Association of Characteristics, Deficits, and Outcomes of Residents Placed on Probation at One Institution, 2002–2012

Guerrasio, Jeannette; Brooks, Elizabeth; Rumack, Carol M.; Christensen, Alicia; Aagaard, Eva

doi:10.1097/acm.0000000000000879

Cited by 25 publications

(18 citation statements)

References 13 publications

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“…Marriage and time off between medical school and residency were shown to be associated with a higher likelihood of encountering difficulty during training. 9 A further finding was that nontransfer residents were more likely to encounter difficulty than transfer residents, which is contradictory to findings in the existing literature. 9 Transfer residents are those who begin residency training in one specialty and decide that they have not made the right choice.…”

Section: Discussioncontrasting

confidence: 56%

“…9 A further finding was that nontransfer residents were more likely to encounter difficulty than transfer residents, which is contradictory to findings in the existing literature. 9 Transfer residents are those who begin residency training in one specialty and decide that they have not made the right choice. These residents will have undergone varying lengths of training in another specialty before they switch to family medicine.…”

Section: Discussioncontrasting

confidence: 56%

“…6,7 Identification of common factors among residents in difficulty may aid in earlier detection of residents in need of additional support. While this has not been an active area of research, some published literature suggests that trainees who are older, 5,6,8,9 international medical graduates (IMGs), 5,8,9 or who have transferred from another residency training program, 9 may be more likely to encounter difficulty in their training than their respective counterparts. Other research identified location of training, 3,8 and sex of trainees 8,9 as risk factors for encountering difficulty.…”

mentioning

confidence: 99%

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Common Factors Among Family Medicine Residents Who Encounter Difficulty

Binczyk

Бабенко

Schipper

et al. 2018

Fam Med

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Background and Objectives: Residents in difficulty are costly to programs in both time and resources, and encountering difficulty can be emotionally harmful to residents. Approximately 10% of residents will encounter difficulty at some point in training. While there have been several studies looking at common factors among residents who encounter difficulty, some of the findings are inconsistent. The objective of this study was to determine whether there are common factors among the residents who encounter difficulty during training in a large Canadian family medicine residency program. Methods: Secondary data analysis was performed on archived resident files from a Canadian family medicine residency program. Residents who commenced an urban family medicine residency program between the years of 2006 and 2014 were included in the study. Results: Five hundred nine family medicine residents were included in data analysis. Residents older than 30 years were 2.33 times (95% CI: 1.27-4.26) more likely to encounter difficulty than residents aged 30 years or younger. Nontransfer residents were 8.85 times (95% CI: 1.17-66.67) more likely to encounter difficulty than transfer residents. The effects of sex, training site, international medical graduate status, and rotation order on the likelihood of encountering difficulty were nonsignificant. Conclusions: Older and nontransfer residents may be facing unique circumstances and may benefit from additional support from the program.

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Section: Discussioncontrasting

confidence: 56%

Section: Discussioncontrasting

confidence: 56%

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confidence: 99%

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Common Factors Among Family Medicine Residents Who Encounter Difficulty

Binczyk

Бабенко

Schipper

et al. 2018

Fam Med

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“…7,8 A better understanding of the types of deficits leading to failure and the development of robust remediation protocols for these areas may improve the success of learner remediation. Unfortunately, failing performance is often identified late, 9 and remediation involves simply having the student do more of the same types of experiences. 10 Earlier intervention and remediation targeted to specific areas of deficit may be more successful.…”

Section: Introductionmentioning

confidence: 99%

“…difficult to remediate, 6 and are associated with future disciplinary action by medical boards, 5 we also sought to better understand the frequency with which these types of behavior occurred. In addition, given prior studies suggesting differences between male and female learners with difficulties, 6,9 we also examined the areas of critical deficiency by gender.…”

Section: Introductionmentioning

confidence: 99%

Describing Failure in a Clinical Clerkship: Implications for Identification, Assessment and Remediation for Struggling Learners

2016

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BACKGROUND: In addition to training future members of the profession, medical schools perform the critical role of identifying students who are failing to meet minimum standards in core competencies. OBJECTIVE: To better understand reasons for failure in an internal medicine clerkship. DESIGN: A qualitative content analysis of letters describing reasons for students' failure. PARTICIPANTS: Forty-three students (31 men) who failed the internal medicine clerkship at the University of Minnesota Medical School, 2002. APPROACH: We conducted a qualitative content analysis of the 43 letters describing reasons for students' failure. We coded critical deficiencies and mapped them to the Physician Competency Reference Set (PCRS) competency domains and classified them into two categories: conduct (unprofessional behaviors) and knowledge and skills specific to the practice of medicine. We then calculated the frequency of each critical deficiency. We statistically tested for relationships between gender and critical deficiencies in each of the competency domains. KEY RESULTS: We coded 50 critical deficiencies with all codes mapping to a PCRS competency domain. The most frequently cited deficiencies were Binsufficient knowledge( 79 % of students) and Binadequate patient presentation skills^(74 %). Students exhibited critical deficiencies in all eight competency domains, with the highest concentrations in Knowledge for Practice (98 %) and Interpersonal and Communication Skills (91 %). All students demonstrated deficiencies in multiple competencies, with 98 % having deficiencies in three or more. All 43 students demonstrated deficits in the knowledge and skills category, and 81 % had concurrent conduct issues. There were no statistically significant relationships between gender and critical deficiencies in any competency domain. CONCLUSIONS: This study highlights both the diversity and commonality of reasons that students fail a clinical clerkship. Knowing the range of areas where students struggle, as well as the most likely areas of difficulty, may aid faculty in identifying students who are failing and in developing remediation strategies.

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The View from the Office of the Designated Institutional Officer (DIO), Washington University in St. Louis

McAlister,

Wise,

Traxel

et al. 2023

Remediation in Medical Education

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Association of Characteristics, Deficits, and Outcomes of Residents Placed on Probation at One Institution, 2002–2012

Abstract: Further research is needed to understand these associations and to determine whether changes in curricula or remediation programs may alter these outcomes.

Cited by 25 publications

References 13 publications

Common Factors Among Family Medicine Residents Who Encounter Difficulty

Common Factors Among Family Medicine Residents Who Encounter Difficulty

Describing Failure in a Clinical Clerkship: Implications for Identification, Assessment and Remediation for Struggling Learners

The View from the Office of the Designated Institutional Officer (DIO), Washington University in St. Louis

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