As outlined above, the primary care of each inpatient on the General Medical CTUs will be assigned to either a student intern or a junior resident. The senior resident on the CTU is responsible for organizing and coordinating the house staff team, under the supervision of the Attending Physician, to ensure that the patients on the service are managed effectively and efficiently. The senior medical resident also plays a central role in the educational activities on the CTUs. The specific responsibilities of the senior resident include:
All CTU senior residents will attend rapid rounds and morning report each weekday morning, where admissions from the previous day and related pertinent clinical topics are reviewed.
The senior medical resident is responsible for assigning each CTU admission to a junior resident or student intern on the service, who will assume primary care responsibility for the patient’s care.
The senior resident will coordinate and supervise the students and junior residents on the service in managing the active patients including:
Ensure that a complete and accurate history and physical examination is performed promptly on each admission, the major medical problems identified, and an effective plan of management implemented.
In conjunction with the Attending Physician, ensure that the house staff on the service comply with hospital policies and procedures in ordering diagnostic tests, prescribing treatments, requesting consultations, and other related patient care activities.
Lead daily rounds with the house staff team to review the active problems of all patients on the service, and recommend investigation and treatment when required.
Ensure that the progress notes of all patients on the service are complete, up‐to‐date, and accurate.
Conduct sign‐out rounds each weekday afternoon, to ensure that patient care plans are being carried out, new patient care problems are being addressed, and that the house staff on call are aware of potential patient care problems that may arise overnight.
When required the senior resident will identify knowledge gaps, and assist the team in acquiring new knowledge by “reading around” patient care problems that arise on the service.
Instruct the students and junior residents in the performance of common medical procedures, when required.
Assist the Attending Physician in evaluating the performance of all junior residents and students on the service.
Multisource Feedback
Senior Residents and Junior Attendings will have to get multisource feedback forms completed by patients, healthcare team members, peers and self‐assessment.
You will receive information separately on this regard (Senior Residents – Cheryl Clark and Junior Attendings – Carrie Hlady).
For further information, you can refer to the CIM aimrs.ca site for more information.