Intermediate Resident Responsibilities
VA General Surgery
Providing first response to consultations from other services, Urgent Care and
o mid-level resident to evaluate all consultations, discuss with Chief Resident
and/or Attending and provide chart documentation;
o intern may be asked to provide first response to consultations when the mid-
level resident is otherwise occupied by clinical duties;
o the intern is not to be considered the primary responder to requests for
Daily rounds, management and oversight of the care of of all ward and ICU patients
under the direction of the Chief Resident.
Proper completion of chart work by all members of the surgical team:
o daily chart notes;
o student notes must be countersigned by house staff and have an addendum
written by house staff or a separate daily note;
o all patient's requiring follow-up must have a disposition note with additional
signature to the General Surgery Program Support Assistant (PSA), Anita
(Jeannie) Baker- this is to include discharge summaries, postoperative notes
on day stay surgery patients, and patient's seen in the emergency room or
urgent care as consults who will require clinic follow-up;
Assumption of Chief Resident responsibilities in the absence of the Chief:
o under these circumstances the intern may become the first responder to
requests for consultation.
Assisting in the operating room on Chief Resident level cases unless otherwise
Education of the intern and students with respect to policies, procedures and general
orientation to the VA.
Completion of all outstanding dictated operative reports by 0700 on the day following
the procedure (failure to do so results in delay of the following days operative cases
until dictations are completed).
Participation in Wednesday clinic unless otherwise occupied by clinical or
o supervise interns and students in this setting particularly with respect to proper
completion of CPRS notes.
Implementation of the SCIP criteria for management of surgical patients:
o appropriate antibiotics given within one hour of incision to patients
undergoing colectomy and discontinued within 24 hours from surgery end
o continuing beta-blockade for patients receiving preoperative beta-blockers;
o appropriate DVT prophylaxis;
o normothermia (T> 36C) in patients undergoing colectomy at the termination
of the procedure;
o appropriate documentation when SCIP criteria are not utilized.