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Approach to Handling a Problem Resident
Jaya Shankar Kaushik1, Kausalya Raghuraman2, Tejinder Singh3
1Department of Pediatrics, Pt BD Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India. Correspondence to: Dr Jaya Shankar Kaushik, Associate Professor, Department of Pediatrics, Pt BD Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana 124 001, India. jayashankarkaushik@gmail.com.
Indian Pediatrics
|February 27, 2019
Summary
Identifying and addressing issues with residents in medical postgraduate programs is crucial. Early intervention for underperforming residents prevents patient care compromise and improves training outcomes.
Area of Science:
- Medical Education
- Postgraduate Training
- Resident Performance
Background:
- Medical postgraduate programs often face challenges with residents experiencing personal or professional issues.
- These problems can negatively impact resident performance and the overall training environment.
- A 'Problem resident' is defined as one not meeting program expectations due to knowledge, skill, or attitude deficits.
Purpose of the Study:
- To review and discuss a broad approach for recognizing residents with performance deficits.
- To provide suggestions for remedial measures for underperforming residents.
- To emphasize the importance of early intervention in medical training.
Main Methods:
- This is a review article discussing a broad approach.
- It synthesizes information on identifying and managing residents with difficulties.
- Focuses on administrative and faculty responsibilities.
Main Results:
- Deficits in knowledge, skill, or attitude can lead to a resident not meeting program expectations.
- Institutions need systems to identify and support 'difficult learners'.
- Addressing problems early is vital to prevent escalation and protect patient care.
Conclusions:
- Medical institutions must develop systems to identify and support residents facing challenges.
- Proactive and sensitive handling of underperforming residents is essential.
- Remedial measures should be implemented promptly to ensure training quality and patient safety.
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