that really means… We’re here for YOU! When you’ve had a good day… when you’ve had a bad day…When you’re confused… when you’ve got a great idea but am not sure who to talk to…Office hours Monday 13:00-15:00, Wednesday 14:30-17:00 (E411 - local 4943)We’re the link between the department and YOUWe meet with the PDs weeklyRelay important information Expect monthly “Chief Update” s, and “Chief AHD Updates”We assist in putting together monthly CTU call schedules and the Master ScheduleOrganize CTU teaching schedules…Lead morning report Monday, Tuesday, Thursday
7 Chiefs Three R3/R4s 1 year term (Feb-Feb) Selected Fall/Winter of each yearNominated by the residentsFinal selection by the RTCDedicated “Chief Months” divided among the Chiefs
8 Associate Chiefs R2/3s 1 year term (Feb-Feb) Role: Followed by 1 year term as chiefsRole:Academic Half-DayCoordinates speakers and residentsReviews/revises AHD curriculumRetreats x 2Fall/Winter – full weekendSpring – full day“Acting” chiefs if we are away….
9 Putting it all together… Program DirectorChiefsAssociate ChiefsCommittee Members
10 R1 curriculum Rotations CTU Blue Jr CTU Green Jr Gen Peds/Night Float Night Float/Social PedsIntermediate NurseryNICU (Surrey Memorial Hospital)Resp/Allergy/CFEndocrinologyCardiologyGastroenterologyNeurology JrSurgeryER
14 How do I know where to go?!Contact your services at least 2 weeks before you start for reporting instructions – many will contact youServices with in-house call requirements will/should contact you in advance for your call requests (ex. Surgery, IN)CTU and NFNo need to contact anyone… you will learn quickly where to go each timeCTU: report Mon-Thurs 7:00 to 3M, Fri 7:30NF: report Sun 18:00 to 3M
15 CTU CTU Green – endocrinology, nephrology, metabolics CTU Blue – cardiology, neurology, surgicalCTU Green – endocrinology, nephrology, metabolicsRheum, GI, Resp, Heme….
19 CTU – What? General timelines: Morning report (7:00) Handover (7:30) Pre-round: discharge patients, important phone callsRounds (8:30)~2-3 hoursFamily-centered; Work roundsWork time:follow up on investigations/consults; review patient status; write notes; discharge planning; teachingEvening handover (18:00)19
20 Night Float Document, Document, Document You are a compliment to the day team; You are not here to “band-aid” problems work with the day team to continue careNight Float teamSenior ResidentJunior Resident x 1 / teamMedical Student x 1 / team5 nights/week –Sunday pm - Friday amDocument, Document, Document