Related Experiment Videos
The faculty experience with the "troublesome" family practice resident
G D Grams1, M F Longhurst, C B Whiteside
1Department of Family Practice, Faculty of Medicine, University of British Columbia.
Family Medicine
|March 1, 1992
Summary
Identifying "troublesome" residents in family medicine is crucial. This study conceptualizes their characteristics and the faculty
Area of Science:
- Medical Education
- Qualitative Research
- Family Medicine Residency Programs
Background:
- Some residents exhibit behaviors causing distress to supervising faculty.
- These residents are often labeled as "troublesome."
Purpose of the Study:
- To identify and conceptualize the characteristics of troublesome residents in family practice.
- To provide a framework for understanding and managing challenging residents.
Main Methods:
- Retrospective review of written evaluations for four "troublesome" residents.
- Application of constant comparison methodology to identify themes.
Main Results:
- Troublesome behaviors include affronting, avoiding responsibility, and lack of initiative.
- Residents failed to meet expectations in collaboration and commitment.
- A three-stage process (recognition, confrontation, remediation) for dealing with these residents was identified.
Conclusions:
- Categorizing troublesome resident performance aids faculty understanding.
- This framework can assist faculty in managing difficult learners effectively.