Residency Policies & Procedures
V. CLINICAL ROTATIONS
ROLE DESCRIPTION OF INPATIENT ATTENDING AND RESIDENT
- Residents are assigned to a specific faculty member, who makes daily
clinical rounds with the Resident, examines all new patients,
and reviews the treatment plans.
- The Attending Physician has the final clinical, legal, and fiscal
responsibility in the care of his/her patients. The Attending
supervises and teaches Residents and medical students, and is responsible
for admission and progress notes, which allow for utilization review
- Under supervision of the Attending, the Resident is responsible for
the admission and the daily medical and psychiatric management of the
patient. The Resident is responsible for physician orders, admission
and clinical progress notes, and discharge summaries. The Resident
is responsible for the integration of the multidisciplinary treatment
plan. The Resident supervises, and teaches medical students.
- In addition to clinical rounds, the Resident will receive a minimum
of one hour per week scheduled supervision time with his/her Attending,
and another hour of formal one-to-one supervision by another faculty
member (see "Off Ward"
Supervision), as well as regular supervision by the Chief Resident.
- As a teacher, the Attending will provide the Resident with information,
options, and choices in patient care. The Attending needs to keep
abreast of the clinical issues on the ward, and supervision needs to
be sufficiently close to allow him/her to notice problems.
- The Attending needs to monitor the Residentís performance, and give
feedback. The Attending determines how closely a Resident needs
to be supervised, and how much reporting he or she expects from a particular
Resident, depending on the Residentís level of training, and experience.
The Resident will be open to learning, willing to consult, and prepared
to fully inform the Attending about all matters of patient care.
It is strongly recommended that the specific terms of the supervisory
agreement (i.e. how much supervision?, how much reporting is expected?,
coverage?, etc.) be made explicit in a collegial discussion between
Resident and Attending.
- As a role model, the Attending will demonstrate interviewing skills,
the process of clinical thinking, and effective interaction with patients,
and staff. The Resident will function as a role model to the medical
student. Resident and Attending share the responsibility for promoting
an educational climate on the unit.
- There will at all times be a Resident and an Attending available
to the inpatient unit. During the day the Attending is available
at the hospital site and/or can be consulted by phone. If the
Attending cannot be available at the site, a specific other Attending
will be designated to cover for emergencies that require the physical
presence of an Attending. Attendings are expected to honor a Residentís
request for immediate on-site supervision.
- Residents will cover for one another for the required half-day Continuity
- The Attending will support and facilitate the Residentís attendance
at Didactics, Grand Rounds, Business Meetings, Continuity Clinic and
supervision sessions. The Attending will honor the Residentís
right to take one or two weeks vacation on a particular three month
inpatient rotation, as specified in, and subject to, University and
(Approved by the RESC on June 15, 2006, and by the
Department Chair on June 15, 2006.)
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Psychiatry Residency Training Program
1959 NE Pacific Street, Box 356560
Seattle, WA 98195-6560