Thinking About Chief Year

In internal medicine, most residency programs have a dedicated individual known as the Chief Resident, who is responsible for ensuring the smooth operation and growth of the program. In this three-year residency, when elected as Chief Resident, an additional year is served. However, not everyone is suited for this position, and the consequences are evident when an inappropriate Chief is chosen.

Depending on the program, Chiefs may be chosen by their peers and invited for an interview, or interested candidates may apply and then interview. In our program, candidates apply and then are interviewed, and the committee votes on the most suitable candidate for the role. I prefer this approach because faculty members understand the necessary qualities for maintaining program growth. The alternative method may resemble a popularity contest, and although we cherish our friendships, leadership skills are essential for this position.

It’s important to note that each program has its own way of allowing Chiefs to operate. In my institution, three Chiefs are elected to divide tasks efficiently. I appreciate the openness of our leadership, and I believe our program is at the forefront of progress.

If you are considering applying for the Chief Resident position, it is crucial to ask yourself the following questions:

• Do you derive happiness from seeing others succeed?
• Do you genuinely enjoy teaching?
• Are you passionate about mentoring and helping individuals through challenging moments?
• Are you willing to work beyond regular office hours?
• Are you prepared to plan ahead before assuming the position?
• Are you organized and respectful of others’ time?
• Are you willing to enforce rules and abide by them yourself?

The Chief Resident role may suit you if you answer most of these questions affirmatively. I will discuss my experience and responsibilities as Chief Resident in future posts.