Legal Considerations in the Remediation and Dismissal of Graduate Medical Trainees

Lefebvre, Cedric W.; Williamson, Kelly; Moffett, Peter; Cummings, Angela; Gianopulos, Beth; Winters, Elizabeth; Sokolosky, Mitchell C.

doi:10.4300/jgme-d-17-00813.1

Cited by 13 publications

(11 citation statements)

References 19 publications

(30 reference statements)

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“…The employment status of trainees is complex and has evolved over the past century. 2,3 Residents have been characterized in legal rulings as both student and employee. A 1985 ruling in Kraft v William Alanson White Psychiatric Foundation viewed residents as students and cited that there was ''no reason to distinguish post-graduate continuing education institutions that choose to have the certificate they award represent satisfactory accomplishment of professional goals'' from other ''degree-granting institutions.''…”

Section: Residents As Students and Employeesmentioning

confidence: 99%

COVID-19 and Graduate Medical Education Trainee Protections and Finances

Keneally

Frazier

Berger

2020

Journal of Graduate Medical Education

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Section: Residents As Students and Employeesmentioning

confidence: 99%

COVID-19 and Graduate Medical Education Trainee Protections and Finances

Keneally

Frazier

Berger

2020

Journal of Graduate Medical Education

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“…19 Lack of a shared understanding about expectations could lead to misunderstandings, even legal challenges, should the CCC make an adverse decision about a learner. 20…”

Section: Tasksmentioning

confidence: 99%

Better Decision-Making: Shared Mental Models and the Clinical Competency Committee

Edgar

Jones

Harsy³

et al. 2021

Journal of Graduate Medical Education

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Background Shared mental models (SMMs) help groups make better decisions. Clinical competency committees (CCCs) can benefit from the development and use of SMMs in their decision-making as a way to optimize the quality and consistency of their decisions. Objective We reviewed the use of SMMs for decision making in graduate medical education, particularly their use in CCCs. Methods In May 2020, the authors conducted a narrative review of the literature related to SMMs. This review included the SMM related to teams, team functioning, CCCs, and graduate medical education. Results The literature identified the general use of SMMs, SMMs in graduate medical education, and strategies for building SMMs into the work of the CCC. Through the use of clear communication and guidelines, and a shared understanding of goals and expectations, CCCs can make better decisions. SMMs can be applied to Milestones, resident performance, assessment, and feedback. Conclusions To ensure fair and robust decision-making, the CCC must develop and maintain SMMs through excellent communication and understanding of expectations among members.

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“…19(p14) Much existing scholarship and resources focus on resident litigation and difficulty in performance or behavior. 20,21 Articles that explore successful inclusion of disabled residents espouse the value of early disclosure and use of accommodation as potential mediators of success. 22,23 Residents with disabilities are already enrolled in training programs, 6 and the pipeline of students in undergraduate medical education 2 will soon transition to GME.…”

Section: The Gme Landscapementioning

confidence: 99%