Friday, April 27, 2012

Residents, Fellows and Attendings - The physician Hierarchy

New York Nursing Schools - Residents, Fellows and Attendings - The physician Hierarchy
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Today's tip answers the following three questions. (1) What is a resident? (2) What is a fellow? and (3) What is an attending physician?

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(1) A resident is a physician who's beginning their post graduate training after curative school. Depending upon the type of residency that they're in, that will determine the whole of years that they must spend in post graduate training. For example, a medial resident spends three years of added training after curative school. An obstetrician/gynecologist spends four years of added training. There are some surgeons and sub-surgical specialties that spend in any place from five to seven years in post graduate training.

(2) Now, beyond that there is something also known as a fellow. A fellow is a physician who goes beyond their typical improbable residency training into a subspecialty that allows them to regain a specialized certificate in the area that they're focusing on. Here's an example; a physician finishes curative school after four years. They then go on to do residency training in obstetrics and gynecology. That's someone else four years. Then they do a fellowship in hi-risk obstetrics, also known as maternal-fetal medicine. That could be someone else one to two years. Finally, after all that training they will have moved up to an attending physician.

(3) Okay, now what does it mean when a physician is an attending physician? It means that they have graduated curative school. They have graduated and completed their residency training and now have applied and obtained privileges to see and treat patients in the hospital. Sometimes they're employed by the hospital. Sometimes they are hidden doctors who have offices outside of the hospital, but because of their attending privileges are allowed to see, treat and operate on patients in the hospital.

So those are the definitions of what is a resident, what is a fellow and what is an attending physician.

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