Study 2: characteristics of cases on resident dismissal at the Dutch conciliation board - Study 2B: Remediation strategies and reasons for resident dismissal in two types of specialty training

<B>Summary</B><BR><BR> 70 cases of residents from two groups (community-based and hospital based specialties) during 10 years of appeals were compared on factors potentially associated with the outcome of the conciliation board decision regarding the residents’ dismissal. The study focused on remediation strategies applied, and reasons reported to dismiss and remediation strategies (formal remediation plans) per CANMEDS Competency.<BR><BR>
<B>Research Questions</B><BR><BR>Which reasons for residents’ dismissal were reported by program directors in conciliation board (RGS-GC) cases? <BR><BR>
Which resident’s remediation strategies were described prior to dismissal?<BR><BR>
Were there any differences between two types of training programs, with regard to remediation strategies, dismissal rates, and success rates of residents’ appeals, and if so, which characteristics might be associated with these differences? <BR<BR>
<B>Methods</B><BR><BR>Mixed methods: inferential statistics on conciliation board cases and characteristics of all residents registered, qualitative analysis of reasons to dismiss and remediation strategies <BR><BR>
Framework CanMEDS competencies<BR><BR>
Sources 35 + 35 Conciliation board (RGS-GC) cases (on residents in training for hospital-based + community-based specialties), capacity body with characteristics of residents registered.<BR><BR><BR>

<B>Data Description</B><BR><BR>

<U>Coding (2B BMC Data Excel Anon)</U><BR><BR>

<U>Tab: Community</U><BR><BR> password: com
<BR>Identifier: Random number<BR>
Confirmation of dismissal decision by conciliation board: 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>
Remediation plan: Formal Y/N=1/0, Other Y/N=1/0<BR>
Description of remediation or reasons not to remediate: (free text in Dutch)<BR>
Reasons to dismiss: Untrainable Y/N=1/0, Compelling Y/N=1/0<BR>
Description of remediation or reasons not to remediate: (free text in Dutch)<BR>
Mediation: Unfeasible Y/N=1/0, Mediator Y/N=1/0, Second Opinion Y/N=1/0<BR>
Description mediation procedure (free text in Dutch)<BR>
Other characteristics of procedure: Premature Y/N=1/0, Lack document Y/N=1/0, Unclear plan Y/N=1/0, Lack guidance Y/N=1/0<BR>
Comments on type of remediation offered; (free text in Dutch)<BR>
Sickness: Y/N=1/0<BR>
Type and duration of sickness: (free text in Dutch)<BR>
Claim unsafe (education climate): Y/N=1/0<BR>
Disunity staff: Dissenting opinions staff Y/N=1/0.
CanMEDS: 1=insufficient/0=sufficient
Professional, Communicator,
Collaborator, Management,
Medical Expertise, Scholar, Health advocate<BR>
Number of deficient CanMEDS: Mean, (range 0-7)<BR><BR>
<U>Tab: Hospital</U><BR><BR>password=hos<BR>
Identifier: Random number<BR>
Confirmation of dismissal decision by conciliation board: 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>
Remediation plan: Formal Y/N=1/0, Other Y/N=1/0<BR>
Description of remediation or reasons not to remediate: (free text in Dutch)<BR>
Reasons to dismiss: Untrainable Y/N=1/0,
Compelling Y/N=1/0<BR>
Description of reasons not to remediate: (free text in Dutch)<BR>
Mediation:Unfeasible Y/N=1/0, Mediator Y/N=1/0, Second Opinion Y/N=1/0<BR>
Description mediation procedure: (free text in Dutch)<BR>
Timing to (duration of mediation): time in days (0-60)<BR>
Other characteristics of procedure: Premature Y/N=1/0, Lack document Y/N=1/0, Unclear plan Y/N=1/0, Lack guidance Y/N=1/0<BR>
Comments on type of remediation offered: (free text in Dutch)<BR>
Sickness: Y/N=1/0,<BR>
Type and duration of sickness: (free text in Dutch)<BR>
Claim unsafe (education climate): Y/N=1/0<BR>
Disunity staff: Dissenting opinions staff Y/N=1/0.<BR>
CanMEDS: 1=insufficient/0=sufficient
Professional, Communicator,
Collaborator, Management,
Medical Expertise, Scholar, Health advocate<BR>
Number of deficient CanMEDS: Mean, (range 0-7)<BR><BR>

<U>Tab: Table4p2</U> (thesis) is Table 2 article BMC: password=char