title: A general framework for approaching residents in difficulty.
abstract: The general framework for approaching residents in difficulty that we present here includes (1) explicit criteria that separate suggestions for improvement from formal remedial action, (2) categorization of the problem into three areas with different approaches (competence, laws and professional standards, and performance and disability), and (3) a method for clarifying faculty roles in the remediation efforts. This framework, along with clear written policies and procedures, helps to organize and streamline a response to residents with difficulties.
authors.affiliation: Northwest Regional Faculty Development Center, Veteran's Administration Medical Center, Boise, Idaho 83703, USA. scott.smith2@med.va.gov
authors.forename: C Scott
authors.initials: CS
authors.lastname: Smith
authors.forename: Nancy G
authors.initials: NG
authors.lastname: Stevens
authors.forename: Mark
authors.initials: M
authors.lastname: Servis
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D006233:Persons with Disabilities / Q000331:legislation & jurisprudence; D004501:Education, Medical; D004651:Employment / Q000331:legislation & jurisprudence; D005180:Faculty, Medical; D006040:Goals; D006784:Hospitals, Teaching / Q000458:organization & administration; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration / Q000592:standards*; D007883:Legislation, Medical; D008511:Medicine / Q000592:standards; D016134:Organizational Policy; D010815:Physician Impairment; D024382:Professional Role; D012073:Remedial Teaching / Q000379:methods; D013038:Specialization; D013044:Specialty Boards; D014481:United States