Thread: WUSOM GRAD CHIEF RESIDENT in OHIO FM

http://www.flowerresidency.org/cms/u...dents_comp.pdf

congrats WSOM graduate

Wow! I have been missing a lot since graduation

Nice! Is there a playground here. HHAHAHAHAHA

i have a friend in that program as a second year. i just called him to ask how one becomes a chief in that particular program. in this program, you become chief by having the residents vote you in. although ive seen plenty of programs that have all residents rotate as a chief their senior year, this is not one of them.

usually the other residents dont vote someone in, even when it is a single person. its usally the pd. and most often its an extra year in internal medicine, but not always.

Originally Posted by stephew

usually the other residents dont vote someone in, even when it is a single person. its usally the pd. and most often its an extra year in internal medicine, but not always.

yea, most IM programs that i interviewed at had a 4th year chief. i remember my surgery rotation had a residency where all the residents were a chief of something.... vascular, academic, trauma, colorectal, etc.

In a good IM program, it is an honor to be asked to stay for a chief year (Forth year). You are sort of a junior faculty member.

i know a lot of places have a hard time getting a chief as no one wants the extra year. in competitive programs where people are academically (and thus cv) inclined, its a bigger deal.

i would assume its a good role for somebody that didnt get accepted into a competitive subspecialty that year and want to boost there cv (and have a job too) while they apply the following year.

yes actually that happens a lot.

love reading the banter...and to all non windsor students welcome. this was such a great topic because one persons appointment/accomplishment brought in a lot of information.
I spoke with twelve practicing physicians 6 of whom were family practice, 3 surgeons (cardiothoracic, general and plastics) one gastroenterologist one internist and one internist with a pediatric (duel specialty). none were chief resident of there respective programs, all said if they could go back that they would have gone for it. all said the only time, that they new of, extra years were mandatory was with surgery. other programs such as mayo did it as a recruitment if they wanted that resident to have a career with them. the surgical chief had the most work in that that person has to make the surgical schedule for all else, thus being able to cherry pick.
the pay was as that of a board certified surgeon with a stipend for the management aspect.
other specialty chiefs attained a salary slightly higher than the national average for newly board certified physicians.
all were nominated by fellow residence but the final decision was up to the attendings and the hospital's, where the residency program resides, medical chief of staff.
they all said that there really wasn't a down side as you get to prep for your boards, make really good pay, little management responsibilities (except for surgery) and act as a liason from residence to attending.
this wasn't a scientific fact finding mission nor was it blinded..just asked some people i work with and refer to and asked for their takes.
merry christmas to all and, to the new fifth semester students, hope to see all healthy and smilin' at carbondale. to the rest of windsor - enjoy the rock- and to all others good luck hope to see you in practice some day

thanks for the great perspective pac.
just to clarify: in IM, a chief year is nearly always an extra year (ive heard of one exception). in surgery it typically is not, and all seniors are chiefs. In my field, chief isn't an extra year and the catch is that as a small field this often means there are only one or two in a class, thus both are chiefs. However there are exceptions. im at harvard at there are 7 seniors, two chiefs.

The down side for many when its an extra year is they dont need another year to prep for boards (most dont) and if youre not academic, why do it? Its just an extra year of training, administration, and low pay. Some chief years actually are very demanding in terms of management and scheduling. Again, varies widely program to program, field to field. That is the view of many who aren't going into an academic practice and its a very reasonable notion for them.