The chief resident role in emergency medicine residency programs.
OBJECTIVE
Although other specialties have examined the role of the chief resident (CR), the role and training of the emergency medicine (EM) CR has largely been undefined.


METHODS
A survey was mailed to all EM CRs and their respective program directors (PD) in 124 EM residency programs. The survey consisted of questions defining demographics, duties of the typical CR, and opinions regarding the level of support and training received. Multiple choice, Likert scale (1 strong agreement, 5 strong disagreement) and short-answer responses were used. We analyzed associations between CR and PD responses using Chi-square, Student's T and Mann-Whitney U tests.


RESULTS
Seventy-six percent of CRs and 65% of PDs responded and were similar except for age (31 vs. 42 years; p<0.001). CR respondents were most often male, in year 3 of training and held the position for 12 months. CRs and PDs agreed that the assigned level of responsibility is appropriate (2.63 vs. 2.73, p=0.15); but CRs underestimate their influence in the residency program (1.94 vs. 2.34, p=0.002) and the emergency department (2.61 vs. 3.03, p=0.002). The majority of CRs (70%) and PDs (77%) report participating in an extramural training program, and those CRs who participated in training felt more prepared for their job duties (2.26 vs. 2.73; p=0.03).


CONCLUSIONS
EM CRs feel they have appropriate job responsibility but believe they are less influential in program and department administration than PD respondents. Extramural training programs for incoming CRs are widely used and felt to be helpful.
Hafner
John W
JW
University of Illinois, Department of Surgery, Peoria, IL.
Gardner
Joanna C
JC
Boston
William S
WS
Aldag
Jean C
JC
Arch Pediatr Adolesc Med. 1994 May;148(5):518-21
8180644
Am J Phys Med Rehabil. 1996 Jul-Aug;75(4):257-62
8777020
Am J Dis Child. 1991 Jun;145(6):639-42
2035493
Arch Gen Psychiatry. 1974 Apr;30(4):503-7
4815556
Am J Psychiatry. 1982 Dec;139(12):1610-3
7149064
J Med Educ. 1988 Apr;63(4):333-5
3357188
Anesthesiol Rev. 1994 Nov-Dec;21(6):199-202
10150327
Acad Med. 1992 Mar;67(3):212-3
1540277
Am J Psychiatry. 1976 Mar;133(3):328-31
1259045
Fam Med. 1996 May;28(5):343-5
8735061
J Med Educ. 1982 Apr;57(4):288-93
7062324
J Med Educ. 1986 Aug;61(8):666-73
3735369
Pediatrics. 2000 Apr;105(4 Pt 2):984-8
10742360