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Addressing the challenges posed by problem residents is crucial in medical training. This guide examines common issues such as residents showing up without necessary licenses, lack of transportation, and inadequate performance, which can significantly impact training programs. Dr. Amy B. Reed emphasizes the importance of documentation, utilizing available resources, and actively participating in challenging conversations between program directors and trainees. By employing these strategies, training programs can better support residents and maintain a productive learning environment.
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Dealing with the Problem ResidentAmy B. Reed, MDChief and Program Director, Vascular SurgeryAssociate Professor of Surgery
The Problem Resident • Altruistic view that all want to come in and do well • Many different personalities walk through your door! • Chronologically adults but like your children!
Problem #1 Shows up July 1 without a license
Problem #2 Does not have a car
Problem #3 Lives 40 minutes from the hospital
Problem #4 Graduating fellow / Integrated resident never got around to taking USMLE 3
Problem #5 Poor performance requiring dismissal
Summary • Document, Document Document! • Utilize your AVSC resources • Sit in on difficult conversations between PD and trainee to avoid “he said/she said”
