Download - The “Problem Trainee”
![Page 1: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/1.jpg)
The “Problem Trainee”
Ronald D. Szyjkowski, MD, FACGUpstate Medical University
SUNY Syracuse
![Page 2: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/2.jpg)
Objective• Consider the difficulties• Ways to help the trainee succeed• Help your peers & your program respond• Plan interventions• Additional resources
![Page 3: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/3.jpg)
Objective• Consider the difficulties• Ways to help the trainee succeed• Help your peers & your program respond• Plan interventions• Additional resources
![Page 4: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/4.jpg)
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”
![Page 5: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/5.jpg)
The DifficultiesSigns of Impairment
• Loss of enthusiasm• Negativity• Cynicism• Antagonism• Complaints– Overworked– Misunderstood
• Isolationism
Hawes, GE Clin NA 5:2 1995
![Page 6: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/6.jpg)
The DifficultiesImpairment
• You will need help.
![Page 7: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/7.jpg)
The Difficulties• Directly affect patient care
and• Do not directly affect patient care
• What did / what could you do?
![Page 8: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/8.jpg)
The Difficulties• Box Groups
![Page 9: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/9.jpg)
The Difficulties• Directly affect patient care
and• Do not affect directly patient care
• What did / what could you do?
![Page 10: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/10.jpg)
The Difficulties
Flip Chart
![Page 11: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/11.jpg)
The Difficulties Directly affect patient care
• Humanistic qualities• Negligence• Ethical conduct• Deficient knowledge base• Poor clinical judgment• Absence / tardiness
![Page 12: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/12.jpg)
The Difficulties Does not directly affect patient care
• Peer interactions• Staff interactions• Cheating• Lack of commitment to learning• Professional behavior• Absence / tardiness
![Page 13: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/13.jpg)
Objective• Consider the difficulties• Ways to help the trainee succeed• Help your peers & your program respond• Plan interventions• Additional resources
![Page 14: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/14.jpg)
Objective• Consider the difficulties• Ways to help the trainee succeed• Help your peers & your program respond• Plan interventions• Additional resources
![Page 15: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/15.jpg)
Objective• Consider the difficulties• Ways to help the trainee succeed• Help your peers & your program respond• Plan interventions• Additional resources
![Page 16: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/16.jpg)
Trainee Success• Define the assessment terms• Set objectives• Explain the appraisal process• Recognize the importance of feedback• Communicate
Have a curriculum
![Page 17: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/17.jpg)
Program SuccessTeachers need to:• Train for the assessment• Know the objectives• Follow the appraisal process• Provide meaningful and timely feedback
![Page 18: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/18.jpg)
Program SuccessTeachers need to:• Train for the assessment• Know the objectives• Follow the appraisal process• Provide meaningful and timely feedback
![Page 19: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/19.jpg)
Program SuccessTeachers 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
![Page 20: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/20.jpg)
Objective• Consider the difficulties• Ways to help the trainee succeed• Help your peers & your program respond• Plan interventions• Additional resources
![Page 21: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/21.jpg)
InterventionsNeed clear documentation of the problem• Ideas?
![Page 22: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/22.jpg)
InterventionsEscalation
• Documentation of lack of resolution• Inform GME• Plan for remediation– Goals– Dates– Reassessment
![Page 23: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/23.jpg)
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
![Page 24: The “Problem Trainee”](https://reader036.vdocuments.net/reader036/viewer/2022062310/568161eb550346895dd21d56/html5/thumbnails/24.jpg)
Objective• Consider the difficulties• Ways to help the trainee succeed• Help your peers & your program respond• Plan interventions• Additional resources