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Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems.

Publication ,  Journal Article
Sanfey, H; Darosa, DA; Hickson, GB; Williams, B; Sudan, R; Boehler, ML; Klingensmith, ME; Klamen, D; Mellinger, JD; Hebert, JC; Richard, KM ...
Published in: Arch Surg
July 2012

OBJECTIVE: To develop an evidence-based approach to the identification, prevention, and management of surgical residents with behavioral problems. DESIGN: The American College of Surgeons and Southern Illinois University Department of Surgery hosted a 1-day think tank to develop strategies for early identification of problem residents and appropriate interventions. Participants read a selection of relevant literature before the meeting and reviewed case reports. SETTING: American College of Surgeons headquarters, Chicago, Illinois. PARTICIPANTS: Medical and nursing leaders in the field of resident education; individuals with expertise in dealing with academic law, mental health issues, learning deficiencies, and disruptive physicians; and surgical residents. MAIN OUTCOME MEASURES: Evidence-based strategies for the identification, prevention, and management of problem residents. RESULTS: Recommendations based on the literature and expert opinions have been made for the identification, remediation, and reassessment of problem residents. CONCLUSIONS: It is essential to set clear expectations for professional behavior with faculty and residents. A notice of deficiency should define the expected acceptable behavior, timeline for improvement, and consequences for noncompliance. Faculty should note and address systems problems that unintentionally reinforce and thus enable unprofessional behavior. Complaints, particularly by new residents, should be investigated and addressed promptly through a process that is transparent, fair, and reasonable. The importance of early intervention is emphasized.

Duke Scholars

Published In

Arch Surg

DOI

EISSN

1538-3644

Publication Date

July 2012

Volume

147

Issue

7

Start / End Page

642 / 647

Location

United States

Related Subject Headings

  • Surgery
  • Physician Impairment
  • Needs Assessment
  • Mental Disorders
  • Internship and Residency
  • Illinois
  • Humans
  • Evidence-Based Medicine
  • Clinical Competence
  • Adult
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Sanfey, H., Darosa, D. A., Hickson, G. B., Williams, B., Sudan, R., Boehler, M. L., … Dunnington, G. L. (2012). Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems. Arch Surg, 147(7), 642–647. https://doi.org/10.1001/archsurg.2012.832
Sanfey, Hilary, Debra A. Darosa, Gerald B. Hickson, Betsy Williams, Ranjan Sudan, Margaret L. Boehler, Mary E. Klingensmith, et al. “Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems.Arch Surg 147, no. 7 (July 2012): 642–47. https://doi.org/10.1001/archsurg.2012.832.
Sanfey H, Darosa DA, Hickson GB, Williams B, Sudan R, Boehler ML, et al. Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems. Arch Surg. 2012 Jul;147(7):642–7.
Sanfey, Hilary, et al. “Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems.Arch Surg, vol. 147, no. 7, July 2012, pp. 642–47. Pubmed, doi:10.1001/archsurg.2012.832.
Sanfey H, Darosa DA, Hickson GB, Williams B, Sudan R, Boehler ML, Klingensmith ME, Klamen D, Mellinger JD, Hebert JC, Richard KM, Roberts NK, Schwind CJ, Williams RG, Sachdeva AK, Dunnington GL. Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems. Arch Surg. 2012 Jul;147(7):642–647.

Published In

Arch Surg

DOI

EISSN

1538-3644

Publication Date

July 2012

Volume

147

Issue

7

Start / End Page

642 / 647

Location

United States

Related Subject Headings

  • Surgery
  • Physician Impairment
  • Needs Assessment
  • Mental Disorders
  • Internship and Residency
  • Illinois
  • Humans
  • Evidence-Based Medicine
  • Clinical Competence
  • Adult