The case of the entitled resident: A composite case study of a resident performance problem syndrome with interdisciplinary commentary.
Background: Residents with performance problems create substantial burden on programs and institutions. Understanding the nature and quality of performance problems can help in learning to address performance problems. Aim: We sought to illuminate the effects of resident performance problems and the...
| Published in: | Medical Teacher Vol. 34; no. 12; pp. 1024 - 1033 |
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| Format: | research Journal Article |
| Published: |
Taylor & Francis Ltd
Dec2012
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104148254&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104148254 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0142159X MCH jtl: Medical Teacher issn: 0142159X maglogo: Y pubinfo: dt: Dec2012 vid: 34 iid: 12 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 104148254 83880104 10.3109/0142159X.2012.719654 NLM22957508 104148254 ppf: 1024 ppct: 9 formats: tig: atl: The case of the entitled resident: A composite case study of a resident performance problem syndrome with interdisciplinary commentary. aug: sug: subj: Interns and Residents Clinical Competence Quality of Health Care Human Massachusetts Case Studies Interviews Faculty, Medical Interprofessional Relations Narratives Counseling Student-Patient Relations Multidisciplinary Care Team ab: Background: Residents with performance problems create substantial burden on programs and institutions. Understanding the nature and quality of performance problems can help in learning to address performance problems. Aim: We sought to illuminate the effects of resident performance problems and the potential solutions for those problems from the perspectives of people with various roles in health care. Methods: We created a composite portrait from several residents who demonstrated a cluster of common performance characteristics and whose chronic or serious maladaptive behavior and response to situations created problems for themselves, for their clinical colleagues, and for faculty of their residency program. The composite was derived from in-depth interviews of program directors and review of resident records. We solicited practitioners from multiple fields to respond to the portrait by answering a series of questions about severity, prognosis, and how and whether one could reliably remediate a person with these performance characteristics. We present their perspectives in a manner borrowed from the New England Journal of Medicine's 'Case Records of the Massachusetts General Hospital.' Results: We created a composite portrait of a resident whose behavior suggested he felt entitled to benefits his peers were not entitled to. Experts reflecting on his behavior varied in their opinion about the effect the resident would have on the health care system. They suggested approaches to remediation that required substantial time and effort from the faculty. Conclusion: Programs must balance the needs of individual residents to adjust their behaviors with the needs of the health care system and other people within it. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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