Resident Remediation, Probation, and Dismissal Basic Considerations for Program Directors

Domen, Ronald E.

doi:10.1309/ajcpsnpap5r5nhus

Cited by 31 publications

(35 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Behavior is seen as measurable, and if behavior of a medical student is judged as unprofessional, remediation is applied. This often involves identifying behavior, discussing behavior, developing a remediation plan, monitoring compliance to the remediation plan and sometimes includes probation, or the dismissal of the student (Domen 2014;Irby and Hamstra 2016;Barnhoorn et al 2017). From the attitude-based perspective, the goal of medical education is fostering the virtues and values needed for good medical practice.…”

Section: Discussionmentioning

confidence: 99%

“…Despite calls for comprehensive research in this area, little is still known about best practices in remediation (Hauer et al 2009;Papadakis et al 2012;Ziring et al 2015). Some individual medical schools have published their procedures for identifying and/or remediating unprofessional behavior of medical students and residents (van Mook et al 2010;Buchanan et al 2012;Mak-van der Vossen et al 2013;Domen 2014;Guerrasio et al 2014;Ziring et al 2015). Other works have been published on assessment and the organization of remediation (Bebeau and Faber-Langendoen 2014;Arnold et al 2016).…”

Section: Practice Pointsmentioning

confidence: 99%

“…Although only a small number of students display unprofessional behavior (Mak-van der Vossen et al 2016; Barnhoorn et al 2017), unprofessional behavior can harm patients and their trust in the medical profession (Hickson et al 2002;Rosenstein 2011Rosenstein , 2015Ellaway et al 2017). However, assessment and remediation of unprofessional behavior remain difficult tasks (Korszun et al 2005;Papadakis et al 2012;Zbieranowski et al 2013;Bebeau and Faber-Langendoen 2014;Domen 2014;Warren et al 2014; Barnhoorn and Domen 2015;Ziring et al 2015;Arnold et al 2016) (Box 1).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A practical framework for remediating unprofessional behavior and for developing professionalism competencies and a professional identity

et al. 2018

View full text Add to dashboard Cite

The relatively new term "Professional Identity Formation" (PIF) complements behavior-based and attitude-based perspectives on professionalism. Unprofessional behavior and its remediation should also be addressed from this perspective. However, a framework is needed to guide discussion and remediation of unprofessional behavior, which can encompass behavior-based, attitude-based, and identity-based perspectives on professionalism. To this end, the authors propose a multi-level professionalism framework which describes, apart from professional behavior, more levels which influence professional performance: environment, competencies, beliefs, values, identity, and mission. The different levels can provide tools for educators to address and discuss unprofessional behavior with their students in a comprehensive way. By reflecting on all the different levels of the framework, educators guard themselves against narrowing the discussion to either professional behavior or professional identity. The multi-level professionalism framework can help educators and students to gain a better understanding of the root of unprofessional behavior, and of remediation strategies that would be appropriate. For despite the recent emphasis on PIF, unprofessional behavior and its remediation will remain important issues in medical education.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Practice Pointsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A practical framework for remediating unprofessional behavior and for developing professionalism competencies and a professional identity

et al. 2018

View full text Add to dashboard Cite

show abstract

“…However, it should be relatively clear that if patient care or safety is at risk then that resident must be removed from clinical duties until the issue is appropriately resolved. 6 It is important for program directors to always consult with their DIO and/or legal resources when severe breaches in professionalism occur, when a fitness for duty action is contemplated, or when patient care or safety is at risk. 6 …”

Section: Discussionmentioning

confidence: 99%

“…6 It is important for program directors to always consult with their DIO and/or legal resources when severe breaches in professionalism occur, when a fitness for duty action is contemplated, or when patient care or safety is at risk. 6 …”

Section: Discussionmentioning

confidence: 99%

Assessment and Management of Professionalism Issues in Pathology Residency Training

et al. 2015

Self Cite

View full text Add to dashboard Cite

Professionalism issues are common in residency training and can be very difficult to recognize and manage. Almost one-third of the milestones for pathology recently instituted by the Accreditation Council for Graduate Medical Education encompass aspects of professionalism. Program directors are often unsure of how and when to remediate residents for unprofessional behavior. We used a case-based educational approach in a workshop setting to assist program directors in the management of unprofessional behavior in residents. Eight case scenarios highlighting various aspects of unprofessional behavior by pathology residents were developed and presented in an open workshop forum at the annual pathology program director’s meeting. Prior to the workshop, 2 surveys were conducted: (1) to collect data on program directors’ experience with identifying, assessing, and managing unprofessional behavior in their residents and (2) to get feedback from workshop registrants on how they would manage each of the 8 case scenarios. A wide range of unprofessional behaviors have been observed by pathology program directors. Although there is occasionally general agreement on how to manage specific behaviors, there remains wide variation in how to manage many of the presented unprofessional behaviors. Remediation for unprofessional behavior in pathology residents remains a difficult and challenging process. Additional education and research in this area are warranted.

show abstract

Remediation Processes for Health Service Psychology Trainees with Problems of Professional Competence

Freitag,

Marshall-Lee,

Zhang

et al. 2023

Handbook of Training and Supervision in Cognitive Behavioral Therapy

View full text Add to dashboard Cite

Resident Remediation, Probation, and Dismissal Basic Considerations for Program Directors

Abstract: Approaches to dealing with resident performance issues can be variable and need to be tailored to the issue being addressed.

Cited by 31 publications

References 18 publications

A practical framework for remediating unprofessional behavior and for developing professionalism competencies and a professional identity

A practical framework for remediating unprofessional behavior and for developing professionalism competencies and a professional identity

Assessment and Management of Professionalism Issues in Pathology Residency Training

Remediation Processes for Health Service Psychology Trainees with Problems of Professional Competence

Contact Info

Product

Resources

About