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Problem neurology residents: a national survey
David S Tabby1, Muhammed H Majeed, Robert J Schwartzman
1Department of Neurology, Drexel University College of Medicine, Philadelphia, PA 19107, USA. David.Tabby@drexelmed.edu
Neurology
|June 15, 2011
Summary
Most neurology programs encounter problem residents, with remediation often involving increased supervision and mentorship. While many issues are resolved, some residents require leaves of absence or dismissal.
Area of Science:
- Medical Education
- Neurology Residency Training
Background:
- Problem residents are a recognized challenge in medical specialties, affecting approximately 10% of trainees.
- Understanding the specific issues within neurology residency is crucial for targeted interventions.
Purpose of the Study:
- To determine the prevalence and identify causes of problem residents in neurology.
- To compare how neurology programs address and manage these residents.
Main Methods:
- An electronic survey was distributed to 126 US neurology residency program directors.
- Data collected included resident demographics, identification of problem trainees, timing of issues, remediation strategies, and outcomes.
Main Results:
- 81% of neurology programs reported having problem residents.
- Being a parent was associated with a lower likelihood of problems.
- Most issues were identified in the first year, with faculty mentors and increased supervision being common remediation strategies.
- 16% of problem residents were dismissed, and 11% required impaired physician programs.
Conclusions:
- The prevalence of problem residents in neurology aligns with other medical fields.
- Neurology programs utilize various resources and strategies for remediation, though outcomes vary.