Association of Vascular Surgery Coordinators
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Transcript of Association of Vascular Surgery Coordinators
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Association of Vascular Surgery Coordinators
Dealing With
Problem Residents
Peter J. Pappas, M.D.Professor of Surgery
Program Director: New Jersey Medical School Vascular Surgery Residency
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Qualifications
• Vascular Surgery Program Director for 10 years.– Traditional 5 + 2 training program
• General Surgery Program Director for 4 years– Second largest residency program in
country– 86 categorical, non-designated and
designated preliminary residents– One to two problem residents in each PGY-
year per year.
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Definition of a “Problem” Resident
• Academic Issues– Failure to progress
• Poor knowledge acquisition, poor clinical judgement, patient safety issues and so on.
– Learning Disabilities• AADD• Dyslexia
– Substance Abuse• Alcoholism• Drug Dependence
• Non-Academic Issues– Sexual Harassment– Racial Discrimination– Residency verification
for Hospital priviledging
• What do you report if the above occurred?
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CIR 2009-2010 Contract
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GrievanceAnd
DisciplinaryProcedures
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Identification of Specific Issue
• First line of defense is the rotation evaluations– Rotation evaluations will often be first notification
of a potential problem.
– Monthly/Bi-monthly residency review committee is crucial
• Oral discussions reveal issues not documented in rotation evaluations.
• Documentation of the oral discussions in the semi-annual evaluation is crucial especially if items not documented in rotation evaluations are discussed.
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Residency Review Committee Meetings
• Avoid personality discussions.
• Use competencies to identify, dissect and specify exact academic issue.
• Develop uniform set of phrases that explain the deficiency identified.
• Use these phrases in semi-annual evaluation. They will serve as the basis for a remediation plan if necessary.
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Competency Deficiency Phrases
• Knowledge Base
– Poor fund of textbook knowledge for current PGY level.
– Poor textbook knowledge base foundation.
• Clinical Judgement
– Inability to translate textbook knowledge into clinical decision making.
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Competency Deficiency Phrases
• Oral presentations
– Inability to present pertinent data in a succinct manner during walk rounds.
– Demonstrates disorganized and illogical thought processes during formal oral and written presentations.