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Navigating Challenges: The Case of Dr. T - A Medical Resident's Journey

Follow the journey of a 25-year-old medical resident, Dr. T, as he faces various challenges during his PGY-1 year. Despite initial setbacks and performance issues, Dr. T shows improvement and resilience in response to feedback. However, a critical incident involving patient care raises concerns about his competence, leading to a crisis that culminates in his resignation. This case study explores the complexities of medical training, professionalism, and accountability in a hospital setting.

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Navigating Challenges: The Case of Dr. T - A Medical Resident's Journey

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Presentation Transcript

  1. The Case of Dr. T

  2. The Facts…. • 25-year-old PGY-1 who arrives on July 1st, missing the week-long orientation you’ve planned, due to a family issue • There had been no issues with his performance noted during medical school • You arrange a brief “catch-up” session for him before he starts on the wards

  3. Beginnings on the wards... • Dr. T is late every day for the first week for every scheduled session • His notes are good, but occasional points are missed • He follows instructions well, but misses a case of hypokalemia, and is severely scolded

  4. Response to feedback... • He responds to feedback promptly, and his performance improves with regard to timeliness and consistency • After being scolded for the electrolyte neglect, his attention to this area of patient care is without reproach

  5. The attending complains... • A D/C summary is noted to be very sloppy and the attending complains Although Dr. T cannot recall the event, he promises he will be very careful in the future • Your review of his notes shows them to be very good

  6. The reputation... • The next rotation arrives and the new attending has heard of previous problems. He wishes to help and you discuss the matter with him.

  7. Crisis... • Dr. T sends someone home without an antibiotic and the resident on the service is furious. He humiliates Dr. T • It turns out that Dr. T had been instructed to do this by the attending physician • As you attempt to gather facts from Dr. T, you are informed by him that he will be resigning

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