Jain S S, DeLisa J A, Campagnolo D
Department of Clinical Physical Medicine and Rehabilitation, UMDNJ-New Jersey Medical School, Newark.
Am J Phys Med Rehabil. 1993 Oct;72(5):262-5. doi: 10.1097/00002060-199310000-00002.
A large majority of physical medicine and rehabilitation residencies have chief resident positions, but little has been written about the expectations of the program directors and the training of the chief resident to fulfill those expectations. A 20-item questionnaire was mailed to 73 program directors in physical medicine and rehabilitation in May 1992. The participants were asked about selection methods, their perception of the duties of the chief resident(s), their concerns about the chief resident(s) position, the training and the evaluation of the chief resident(s). An 85% (62/73) response rate was achieved. There was a chief resident position(s) in 98% of the programs responding. Chief resident selection was made mostly by appointment of the chairman and/or program director and/or the vote of the faculty. The program directors perceived the most important duties of the chief resident to be: act as a liaison between faculty and the residents, act as a role model, do scheduling, build teamwork and give constructive feedback. The most important skills were considered to be leadership and stress management. Causes of concern were time pressure, abuse of power, stress and work overload. Opportunities to develop leadership and administrative/management skills were considered the most exciting aspects of the position. It was surprising, however, that only 15 of 61 (25%) provided some formal training. Only 28 of 61 (46%) had a position description.
绝大多数物理医学与康复住院医师培训项目都设有住院总医师职位，但关于项目主任的期望以及住院总医师为满足这些期望而接受的培训，相关著述甚少。1992年5月，一份包含20个问题的调查问卷被邮寄给了73位物理医学与康复领域的项目主任。参与者被问及选拔方法、他们对住院总医师职责的看法、对住院总医师职位的担忧、住院总医师的培训以及评估等问题。回复率达到了85%（62/73）。在回复的项目中，98%设有住院总医师职位。住院总医师的选拔大多是通过系主任和/或项目主任的任命以及/或者教员投票。项目主任认为住院总医师最重要的职责是：担任教员与住院医师之间的联络人、树立榜样、进行排班、建立团队合作并给予建设性反馈。最重要的技能被认为是领导力和压力管理。令人担忧的原因包括时间压力、权力滥用、压力和工作负担过重。培养领导力和行政/管理技能的机会被认为是该职位最令人兴奋的方面。然而，令人惊讶的是，61人中只有15人（25%）提供了一些正式培训。61人中只有28人（46%）有职位描述。
