PGY-4 Chief Residency

Each PGY-4 resident spends all or part of the year as a Chief Resident.  There are one or two Administrative Chiefs, as well as Chief Residencies on the Chicago Lakeshore Hospital Inpatient Unit, the Evanston/Northshore Inpatient Unit, the UCMC Consultation Service, the UCMC Emergency Service, and the Outpatient Department.  Chief Residents meet regularly with the head of the service on which they rotate, and/or with the Program Director.

patient care

Chief Residents provide supervision for junior residents and medical students in conducting interviews, evaluating and delivering care to patients

Medical Knowledge

The Chief Resident identifies, learns and teaches about areas important to delivering excellent patient care such as diagnosis, evaluation and treatment of major mental illnesses, personality disorders, substance abuse, delirium and dementia, and process issues in the management of mental health care teams.

Practice-based learning and improvement

The Chief Resident identifies benchmarks for performance in at least one area related to the focus of the Chief Residency, measures it, creates an intervention, and assesses the effect of that intervention in a QA project during the PGY-4 year.  The Chief Resident identifies problems in communication, performance, or outcome in the day-to-day work of the unit he/she supervises, assesses the contributing factors, and intervenes to ameliorate the problems on a regular basis, working with staff, residents, medical students and attending physicians.

interpersonal and communications skills

The Chief Resident

  • gives feedback to junior residents and medical students about skills, interpersonal interactions, performance
  • teaches junior residents and medical students about diagnosis, formulation, MSE, treatment planning
  • helps residents prioritize interventions
  • meets with attending physicians to discuss administrative issues 


The Chief Resident develops a sense of leadership and clinical competence, promotes excellence in teaching, and models professional behavior for junior residents and medical students.  The Chief learns to deal with interpersonal differences among subordinates and to resolve problems that arise on any busy clinical service

systems based practice

The Chief Resident learns how his/her service interfaces with other services in the hospital or the system of mental health care and addresses problems that arise at those interfaces.