Upper Levelling 101

Expectations/Responsibilities¶

As seniors, the incoming interns look to you for guidance
- Be the senior you had/wanted when you first started
Communicate with your team
- You’re the captain of your team, but you can’t steer the ship alone
Talk up, not down
- We’ve all been the July intern, no one needs to be put down or singled out
Address concerns early
- If you’re worried about something, bring it up
- This gives everyone time to fix problems before they become habits
- If you don’t know how to fix a problem, ASK
- This is what the chiefs/attendings are here for
You don’t have to be perfect
- We all mess stuff up, but you should stick up for your interns
- Don’t throw interns under the bus…. This is a TEAM
- “I’m sorry, I’m not sure what happened, but we will fix it”
PATIENCE
- Not an easy thing, this takes time
- Small sacrifices early will make the interns more independent later on
- Over the next year, you’ll see the PGY-1’s progress and you’ll be amazed

Ensure patients are distributed appropriately each day, including who will see new admissions, and a reasonable distribution of the work
Supervise and run team rounds with attending support
“Task Master”, keep the team moving, keep notes on important tasks
Run list and ensure orders, consults, and discharges are complete
Ensure interns are completing all assigned duties and aid with direct care duties (i.e., calling consults, arranging discharges, updating list)
Perform sign out on long call days
Assist with teaching the medical student(s) and/or making time in the day for teaching (More on this later)
Ensure all notes and tasks are complete, prepare list for handoff