Bad chiefs

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tjmDO

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What do you do if your chiefs suck and you are a PGY-IV? I need to know. I have no respect for them and they have not earned their title!!
 
What do you do if your chiefs suck and you are a PGY-IV? I need to know. I have no respect for them and they have not earned their title!!

you suck it up. do your work and what you think is right. if the chief is giving you crap...bottom line by this point it shouldn't matter. If you're a player and they suck the attendings know it...tell the chief to go f*ck himself and do your thing. don't feel the need to set their course straight just take care of your own.
if you're bitching about this and you haven't figured out the above yet its time....grow a pair. ability counts more than seniority (to a point) and you should have the upperhand if you're in a position to say they "suck". If you're not in that position...then stfu and focus on you.
 
Thanks. That is what I thought and what I plan to do.
 
What do you do if your chiefs suck and you are a PGY-IV? I need to know. I have no respect for them and they have not earned their title!!
I always loved the juniors making such claims... almost every year! As if your vote on the matter was relevant. You do not determine if they have earned the title. Your program director does. They have met his/her standard. By your representation, I guess you will spend the year campaigning the juniors. If so, I would suggest you are trying to convince the wrong folks. Your first priorities should be your education, learning from the attendings that train you, and meeting the standards for promotion set by your PD in preparation for your boards. Sometimes you achieve this and have popularity with juniors, nurses, etc... Sometimes not.

Do your job and maybe you to will be chief one day.
 
Are we talking about you being a PGY-IV and the Chiefs who are leaving this week?

Or are you a fresh PGY-IV and complaining about the new PGY-5s?

How many rotations are you on with them? We had very few with the Chiefs, so I cannot imagine you have to interact on a daily basis with them.
 
I echo WS; our PGY-4's are the chiefs of their own services and do not work with the PGY-5's at all.
 
Respect their authority and the chain of command. Unless they're endangering patient care, you need to set an example for the junior residents. Remember, next year you'll be chief and if you've set an example as someone who bucks the chief, guess what your juniors will be doing?
 
Respect their authority and the chain of command. Unless they're endangering patient care, you need to set an example for the junior residents. ...if you've set an example as someone who bucks the chief, guess what your juniors will be doing?
Absolutely. As mentioned before, their position is blessed by the PD. Disrespect/etc... is by extension disrespect to the PD. To say they do not deserve and/or have not earned their title/position is to say the PD's judgement is less then yours.... it smacks of significant arrogance.
 
I wouldn't be a surgeon if I wasn't arrogant!!
 
However all points are well taken.
 
there is always a natural animosity between chiefs and R-4s. my thoughts- suck it up and tolerate it. its the chiefs turn to well, be chief.. in 6 months after ABSITE, they will be burnt out and you can take over!!

but guess what, there will be 4th yr residents having secret meetings and posting on SDN about bad chiefs.

this is a natural part of any program
 
Absolutely. As mentioned before, their position is blessed by the PD. Disrespect/etc... is by extension disrespect to the PD. To say they do not deserve and/or have not earned their title/position is to say the PD's judgement is less then yours.... it smacks of significant arrogance.

You may be putting too much stock in PDs' respect for some of their chiefs. Some PD's appear to not care for certain chiefs that much, but those individuals are not doing poorly enough for the PD to deny them promotion or fire them.
 
You may be putting too much stock in PDs' respect for some of their chiefs. Some PD's appear to not care for certain chiefs that much, but those individuals are not doing poorly enough for the PD to deny them promotion or fire them.
Maybe....
However, alot goes on behind closed doors. If one is NOT the PGY5 chief resident, it is not apparent what additional tasks and roles and obligations a chief has.... Similarly, Very difficult to really know what is or is not occurring or believed by PD. As for the PD's respect, the only objective evidence of confidence in and opinion about a resident one can have is... promotion. One need not be the best chief since sliced bread just meet the PD & program requirements which = worthy to be a chief resident.

The reputation of a program AND PD is greatly impacted by who is graduated... Graduates are a reflection of the program from which they graduated. It is a significant problem if a PD promotes, to chief, residents they do not trust and/or respect... because those residents will have a significant role/responsibility for 1. residency 2. all patients. A PD that promotes someone from intern through the ranks to chief and does not respect and/or trust the individual they are promoting is a problem and by extension the primary problem would not be a bad chief but a remarkably weak PD.
 
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