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

<B>Summary</B><BR><BR> This study examined 19 psychiatry residents who were dismissed for failing to meet the competencies of the CanMEDS professional domain and matched with 19 family medicine residents.<BR><BR>
<B> Research Questions </B><BR><BR>
Which descriptions of behaviour were used by program directors in conciliation board (RGS-GC) cases to justify a resident’s dismissal because of failure to meet the CanMEDS professional domain? <BR><BR>
How extensive was the overlap with failures to meet other CanMEDS competencies? <BR><BR>
<B>Framework</B><BR><BR>
CanMEDS + Canadian Medical Association Code of Ethics and Professionalism 2018<BR><BR>
<B>Methods</B><BR><BR>
Mixed methods: descriptive and inferential statistics, qualitative analysis of case characteristics focussing on professionalism. <BR><BR>
<B>Source</B><BR><BR>
19 + 19 Conciliation board (RGS-GC) cases (on residents from psychiatry + GP insufficient on professionalism). <BR><BR>
<B>Data Description</B><BR><BR>
Coding: (file: 2C Psy Ano)<BR>
Tabs: Specialty: Psychiatry/Family Medicine<BR>
Identifier: Random number<BR>
Judgement programme director respected?: Y/N=1/0<BR>
Year of training at time of dismissal: Number between (0-6) 2 decimal max<BR>
Sick leave in total: Y/N=1/0, sick leave (>2w) present during the training of the resident.<BR>
Functioning well before sick leave: Y/N=1/0<BR>
Gender: M=1/F=0: M=Male / F=Female<BR>
CanMEDS: 1=insufficient/0=sufficient
Professionalism, Communicator,
Collaborator, Manager,
Medical Expertise, Scholar, Health advocacy<BR>
Number of insufficient CanMEDS competency domains: (number)<BR>
Description of unprofessional behaviors (in Dutch): free text copied from case law<BR>
Canadian Code of Ethics: Type of unprofessional behavior present?
Attitude (towards patients, nurses, peers, supervisors, institute)
Honesty, Humility, Reliability, Prudence.<BR><BR>
<B>Overview cases Academic Psychiatry.</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98 were ultimately withdrawn by the applicants, resulting in unpublished decisions.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>
74 cases excluded based on specialty.<BR>
10 cases were excluded based on sufficient scores on professionalism (7) or insufficient match (3) based on the shortness or lack of richness of description of unprofessional behavior.<BR>
2 psychiatry cases from the period 2010/2011 were added<BR><BR>
From the 38 remaining cases, 19 were previously in residency training for psychiatry and 19 previously in residency training for family medicine (matched).<BR><BR>