Abstract
Many medical postgraduate teaching programs have residents with professional and personal problems that may limit their performance. A Problem resident is the one who does not meet the expectations of the training program owing to deficits in knowledge, skill or attitude. Medical administration and faculty of every institution must have a system that is sensitized to handle a difficult learner. Problems need to be addressed before they escalate or result in compromise of patient care. The present review discusses a broad approach to recognizing a Problem resident and provides suggestions on remedial measures.
Similar content being viewed by others
References
Modi JN, Gupta P, Singh T. Competency-based medical education, entrustment and assessment. Indian Pediatr. 2018;52:413–20.
Mahajan R, Badyal DK, Gupta P, Singh T. Cultivating lifelong learning skills during graduate medical training. Indian Pediatr. 2016;53:797–804.
Nemani VM, Park C, Nawabi DH. What makes a “great resident”: The resident perspective. Curr Rev Musculoskelet Med. 2014;7:164–7.
Yao DC, Wright SM. National survey of internal medicine residency program directors regarding problem residents. JAMA. 2000;284:1099–104.
Reamy BV, Harman JH. Residents in trouble: An in-depth assessment of the 25-year experience of a single family medicine residency. Fam Med. 2006;38:252–7.
Steinert Y. The “problem” junior: Whose problem is it? BMJ. 2008;336:150–3.
Steinert Y. The “problem” learner: Whose problem is it? AMEE Guide No. 76. Med Teach. 2013;35:e1035–45.
Yao DC, Wright SM. The challenge of problem residents. J Gen Intern Med. 2001;16:486–92.
Roback HB, Crowder MK. Psychiatric resident dismissal: A national survey of training programs. Am J Psychiatry. 1989;146:96–8.
Hunt DD, Carline J, Tonesk X, Yergan J, Siever M, Loebel JP. Types of problem students encountered by clinical teachers on clerkships. Med Educ. 1989;23:14–8.
Gaiser RR. The teaching of professionalism during residency: Why it is failing and a suggestion to improve its success. Anesth Analg. 2009;108:948–54.
Ramani S, Leinster S. AMEE Guide no. 34: Teaching in the clinical environment. Med Teach. 2008;30:347–64.
Wu JS, Siewert B, Boiselle PM. Resident evaluation and remediation: A comprehensive approach. J Grad Med Educ. 2010;2:242–5.
Lloyd B, Pfeiffer D, Dominish J, Heading G, Schmidt D, McCluskey A. The New South Wales Allied Health Workplace Learning Study: Barriers and enablers to learning in the workplace. BMC Health Serv Res. 2014;14:134.
Bajpai V. The challenges confronting public hospitals in India, their origins, and possible solutions. Advances in Public Health. 2014;898502.
Lal P. Whither medical education and healthcare? MAMC J Med Sci. 2015;1: 59.
Saini NK, Agrawal S, Bhasin SK, Bhatia MS, Sharma AK. Prevalence of stress among resident doctors working in medical colleges of Delhi. Indian J Public Health. 2010;54:219.
Langenfeld SJ, Cook G, Sudbeck C, Luers T, Schenarts PJ. An assessment of unprofessional behavior among surgical residents on Facebook: A warning of the dangers of social media. J Surg Educ. 2014;71:e28–32.
Garg M, Pearson DA, Bond MC, Runyon M, Pillow MT, Hopson L, et al. Survey of individual and institutional risk associated with the use of social media. West J Emerg Med. 2016;17:344–9.
Chang HJ, Lee YM, Lee YH, Kwon HJ. Investigation of unethical and unprofessional behaviour in Korean residency training. Teach Learn Med. 2015;27:370–8.
Nagler A, Andolsek K, Rudd M, Sloane R, Musick D, Basnight L. The professionalism disconnect: Do entering residents identify yet participate in unprofessional behaviours? BMC Med Educ. 2014;14:60.
Goodman CJ, Lindsey JI, Whigham CJ, Robinson A. The problem resident: The perspective of chief residents. Acad Radiol. 2000;7:448–50.
Al-Eraky MM. Twelve tips for teaching medical professionalism at all levels of medical education. Med Teach. 2015;37:1018–25.
Obadeji A, Oluwole LO, Dada MU, Adegoke BO. Hazardous alcohol use among doctors in a tertiary health center. Indian Psychiatry J. 2015;24:59.
Farrell SE, Hopson LR, Wolff M, Hemphill RR, Santen SA. What’s the evidence: A review of the one-minute preceptor model of clinical teaching and implications for teaching in the emergency department. J Emerg Med. 2016;51:278–83.
Supe A, Singh T. Re-entry NEET (National Eligibilitycum-Entrance Test): Opportunity and concerns. Natl Med J India. 2016;29:158–9.
Brenner AM, Mathai S, Jain S, Mohl PC. Can we predict ‘problem residents’? Acad Med. 2010;85:1147–51.
Singh T, Modi JN, Kumar V, Dhaliwal U, Gupta P, Sood R. Admission to undergraduate and postgraduate medical courses: Looking beyond single entrance examinations. Indian Pediatr. 2017;54:231–8.
Ramanan RA, Phillips RS, Davis RB, Silen W, Reede JY. Mentoring in medicine: Keys to satisfaction. Am J Med. 2002;112:336–41.
Yamada K, Slanetz PJ, Boiselle PM. Perceived benefits of a radiology resident mentoring program: Comparison of residents with self-selected vs assigned mentors. Can Assoc Radiol. 2014;65:186–91.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kaushik, J.S., Raghuraman, K., Singh, T. et al. Approach to Handling a Problem Resident. Indian Pediatr 56, 53–59 (2019). https://doi.org/10.1007/s13312-019-1468-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13312-019-1468-8