The Intern At Work: Internal Medicine All about the Transition from Junior to Senior Resident
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Oct 12, 2025 Join Valerie Kim, a PGY4 internal medicine resident and chief medical resident at Toronto Western Hospital, as she shares insights on transitioning from junior to senior resident. Valerie discusses the evolving responsibilities that come with seniority, including team oversight and educational roles. She offers practical strategies for preparation, like developing efficiency and decision-making skills. The duo also explores innovative educational initiatives like Transition Rounds, which help combat anxiety and enhance peer learning through simulations.
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Senior Role Is A Different Mindset
- The senior medical resident role demands a different mindset and many hats early in training.
- SMRs oversee care, triage consults, teach, and respond to emergencies across the hospital.
From A Few Patients To The Whole Team
- Valerie Kim described switching from focusing on a few assigned patients to owning an entire team and list of 15–20 patients.
- She learned managerial and teaching tasks not taught in medical school and often questioned if she was doing it right.
Prepare Early And Intentionally
- Start preparing mid-PGY1 by building efficiency and autonomous decision-making skills.
- Practice leading family meetings and procedural opportunities to ease the senior transition.