The “Problem Trainee”
This resource addresses the challenges faced by "problem trainees" in medical education, exploring signs of impairment such as loss of enthusiasm, negativity, and poor performance. It emphasizes the importance of identifying these difficulties early, providing timely feedback, and planning effective interventions. Recommendations for enhancing trainee support include clear documentation, communication strategies, and curriculum development. By focusing on promoting trainee success, program directors and peers can improve outcomes and foster a more supportive training environment, ultimately enhancing patient care.
The “Problem Trainee”
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Presentation Transcript
The “Problem Trainee” Ronald D. Szyjkowski, MD, FACG Upstate Medical University SUNY Syracuse
Objective Consider the difficulties Ways to help the trainee succeed Help your peers & your program respond Plan interventions Additional resources
Objective Consider the difficulties Ways to help the trainee succeed Help your peers & your program respond Plan interventions Additional resources
The Difficulties the “ProblemTrainee” is Presenting Is there impairment? Mental Illness Drugs / Alcohol Illness “one who is unable to practice medicine with reasonable skill and safety because of mental illness or excessive use or abuse of drugs; including alcohol”
The DifficultiesSigns of Impairment Loss of enthusiasm Negativity Cynicism Antagonism Complaints Overworked Misunderstood Isolationism Hawes, GE Clin NA 5:2 1995
The DifficultiesImpairment You will need help.
TheDifficulties Directly affect patient care and Do not directly affect patient care What did / what could you do?
The Difficulties Box Groups
The Difficulties Directly affect patient care and Do not affect directly patient care What did / what could you do?
The Difficulties Flip Chart
The DifficultiesDirectly affect patient care Humanistic qualities Negligence Ethical conduct Deficient knowledge base Poor clinical judgment Absence / tardiness
The Difficulties Does not directly affect patient care Peer interactions Staff interactions Cheating Lack of commitment to learning Professional behavior Absence / tardiness
Objective Consider the difficulties Ways to help the trainee succeed Help your peers & your program respond Plan interventions Additional resources
Objective Consider the difficulties Ways to help the trainee succeed Help your peers & your program respond Plan interventions Additional resources
Objective Consider the difficulties Ways to help the trainee succeed Help your peers & your program respond Plan interventions Additional resources
Trainee Success Define the assessment terms Set objectives Explain the appraisal process Recognize the importance of feedback Communicate Have a curriculum
Program Success Teachers need to: Train for the assessment Know the objectives Follow the appraisal process Provide meaningful and timely feedback
Program Success Teachers need to: Train for the assessment Know the objectives Follow the appraisal process Provide meaningful and timely feedback Be taught how to be teachers!
Program Success Teachers need to: Train for the assessment Know the objectives Follow the appraisal process Provide meaningful and timely feedback Have a curriculum ...with a plan for intervention
Objective Consider the difficulties Ways to help the trainee succeed Help your peers & your program respond Plan interventions Additional resources
Interventions Need clear documentation of the problem Ideas?
InterventionsEscalation Documentation of lack of resolution Inform GME Plan for remediation Goals Dates Reassessment
InterventionsDocumentation Need clear documentation of the problem Specific observations Date, times and persons involved Clarify any vagueness Record what was done and what was planned / instructed Trainees understanding
Objective Consider the difficulties Ways to help the trainee succeed Help your peers & your program respond Plan interventions Additional resources
