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Igor Grant, MD; Walter Dorus, MD; Thomas McGlashan, MD; Samuel Perry, MD; Roger Sherman, MD

Arch Gen Psychiatry. 1974;30(4):503-507.

Abstract
The attitudes of five academic psychiatric residency programs toward the job of the chief resident were studied. Both faculty and residents agreed that the job was an important one, though the specific reasons varied from program to program. Despite local differences, analysis of the data revealed that the importance of the chief residency was found to be due to a set of circumstances that were generally true in each program.

These involved the responsibility of advising and influencing both younger, less experienced residents and older faculty members. The chief residency was also seen as a position which involved a balancing of demands and rewards and required living with uncertain consequences, divided loyalties, and at times unsolvable ambiguity. Nevertheless, it was clearly experienced as an unique opportunity for teaching and personal growth.

Author Affiliations
La Jolla, Calif; Chicago; Bethesda, Md; New York; Cleveland

Footnotes
Accepted for publication July 5, 1973.

This project was carried out while all the authors were chief residents in psychiatry at Columbia University College of Physicians and Surgeons, New York (Dr. Perry); Johns Hopkins University School of Medicine, Baltimore (Dr. Sherman); Massachussetts Mental Health Center, Boston (Dr. McGlashan); the University of Pennsylvania School of Medicine, Philadelphia (Dr. Grant); and the Pritzker School of Medicine, University of Chicago (Dr. Dorus). Dr. Grant is currently at the Department of Psychiatry, University of California, San Diego, Calif, and the Veterans Administration, San Diego, Calif; Dr. McGlashan is with the Psychiatric Assessment Section, Adult Psychiatry Branch, National Institute of Mental Health, Bethesda, Md; Dr. Perry is now at the Department of Psychiatry, Columbia Presbyterian Hospital, and in the private practice of psychiatry in New York; and Dr. Sherman is with the Department of Psychiatry, Case Western Reserve, Cleveland, and in the private practice of psychiatry in Mentor, Ohio.

Reprint requests to the Department of Psychiatry, University of California, San Diego, CA, PO Box 109, La Jolla, CA 92037 (Dr. Grant).

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