justhat
<font color=teal>DC DISer<br><font color=red>pick
- Joined
- Oct 22, 2002
- Messages
- 7,449
Depends on the residency program. It is up to the discretion of the Residency Director how they want to fill the Chief Residency position.
DH is a Residency Director and his Chief Residents are voted on by all the other residents and attendings. He only gets one vote just like the others and often he does not get the resident that he would have chosen for the position but that is life.
Other programs it is strictly the Residency Director who chooses them.
I guess it depends on what you call most "promising".
Chief Residents are usually picked for a variety of reasons, not necessarily for their intellectual ability or surgical/diagnostic skills. Usually they are picked for their organizational skills, teaching ability and ability to work well with others.
Chief Resident is an administrative position primarily. They make the on call schedules for the residents, field complaints about other residents, do the paperwork, find replacements for sick residents etc.
This was basically true where my husband did his residency as well. Every student had a vote, but faculty only voted if one of the people they wanted wasn't picked. They, ultimately, could override the vote if need be, but usually that didn't happen as the other residents usually chose a good person.
The other perk to it, besides setting your own schedule for the year, is that it looks good on your resume. Also, for my husband's hospital anyway, they had "clinical days" as chief, where they had to go into work, but didn't have any scheduled cases. So kinda like a day off more or less. Still had to be there all day, but not in the ORs.