- STR -


"The more you do stuff, the better you get at dealing with how you still fail at it a lot of the time.

- John Mulaney


Senior Teaching Resident (STR) is a core PGY4 rotation for the purposes of cultivating your blade of imparting knowledge effectively to your peers. During this rotation, you will teach residents both medical students and residents, observe and give feedback on sign outs, and ultimately receive feedback, sharpening those skills required to be a facilitator of knowledge. Everything below is adapted from the memo below. Please refer to it for the core file - everything on this page is not comprehensive of expectation, but rather convenient highlights of the rotation. Read the memo.


Save yourself a headache. Start on time. Start ready.

1. Meet with Dr. Amin

Schedule an e-mail with Dr. Amin ~1 week prior to your rotation for guidance and expectations.

2. Map Out Your Sessions

Get an idea for the number of Noon Conference and when you're M&M may be. Note: One Operational and One Journal Club is required. 

3. Coordinate with Juniors

Determine which dates juniors want to support with Noon Conference and gather the cases early. Juniors can be found on the Google Calendar.

4. Morbidity and Mortality

If not already done, determine your M&M case from the Patient Safety Representative lead.

Weekly Readings

Part of learning how to teach a learning population will need to be good primers and tools. These knowledge tools below will help guide your understanding of how other achieve understand. Very meta, but very worth it. Below healivy based on the Clinical-Educator's Handbook (CEH), as linked below in it entirety.

Week 1

Prime yourself to the philosophy and the language of teaching.

CEH is Clinical Educator's Handbook

Week 2

Tailor the talk to the smaller grouped audience, and know how to have positive control of the conversation

Week 3

Know the difference between inpatient learners and outpatient learners. Know how to cultivate curiosity.

Week 4

Find the power in handouts and what the next steps are for your future endeavors of teaching.



The beating heart of your rotation, and for some, the exposure therapy for public speaking. The sessions and juniors involved in helping you can be found on the Google Calendar. Avoid PowerPoints. Empathize with those sitting in those seats.

Be sure to:

  1. Announce to the residency where Noon Conference will be, or if there is no Noon Conference.

  2. Provide ahead of time any hand-outs.

  3. Coordinate with KMOs to ensure IT support.

  4. Ask for feedback, as per the link below.


You are asked to improve the quality of hand-off and learn how to give feedback to others. This is the PCLS and 7W hand-offs. 

Be sure to:

  1. Document and report your iPASS evaluations to the hospital (link only works for Government Computers)

  2. Give individual verbal feedback to trainees using MedHub as per below.



For a complete evaluation of your rotation, please send the MedHub eval forms to PD, APDs, and Dr. Hines no-later-than 3 days prior to the end of the rotation.

What you're evaluated on: 

  • The resident displayed punctuality, came prepared for each session, and demonstrates reading the requirements outlined in the STR memorandum.

  • The resident sought feedback from peers and mentors, and showed improvement over the course of the STR rotation.

  • The senior teaching resident displayed mastery of subject content and application of adult learning theory concepts.

  • The resident displayed control of the session(s), effective information exchange, sensitive and respectful use of language and non-verbal behaviors.

  • The resident shows awareness of highlighting system specific patient- care concepts, cost/value conscious teaching and care.

  • Overall areas for improvement.