# Resident Role, Rotation & Situation Recipes

These recipes change prompts and review requirements, never authority. The current human-supplied task-level supervision matrix and local policy always control.

## Intern or early resident

- Start every clinical preparation with the most conservative current supervision status.
- Display the accountable attending or supervisor and required notification.
- Use AI for orientation, generic learning, synthetic practice, question preparation, and private life support.
- Block any output that assumes independent diagnosis, procedure, discharge, consult closure, or clinical release.
- Recommended first powers: Rotation & Call Readiness; Duty-Hours & Safe Transport; Synthetic Reasoning; Graduated Responsibility Compass.

## Advancing resident

- Bind authority to the exact specialty, rotation, site, task, patient context, and date.
- Recheck when responsibility, acuity, staffing, source, policy, or service changes.
- Keep independent reasoning visible before reviewing an agent output.
- Recommended first powers: Evidence & Uncertainty; Supervision-Aware Orchestration; Consult & Closed Loop; Feedback & Development.

## Senior or team-lead resident

- Show the attending's continuing accountability and the exact delegated coordination role.
- Separate teaching, coordination, supervision, evaluation, and patient-care hats.
- Do not infer authority over learners, peers, staffing, personnel, quality, data, or research.
- Recommended first powers: Care Orchestration; Handoff Reliability; Teaching Studio; Quality & Safety Lab.

## Chief resident

- Declare `chief_clinical` or `chief_administrative` on every artifact.
- Scheduling or administrative access cannot be used for clinical, personnel, evaluation, health, duty-surveillance, research, or data decisions without separate authority.
- Never expose individual wellbeing, fatigue, finance, family, or private-life data to administrative views.
- Recommended first powers: Conflict & Psychological Safety; Quality & Implementation; Agent Registry; Career & Leadership.

## Off-service, visiting, cross-cover, night-float, or new site

- Invalidate the prior supervision and source receipt.
- Verify the new service, attending, escalation route, official sign-out process, procedures, policies, and required communication.
- Use CIRCLE only as synthetic rehearsal in Private mode or as a governed draft in an approved system.
- Missing sender, receiver, accountable attending, source, or acceptance is a blocker.

## Education, teaching, and learner support

- Keep learner support separate from formal assessment.
- Use synthetic or fully governed cases, current sources, accessible materials, and faculty review.
- Do not grade, rank, clinically clear, write deceptive recommendations, or infer competence.
- Disclose material AI assistance as required and protect copyright, case privacy, and team credit.

## Quality, patient safety, and M&M

- Route active safety concerns and official reporting first.
- Require sponsor, charter, current human QI or research determination, data permission, and clinical and operational owners.
- Use central institutional systems and just-culture systems learning. Do not create a personal event file, assign blame, decide reportability, or conduct disclosure.
- Use approved aggregate or properly deidentified data, operational definitions, provenance, equity, balancing, and burden measures.

## Research and scholarship

- Require principal investigator and current IRB or HRPP, data, privacy, security, methods, authorship, and release states as applicable.
- AI never determines exempt status, eligibility, consent sufficiency, authorship, or statistical truth.
- Preserve null, adverse, and partial results, limitations, exact contribution, team credit, and AI disclosure.

## Fellowship, job, moonlighting, contract, and transition

- Verify official requirements and distinguish fact, estimate, inference, and question.
- Include duty, program permission, licensure, visa or immigration, malpractice, benefits, recovery, geography, family, and legal or financial review as applicable.
- Never optimize work to a maximum, invent achievements, promise a match, decide legal rights, or transact.

## Capacity, fatigue, health, and life

- Take self-described concern seriously without diagnosis or a fitness determination.
- Shift to Minimum Mode, prepare a human relief or support route, protect recovery and transport, and hand immediate patient duty to authorized humans.
- Keep health, fatigue, recovery, family, finance, relationship, and purpose data Private and outside program analytics.

## Agent-management recipe

1. Choose one bounded, low-risk objective.
2. Name the resident owner, beneficiary, human decision owner, and non-goals.
3. Assign P0–P4; treat P5 as permanently prohibited.
4. Restrict data, tools, destination, time, cost, depth, retention, and expiry.
5. Preview exact behavior; test synthetic and failure cases; inspect sources and injection risk.
6. Authorize one run, not an open-ended role.
7. Review independently, accept or reject, and require the correct human release.
8. Record the receipt; purge or expire; pause and roll back on error.
