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. 2007 Dec;22(12):1771-4.
doi: 10.1007/s11606-007-0425-8. Epub 2007 Oct 17.

Middle manager role of the chief medical resident: an organizational psychologist's perspective

David Nelson Berg  1 , Stephen Joseph Huot
Affiliations

Middle manager role of the chief medical resident: an organizational psychologist's perspective

David Nelson Berg et al. J Gen Intern Med. 2007 Dec.

Abstract

The role of the chief resident in internal medicine is examined through the eyes of an organizational psychologist who, over a 3-year period, met with each of 6 groups of chief residents for an average of 1 hour a week over the 12 months of the job. Based on this experience, the chief resident job is conceptualized as a middle management role with 4 distinct types of tasks: up work, down work, lateral work, and internal work. Core challenges facing the chief residents at each stage of the chief resident year are also identified. The paper concludes with a description of "lessons" learned in 5 areas (sliding up or sliding down, losing contact, splitting, scapegoating, and losing sight of the system) for improving the effectiveness of the chief resident role.

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