Study 2: characteristics of cases on resident dismissal at the Dutch conciliation board - Study 2D: Unprofessional behaviours in GP residents

<B>Summary</B><BR><BR>This study examined descriptions of behaviour and insufficiencies from conciliation board cases of 24 residents who were dismissed from training and challenged their programme director’s decision (between 2011 and 2020).<BR><BR>
<B>Research Questions</B><BR><BR>
How to classify and describe the characteristics of GP residents in the Netherlands who litigated before the conciliation board (RGS-GC) against dismissal from their GP training? <BR><BR>
Which deficiencies could be identified within the CanMEDS competency domains? <BR><BR>
To which extent did these competencies overlap within an individual? <BR><BR>
Which typical qualifications were used to describe unprofessional behaviours? <BR><BR>
<B>Framework</B><BR><BR> CanMEDS + 4I’s model on unprofessional behaviours<BR><BR>
<B>Methods</B><BR><BR> Qualitative analysis using thematic analysis, collecting and describing illustrative examples of resident behaviour according to the 4I’s model’s categories. <BR><BR>
<B>Source</B><BR><BR>24 Conciliation board cases of GP residents<BR><BR>
<B>Data Description</B><BR><BR>
<B>file:</B><U>2D GP Excel Data Anon)</U><BR><BR>
<B>Tabs</B><BR><BR>
<B>GP</B> (password = GP)<BR>
o Identifier: randomized number<BR>
o Year of training at time of dismissal number between (0-6) 2 decimal max<BR>
o Gender: M=1/F0, M=Male/F=Female<BR>
o 4I’s (Y/N=1/0): Failure to engage (Involvement), Dishonesty (Integrity), Disrespect (Interaction), Poor-self-awareness (Introspection), description from case law in Dutch<BR>
o CanMEDS: 1=insufficient/0=sufficient<BR>
Professionalism, Communication, Collaboration, Management,
Medical Expertise, Scholar, Health advocacy, Number of insufficient CanMEDS<BR>
o Years of training of detection of problems (Y/N=1/0)<BR>
o APC: insufficient score on patient communication test (Y/N=1/0)<BR>
o LHK: insufficient on at least one knowledge test Y/N=1/0<BR>
o Sick leave during training? >2weeks Y/N=1/0<BR>
o Functioned well before sickness Y/N=1/0<BR>
o Previously enrolled in GP training programme? Y/N=1/0<BR>
o Remediation programme applied? Y/N=1/0<BR>
o Cultural/Language difficulties? Y/N=1/0<BR><BR>
<B>Remediation</B> (password = rem): remediation present Y/N=1/0, type of remediation (copied statements anonymized from case law), formal remediation (Y/N=1/0), other forms of remediation (Y/N=1/0), case characteristics (specific features regarding remediation, progress or programme directors decision), professionalism insufficient? (Y/N=1/0).<BR><BR>
<B>Capacity</B> (password = capp): calculation with numbers from the Dutch National Capacity Body<BR><BR>
<B>Overview cases.</B><BR><BR>
In the period 2011 - 2020 there were 229 requests for conciliation.<BR>
98 were ultimately withdrawn by the applicants, resulting in unpublished decisions.<BR>
3 were inadmissible, because filed too late.<BR>
8 cases were not about dismissal.<BR>
96 cases were excluded based on specialty<BR><BR>
Eventually, 24 cases were previously in training for family medicine.<BR><BR>