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Coleadership Among Chief Residents: Exploration of Experiences Across Specialties
Journal article   Open access   Peer reviewed

Coleadership Among Chief Residents: Exploration of Experiences Across Specialties

Jeffrey E. Pettit
Journal of graduate medical education, Vol.7(2), pp.203-207
06/01/2015
DOI: 10.4300/JGME-D-14-00298.1
PMCID: PMC4512790
PMID: 26221435
url
https://europepmc.org/articles/pmc4512790View
Published (Version of record) Open Access

Abstract

BACKGROUND: Many departments have multiple chief residents. How these coleaders relate to each other could affect their performance, the residency program, and the department.SCOPUS_ABS_SEPARATOROBJECTIVE: This article reports on how co-chiefs work together during the chief year, and what may allow them to be more effective coleaders.SCOPUS_ABS_SEPARATORMETHODS: A phenomenological research design was used to investigate experiences of outgoing chief residents from 13 specialties at the University of Iowa Hospitals and Clinics over a 2-year period from 2012 through 2013. Thematic analysis of semistructured interviews was conducted to investigate commonalities and recommendations.SCOPUS_ABS_SEPARATORRESULTS: Face-to-face interviews with 19 chief residents from 13 different specialties identified experiences that helped co-chiefs work effectively with each other in orienting new co-chiefs, setting goals and expectations, making decisions, managing interpersonal conflict, leadership styles, communicating, working with program directors, and providing evaluations and feedback. Although the interviewed chief residents received guidance on how to be an effective chief resident, none had been given advice on how to effectively work with a co-chief, and 26% (5 of 19) of the respondents reported having an ineffective working relationship with their co-chief.SCOPUS_ABS_SEPARATORCONCLUSIONS: Chief residents often colead in carrying out their multiple functions. To successfully function in a multichief environment, chief residents may benefit from a formal co-orientation in which they discuss goals and expectations, agree on a decision-making process, understand each other's leadership style, and receive feedback on their efficacy as leaders.
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