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Prior and current chief residents, I wanted to pick your brains about bettering a residency program from a logistic and educational perspective. My questions are based on my PGY-2 experiences at an academic medical center.
- Open-ICU
- Have any of you experienced an open-ICU relationship with the a neurocritical care unit? How were your experiences pertaining to co-management while you were on the floor?
- Didactics
- Our didactics consist of 1-hour long lectures at noon. This time is not protected for us. As a PGY-2, it’s hard to get there on time when you have to focus on clinical work/impending discharges. Moreover, if we are present, we get paged by floor staff. Is this par for the course? How did you improve it?
- Resident Continuity Clinic
- Our only resident continuity clinic is at our university hospital. Unfortunately, a lot of interesting patients are sent to the subspecialists (e.g., movement disorders, neuromuscular medicine). Aside from contacting our schedulers and potentially attendings who may be willing to co-manage with residents, are there any alternatives to this model to improve our education?
- Residency Handbooks
- If you had these while in training, is there anything your program had in them that was helpful (and maybe unique)? This could be content- and format-related.
- Learning How to Attend
- Obviously, this doesn’t come until you’re truly in the role of being an attending physician. Our program doesn’t allow for much autonomy on the primary services; our PD says it’s because ultimately, the attending signs off on these patients, which makes sense from a legal standpoint. How did your program mitigate this to help prepare residents (especially in the PGY-4 year)?
