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Acad Psychiatry 31:270-276, July-August 2007
doi: 10.1176/appi.ap.31.4.270
© 2007 Academic Psychiatry
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Current Perspectives on Chief Residents in Psychiatry

Christopher H. Warner, M.D., James Rachal, M.D., Jill Breitbach, Psy.D., Michael Higgins, M.D., Carolynn Warner, M.D. and William Bobo, M.D.

Received May 20, 2006; revised October 29, 2006; accepted November 8, 2006. Dr. Warner is affiliated with the Third Infantry Division, Fort Stewart, Georgia, and the Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin. Dr. Rachal is affiliated with the Department of Psychiatry, Ehrling Berquist Air Force Hospital, Offutt Air Force Base, Nebraska. Dr. Breitbach is affiliated with the Department of Psychology, Womack Army Medical Center, Fort Bragg, North Carolina. Dr. Higgins is Chief of Medical Staff, 436th Medical Group, Dover Air Force Base, Delaware. Dr. Warner is affiliated with the Department of Family Practice, Winn Army Community Hospital, Fort Stewart, Georgia. Dr. Bobo is affiliated with the Department of Psychiatry, Uniformed Services University, Bethesda, Maryland. Address correspondence to Dr. Warner, Winn Army Hospital, Department of Psychiatry, 373 Steeple Chase Lane, Richmond Hill, GA 31324; christopher.h.warner{at}us.army.mil (e-mail).

OBJECTIVE: The authors examine qualitative data from outgoing chief residents in psychiatry from the 2004–2005 academic year to 1) determine common characteristics between programs, 2) examine the residents’ perspectives on their experiences, and 3) determine their common leadership qualities. METHOD: The authors sent out self-report surveys via e-mail to 89 outgoing chief residents who attended the APA/Lilly Chief Resident Executive Leadership Program. RESULTS: Fifty-three (60%) chief residents responded. Although most chief residents are senior residents, over 20% are in their third postgraduate year. Two-thirds of programs have more than one chief resident each year. Most chief residents believe that their "participating" leadership style, existing leadership skills, and interpersonal skills contributed to their overall positive experiences. CONCLUSIONS: Successfully performing duties as a chief resident entails functioning in a variety of roles and demands attention to leadership qualities of the individual. Developing existing leadership skills, clarifying expectations, and providing mentorship to chief residents will ensure successful transition into practice, and the advancement of the field of psychiatry.




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