A) Patient Care: The residents are responsible to the Department and Faculty for provision of primary, secondary and tertiary care to patients treated at the Women's Hospital and St. Boniface General Hospital. The residents are responsible to the Section Head and the Chair of the Department for the conduct of admissions, treatments and discharges within the two hospitals.
B) Medical Education: Residents will have, as part of their responsibility, the teaching and assessment of other residents, international medical graduates and medical students.
C) Disputes: Any disputes that may arise during the academic year should be brought to the attention of the Senior Resident and in turn discussed with the Chief Resident. The dispute, if unresolved, will be forwarded to the Chair of the Postgraduate Medication Education Committee (Program Director). The PGME Committee will meet to consider the case and propose a resolution. In the case of unresolved disputes, the Department Head will have final authority.
D) Chief Resident Clinic: Each senior resident must identify a clinical mentor from the clinical faculty during his/her PGY-4 year. It is expected that this physician and resident will develop a “practice within a practice” in which the resident takes primary responsibility for continuity of care of a group of patients under the supervision of the attending physician. The resident’s patient care activities will be preceptored by the attending physician with a view to promoting the autonomous decision-making capacity of the senior resident as a transition to independent practice.
E) Dress Code: All residents must be well groomed and choose clothing that is discrete and appropriate to the physician role. The hospital issue identification badge/swipe card should be worn at all times and must be clearly visible.
A senior resident who is assigned specific administrative responsibilities relating to the Department’s academic and service activities, in addition to those expected as a normal part of his/her program.
The chief resident’s responsibilities include making call schedules, assigning holiday time and conference leave, scheduling resident academic half day, advising the program director and RTC of resident concerns, and acting as a liaison between the Department and the residents. The chief resident will consider housestaff requests for off-call, vacation, conference leave and stat days provided they are made in writing and received well in advance of the rotation. Other duties may include organizing special events and the annual resident retreat. Each hospital (Women’s Hospital and St. Boniface General Hospital) will normally have one designated chief resident. An administrative allowance will be paid for this position.
SENIOR ADMINISTRATIVE RESIDENT (SAR)
A senior resident who is assigned administrative responsibilities relating to the academic and service activities of a service in which there are at least five (5) trainees (clinical clerks, PGY-1s, international medical graduates, residents), in addition to those expected as a normal part of his/her program. Women’s Hospital has two assigned SARs, one for obstetrics and one for gynecology. The St. Boniface Hospital SAR is responsible for both the obstetrical and gynecological services at that site. The designated SAR for each service is indicated at the top of the call schedule. The Royal College directs that every resident must function in this type of leadership role for at least six months during the senior years of the residency program. Demonstrated competency in the Manager Role is required by the RCPSC.
An administrative allowance will be paid for this position at a rate of one half the administrative allowance for the chief administrative resident position.
The Senior Administrative Resident (SAR) will be responsible for assigning daily duties to residents and housestaff on service. Clinic and ward duties, as well as delivery and operating room assignments will be scheduled to meet service requirements and must support patient safety. If the SAR must be absent from service, he/she must assign a delegate to fulfill the duties of managing the day-to-day running of the service. Last minute call requests, stat day assignments, sick days, and schedule changes must be approved by the SAR on the relevant service. The on-line clerkship evaluations are to be completed by the designated SAR for each clerkship rotation. It is the responsibility of the SAR to alert the Undergraduate or Postgraduate Site Director should a student or resident not be meeting academic or professional expectations during the course of the rotation.