Transitions

April 4, 2012

When did transition start?

• When named as chiefs, but actual transition started in June 2011
• Schedule change started in December.
• Internal self transition happened when nominated.

Who is responsible for the transition?

• Sitting chiefs
• Program office (PD, APDs)
• Administrative staff

What should they provide?

• Operational details
• Knowledge base of people
• How to run a morning report
• Conflict management, how to deal with people, relationships
• Advocate for residents, staff
• Consult on cases

What worked last year?

• Coaching on morning report
• Share all e-mails with the group
• Treat everyone equally
• Put us on alert
• Smooth hand-off of people with issues

What could be more effective?

• Meet ahead of time
• Passing of the torch at Emelia’s house
• Start positive
• Personnel discussions
• Separate venting from productive discussions
• Use APDIM to help with transition
• Rotations in leadership for 3rd year residents
• Remember it’s a process
• Rising chiefs make the holiday schedule in 3rd year
• Split recruitment dinners among different cohorts of chiefs