Residency Policies & Procedures
V. CLINICAL ROTATIONS
Attending/Resident General Policies
- There should be equity between sites regarding attending functions
so that each site is suitable for beginning as well as more experienced
- There should be a minimum of three patient interviews during a three
month rotation conducted by the Attending, and observed by the Resident,
and a similar number conducted by the Resident, and observed by the
Attending. The interview should last at least thirty minutes.
These interviews are in addition to the one hour of supervision.
This requirement reflects the importance of modeling, and providing
feedback in the interview situation.
- Inpatient attending duties should represent at least one half-time
clinical position. Good inpatient care and teaching requires a
minimum of this commitment. The occurrence of resident difficulties,
patient emergencies, care planning meetings, and other important teaching
functions take considerable time. While this time commitment in
itself does not guarantee good attending teaching, it makes the Attending
less hurried, and provides an atmosphere that enhances the development
of a good attending-resident relationship. The attending becomes
a vital part of what occurs on the ward. There are important roles
for faculty providing lesser time commitments in the inpatient setting,
but these consultation roles should not substitute for the more involved
primary attending position.
- Monthly meetings at each site between Attendings and Residents are
strongly encouraged. This is an excellent forum for Attendings
and Residents to discuss problems in a collegial way, make appropriate
changes in policies, and fine tune the system.
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Psychiatry Residency Training Program
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Seattle, WA 98195-6560