Streamline rounds while fostering inclusivity and collaboration. Encourage PGY-3 residents to take on the role of "Attending for a day" to develop leadership skills.
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Teach residents how to delegate tasks effectively while maintaining accountability for patient care and team performance.
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Review personal frameworks for prioritizing tasks and making evidencebased decisions in real-time clinical scenarios.
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Teach residents the skill of gradually "letting go" of their interns' and students' hands as these trainees grow and enhance their own skills.
Effective team leadership in inpatient medicine requires a balance of clinical knowledge, communication skills, and the ability to make quick, informed decisions. By providing residents with opportunities to lead rounds and practice decision-making, we can help them develop these crucial skills in a supportive environment.
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Implement the Ask-Tell-Ask model for clear and targeted feedback:
Ask the recipient for their self-assessment
Tell them your feedback
Ask for their thoughts and next steps
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Ask: "How do you feel about completing tasks on time?"
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Utilize quick, meaningful coaching moments on a busy inpatient service. This approach helps address immediate challenges while reinforcing good leadership practices.
Tell: "I've noticed some delays in your task completion, like unfinished patient notes. Improving time management could help."
Ask: "What strategies might help you manage tasks better? How can I support you?"
Action Plan: provide concrete tools/steps to enhance organization/prioritization.
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Situation: A senior resident is struggling to manage a disorganized team. Micro-Coaching Moment: “Trysetting expectationsatthestartofrounds—maybeassignrolesforfollow-upsandprioritizetasksbeforemovingontothenext patient.”
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Teaching prioritization and time management to a medical team is essential for optimizing patient care, enhancing efficiency, and preventing burnout. As an attending physician in internal medicine, you can empower your team to manage workloads effectively, meet critical deadlines, and maintain a healthy work-life balance—ultimately boosting performance and well-being.
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Time-sensitive priorities that require immediate attention:
Addressing change in clinical acuity
New admissions
Urgent consults
Important but less urgent responsibilities:
Patient counseling
Teaching prep
Documentation updates
Long-term growth opportunities that can be planned:
Mentor a student presentation
Long-term research projects
Quality improvement initiatives
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Encourage residents to reflect on their current skills, interests, and experiences.
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Help residents identify achievable objectives for their current rotation or academic year.
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Provide global insight and guidance to support their long term career vision.
Take a moment during the block to discuss career goals and plans with your residents. This regular check-in helps keep their professional development on track and allows for timely adjustments to their career strategies. Encourage residents to seek out mentors in their areas of interest, actively engage in networking opportunities, and check in routinely with their assigned resident advisors.
Dr. Kochar Serves as the Wellbeing Champion for the MSH Internal Medicine Residency and has almost a decade of experience working as a hospitalist. Th«lÐlg Th«¼gh ·he Wl·e« M·h¯
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Recognize that the winter season brings unique obstacles like high patient census, high patient turnover, residents missing loved ones, and cold weather. Approach these with empathy and proactivity.
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Empower your team to leave on time, use Epic statuses to disconnect, and engage in rejuvenating personal activities. Model a healthy work-life integration.
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Encourage regular breaks, proper hydration, and other self-care habits to keep your team energized and resilient.
If you have any concerns about a trainee on your service, do not hesitate to your local UME/GME leadership for guidance and support. Clc} BeÑ f« M«e Wee¯¯ Re¯¼«ce¯ Wellness Resources
