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The chief resident role
BMJ Career Focus, 07/15/09

William C et al. - Chief residents have been described as middle managers with four directions of responsibility: upward to the consultant body, downward to the trainee body, laterally to other middle managers, and internally to other chief residents. Organisation of training will remain with the deanery, heads of school, and local specialty tutors, although within each directorate the chief resident could have some influence over the way training is implemented. The other three directions will persist, but it is likely that the interaction with the trainee body will be more in the role of a representative than as an autocratic leader. Despite these transatlantic differences in the proposed role, it is essential that the chief resident has the authority to deliver what is asked of her or him; not to provide such authority would make the post meaningless. A chief resident role adapted from the US model, specific for the UK, will be a useful training opportunity and will help nurture the clinical leaders of the future.