Responsibility for patient care continues to increase and in some rotations the fourth-year resident reports directly to the chief residents and attending staff. Even in instances that involve the fifth-year as Chief Resident, the fourth-year will have specific clinical responsibilities that allow for functioning as the supervising resident. Residents become more actively involved in the development of treatment plans for both out- and in-patients, while moving into the roles of primary surgeon and first assistant in the operating room.
PGY-4 Residents Should Demonstrate The Ability To
- Continue to develop knowledge and skills necessary for the complete management of common problems in orthopaedic while managing most common problems with minimal assistance.
- Continue developing a working knowledge of the core competencies and complete the assigned curriculum in each area.
- Develop knowledge and skills necessary to function as a team leader for both adult and pediatric patients.
- Satisfactory performance as a teacher of junior residents and medical students (receives acceptable feedback from students and peers).
- Outline key professionalism principles as presented in the College's "Code of Professional Conduct" and apply it to everyday caring for patients.
- Understand system based issues that will better prepare them to manage finances after residency.
- Ability to effectively communicate with patients about surgical errors and adverse outcomes and incorporate the critical elements of a disclosure conversation in their practice to provide optimum patient care.
- Continue life-long habits of self-assessment, self-directed learning and reflection upon what has been learned to consciously change behaviors and practices that can improve patient care.