Overview

The start of your PGY-1 or internship year is a time of considerable excitement. Undoubtedly you have been looking forward to obtaining advanced clinical training in your chosen specialty. This period of professional growth is unique by virtue of the especially intense demands and responsibilities that are placed on each individual. It is important that you start off well on this vital new adventure. To do so, you need to make a smooth transition from (medical) student to doctor (albeit one who is in training).

To facilitate this transition in your status, it is essential at the outset to be familiar with (a) a resident's professional goals, (b) the position of the various members of the treatment team, (c) your relationship with the ancillary staff, (d) how best to resolve professional conflicts that may arise during training, (e) the benefits of time management, (f) responsibilities relative to covering for other doctors, (g) issues concerning securing personal time off, and (h) the question of moonlighting. These eight important topics will be discussed in this chapter. Together with the next one, it should help you be better prepared for the challenges that lie ahead.

Residency goals

There are a number of goals that a resident should bear in mind as their training proceeds. These goals can be placed into two categories.

1. The resident as an apprentice. In this capacity you should seek to

• Always have the best interests of your patients in mind as your highest priority.

• Strive intently to master essential diagnostic skills by gaining expertise in the art of performing a work-up, to facilitate arriving at a meaningful preliminary diagnosis.

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