Clinical Responsibilities

Education in clinical medicine is gained by the opportunity and responsibilities of patient care activities. Residents learn by taking care of ill patients. This requires some understanding of the opportunities and “ground rules”. It is to be recognized that patient care activities are part of the educational activities and part of the requirements of employment for which residents are paid. While on the neurosurgical service residents are expected:

  1. To participate in daily patient ward rounds
  2. To take an active part in the day-to-day management of patients, under the supervision of senior residents and/or staff.
  3. To admit elective patients, discuss with senior resident or staff, and follow these patients’ in-hospital course.
  4. To participate in surgical procedures as designated during regular OR time.
  5. To ensure proper communication of patient care issues and follow-up to medical and paramedical colleagues.
  6. To plan and help coordinate patient discharges/follow-up/transfers.
  7. To attend weekly rounds and seminars.
  8. To ensure that service work does not conflict with scheduled academic activities or medical school seminars and teaching sessions.
  9. To ensure continuity of learning and continuity of care, residents who admit cases should scrub on the case and should assume responsibility for postoperative management. On weekend change over continuity should be arranged by a combined “change over round”.
  10. Each attending staff makes rounds on his patients at some time throughout the day, but because of the nature of clinical practice, this may not occur at a regular time. Residents should take the opportunity to go on round with attending staff when able, particularly on weekends on call with a the coveirng attending, to use this opportunity to ask questions and draw out an exchange of ideas.