Study 2: characteristics of cases on resident dismissal at the Dutch conciliation board - Study 2E: Unprofessional behaviours in residents from hospital-based specialties

<B>Summary</B><BR><BR> This study examined 61 conciliation board cases of residents of who 39 were dismissed for failing to meet the competencies of the CanMEDS professional domain, whose unprofessional behaviors where categorized with the 4I’s-model (on inadequate introspection, interaction, integrity, involvement).<BR><BR>
<B>Research Questions</B><BR><BR>
Which resident behaviour had been perceived as unprofessional by program directors in hospital-based specialties as reported in cases of residents who disputed dismissal? <BR><BR>
<B>Framework</B><BR><BR>
4I’s model on unprofessional behaviours
<BR><BR>
<B>Methods</B><BR><BR>
Quantitative and qualitative analysis of descriptions of unprofessional behaviours
<BR><BR>
<B>Source</B><BR><BR>
61 Conciliation board (RGS-GC) cases from hospital-based specialties <BR><BR>
<B>Data Description</B><BR><BR>
Coding: (file: 2E MedEth Ano)<BR><BR>
<I>Tabs: </I><BR><BR>
<B>61casus</B><BR><BR>
Identifier: Random number<BR>
Decision program director respected?: Y/N=1/0<BR>
Year of training at time of dismissal: Number between (0-6) 2 decimal max<BR>
Gender: M=1/F=0: M=Male / F=Female<BR>
CanMEDS: 1=insufficient/0=sufficient
Professional, Communicator,
Collaborator, Manager,
Medical Expertise, Scholar, Health advocacy<BR>
Number of insufficient CanMEDS competency domains (number)<BR><BR>
<B>Professional</B><BR><BR> password = prof<BR>
Identifier: Random number<BR>
Decision program director respected?: Y/N=1/0<BR>
Year of training at time of dismissal: Number between (0-6) 2 decimal max<BR>
Gender: M=1/F=0: M=Male / F=Female<BR>
4I’s (inadequate involvement, integrity, interaction, introspection)<BR>
Failure to engage: 1=present/0=unnoticed<BR>
Dishonesty 1=present/0=unnoticed<BR>
Disrespect: 1=present/0=unnoticed<BR>
Poor-self-awareness 1=present/0=unnoticed<BR>
Total items Cumulation<BR>
Professional 1=insufficient/0=sufficient<BR>
Description of unprofessional behaviors (in Dutch) free text copied from case law<BR>
CanMEDS: 1=insufficient/0=sufficient
Communicator,
Collaborator, Manager,
Medical Expertise, Scholar, Health advocacy<BR>
Number of insufficient CanMEDS competency domains (number)<BR><BR>
<B>Communicator</B><BR><BR> (Password = com)<BR>
Identifier: Random number<BR>
Professional: Insufficient? Y/N=1/0<BR>
Description of unprofessional behavior nvt = not relevant
Free-text in Dutch<BR>
Communicator Insufficient? Y/N=1/0<BR>
Type of insufficiencies in communication and with who: (free text in Dutch)
Not specified;
Patient;
Colleague;
Supervisor<BR>
Engage Relationship patients Insufficient? Y/N=1/0<BR>
Language difficultés Insufficient? Y/N=1/0<BR>
Report to others (failure to) Insufficient? Y/N=1/0<BR>
CanMEDS Collaborator, Manager, Medical Expert, Scholar
Health Advocate, Insufficient: Y/N=1/0
Number of insufficient CanMEDS<BR><BR>

<B>Communication with</B><BR><BR> calculation communication addressed to (patient, colleague, supervisor, number of addressed type of professionals, not specified)<BR>
Password = w<BR><BR>