JUNIOR RESIDENTS (R1,R2) JOB DESCRIPTION
1- DEPARTMENT: Internal Medicine
2- ORGANIZATIONAL RELATIONSHIPS:JOB SUMMARY
A- Reports to: Consultants (Proctors) and Program Director at thecentre.
B- Responsible for:Junior colleagues as assigned.
3-JOB SUMMARY:
They will carry out the assignments, under supervision as prescribed in Saudi Council Training Program for Internal Medicine for each level.
4- DUTIES AND RESPONSIBILITIES
Each patient admitted to the medical service will be assigned to an R1. His responsibilities include the following:
A- Perform detailed “History & Physical”, make provisional diagnosis plus the differential diagnosis, and compile a “Problem List”. These entries, separate from Interns’, are the proof of junior resident’s involvement in patient care.
B- Write diagnostic tests and the plan of mangement in order of priority.
C- Search the computer or find out, document and follow up the results of investigations (routine or emergency), and inform the senior resident about abnormal results.
D- Discuss the findings and management plan with the senior resident.
E- Write and sign all “Physicians’ Orders”.
F- Write “Admission Summary”. This must include reason(s) for admission; clinical problems base on physical findings; priorities for diagnostic testand treatment plan and their rationale.
G- Present cases to senior residents and consultants and write (at least daily) adequate catreast daily “Progress notes”: i.e. concise, accurate, timely, informative and reflect discussions and decisions taken by the group.
NB: “Physicians’ Orders” are no substitute for “Progress notes”.
H- Participate on emergency call and other duties as assigned.
I- Assist in performing the required procedures, write the notes for those he has performed and get them corrected by either the Consultant-in-charge or his proctor.
J- Discuss patients’ condition and management plan with relatives, and obtain valid “Consent Form” as required.
K- Obtain consultations when required. As much as possible to present the case to the requested consultant, and enter his opinion in “Physicians’ Orders”.
M- Prepare detailed “Medical Report” for referral cases.
N- Participate actively in medical Audit as assigned.
O- Assist at Cardio-Pulmonary Resuscitation.
P- Write “Discharge Summary” and get it approved by the senior resident.
Q- Endorse all patients to the next junior resident on call.
R- Participate actively in the OPD and assist the senior resident or consultant in smooth conduct of OPD.
S- Participate in daily functioning of the ward so as to master basic skills including insertion I.V. line, obtaining ABGs, accompany patients to radiology for invasive procedures, etc.
T- Accompany patients by amblunse to other hospital or facilities when needed.
5- MINIMUM REQUIREMNTS
A- Education / Qualifications: MBBS and satisfactory completion of one year internship.
B- Professional Experience: Registration for Saudi Council Training program in Internal Medicine.
C- Condition:This job description is subject to periodic review and can be changed at any time in consultation with the employee.
SENIOR RESIDENTS (R3-R4) JOBDESCRIPTION
1- DEPARTMENT: Internal Medicine
2- ORGANIZATIONAL RELATIONSHIPS:
A- Reports to: Consultants (Proctors) and Program Director at the centre.
B- Responsible for: Junior resident and interns as assigned.
3- BASIC FUNCTION (JOB SUMMARY)
They will carry out the assignments, under supervision as prescribed in Saudi Council Training Program for Internal Medicine for each level.
4- DUTIES AND RESPONSIBILITIES
A- Examine all patients admitted to the Unit.
B- Review junior residents’ “History & Physical”, provisional diagnosis, investigation and treatment plan and counter sign to document his approval.
C- Supervise junior residents’ patient care and invasive procedures.
D- Check “Physicians’ Orders” written by junior residents and ensure their accuracy and implementation, and counter-sign as required.
E- Help junior residents in various clinical presentations.
F- Participate actively in discussions with the consultant(s) during ward rounds.
G- Check, correct, approve and counter sign “Discharge summaries” and “Medical Reports” written by junior residents.
H- Help to teach interns and Medical Students the principle of Internal Medicine.
I- Perform the required procedure, write the notes of procedures he has done and get them corrected by the Consultant-in-charge or his proctor.
J- Participate in Emergency duty and perform other asigned professional duties.
K- Endorse all patients to the next senior resident on call.
L- Participate actively in Medical Audit without waiting to be told, and document decisions taken by the group.
M- Become involved in Cardiopulmonary resuscitation.
N- Participate in research and produce at least one paper for publication.
O- Assume clinical responsibilities of junior residents when none is on the Unit.
P- Assume professional responsibilites for R5 in addition to his own when there is no R5 in ward.
5- MINIMUM REQUIREMENT
A- Education / Qualifications: MBBS and satisfactory completion of one year internship.
B- Professional Experience:
i- Registration for Saudi Council Training program in Internal Medicine.
ii- Completion of Junior Residency
iii- Passing Saudi Council Part I Examination
