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Problem neurology residents: a national survey
Journal article   Peer reviewed

Problem neurology residents: a national survey

David S Tabby, Muhammed H Majeed and Robert J Schwartzman
Neurology, v 76(24), pp 2119-2123
14 Jun 2011
DOI: https://doi.org/10.1212/WNL.0b013e31821f4636
PMID: 21670442
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Adult Data Collection Education, Medical, Graduate - standards Female Humans Internship and Residency Male Neurology - education Neurology - standards Physicians - psychology
Problem residents are found across most medical specialties at a prevalence of about 10%. This study was designed to explore the prevalence and causes of problem neurology residents and to compare neurology programs' responses and outcomes. Directors of 126 US neurology residency programs were sent an electronic survey. We collected data on demographics, first and all "identifiers" of problem residents, and year of training in which the problem was found. We asked about observable signs, etiology, and who performed remediation. We asked what resources were used and what outcomes occurred. Ninety-five program directors completed surveys (75% response rate). Almost all neurology programs have problem residents (81%). Age, sex, marital status, being a US native, or attending a US medical school had no effect on problem status. Being a parent carried a lower likelihood of problems (32%). Most commonly the problem is acted on during the first year of training. Faculty members without defined educational roles were the most frequent first identifiers. Program directors were the most common remediators. The most common remediation techniques were increasing supervision and assigning a faculty mentor. Graduate medical education office and psychiatric or psychological counseling services were most often used. Eleven percent of problem residents required a program for impaired physicians and 14% required a leave of absence. Sixteen percent were dismissed from their programs. The prevalence of problem residents in neurology is similar to other disciplines, and various resources are available to remediate them.

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24 citations in Web of Science
24 citations in Scopus

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Web of Science research areas
Clinical Neurology
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