Curious

[meow1985]

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I'm just curious, what kind of issues land people on probation or remediation in residency?

No, I am not in danger of being on probation.

 

[Ladholyman]

Check your handbook. It has extremely detailed examples about what can lead to probation.
Off the top of my head it's either fund of knowledge (low ITEs), behavioral issues (too many people complain about you), or psychosocial issues (alcohol, drug use).

 

[meow1985]

Check your handbook. It has extremely detailed examples about what can lead to probation.
Off the top of my head it's either fund of knowledge (low ITEs), behavioral issues (too many people complain about you), or psychosocial issues (alcohol, drug use).

I read the handbook. It's still vague. It says:

Academics:
1) Issues involving knowledge or skills
2) Job performance or scholarship
3) Minor professionalism concerns.

B. Misconduct
1) Unethical conduct, such as dishonesty or falsification of records
2) Significant professionalism concerns
3) Illegal conduct (regardless of criminal charges or criminal conviction)
4) Sexual misconduct or sexual harassment
5) Workplace violence
6) Tardiness, absenteeism, or job abandonment
7) Boundary violations with patients
8) Failure to meet conditions of employment
9) Violation of (hospital) or other applicable policies or procedures.

I guess I need concrete examples of what it means to have deficient skills, poor job performance, etc and how pervasive it needs to be.

 

[NotAProgDirector]

There's no answer to your question. It will totally depend upon your program. And how much your problems have impaired your performance.

 

[GoSpursGo]

I guess I need concrete examples of what it means to have deficient skills, poor job performance, etc and how pervasive it needs to be.

Yeah, as aPD says "deficient skills, poor job performance" will mean different things to different PDs.

 

[meow1985]

Yeah, as aPD says "deficient skills, poor job performance" will mean different things to different PDs.

Yes, that is why what I am interested in is a spread, a range of cases.

 

[GoSpursGo]

Yes, that is why what I am interested in is a spread, a range of cases.

If you search "probation," you'll find a number of threads that should give you a few examples.

The problem, aside from the fact that people tend to paint themselves in a favorable light when telling their own storyk is each case is different. So just because there isn't a story of someone landing on probation with a similar situation to yours can't fully reassure you that you're safe--which seems to be your goal here.

 

[pbdoctor1]

Like most jobs, residency is fraught with ego and subjective evaluations but with potential catastrophic consequences solely for trainees. Residents outcomes range in the spectrum of either exaggerated misconducts that are subjugated to the ire and ultimate punishment over insignificant events or the whims of egregious misconducts easily forgiven and even ignored, despite glaringly overt and harmful. The way residency is set up permits this, almost too readily. Fixed aspects such as gender, race, and appearance potentially add to biased outcomes, often with little accountability. As in life, the figurative masks and behaviors trainees present in compensation to the ideal perception imagined in the minds of the residency attendings and directors will either harm or protect you.

So short answer, anything or nothing at all, depending on if enough of the right people like or dislike you. Those handbooks are provided to give a source of potential rules to be either ignored or imposed upon, at no real discretion. That is why residency fit and residency leadership is important but as we all know it is not up to the residents to decide.

Please take care of yourself.

 

[dpmd]

Put it this way, there is no minimum time nor minimum amount of deficiency that is required before you can get put on probation. Work on your issues and be better rather than try to figure out how much ****tiness you can get away with.

 

[mvenus929]

Cases I’ve seen or heard of:

1. ITE score that wasn’t improving, along with failure of step 3
2. Multiple issues with patient care that lead to concerns with patient safety.
3. General lack of improvement. Everyone starts with a knowledge deficit, but if you’re still at the level of a July intern in June of your intern year, there’s a problem. Other issues may be lack of efficiency (multiple duty hour violations because you’re not getting your work done on time, other people having to do your work for you because you aren’t able or aren’t willing to get it done...)

That said, there are a lot of people that need some additional attention during residency that graduate just fine in the end. There are some who don’t do so well and end up switching fields.

 

[meow1985]

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