Study 2: characteristics of cases on resident dismissal at the Dutch conciliation board - Study 2C: Unprofessional behaviours in psychiatry residents

Framework CanMEDS + Canadian Medical Association Code of Ethics and Professionalism 2018

Methods

Mixed methods: descriptive and inferential statistics, qualitative analysis of case characteristics focussing on professionalism. Source 19 + 19 Conciliation board (RGS-GC) cases (on residents from psychiatry + GP insufficient on professionalism). Data Description Coding: (file: 2C Psy Ano) Tabs: Specialty: Psychiatry/Family Medicine Identifier: Random number Judgement programme director respected?: Y/N=1/0 Year of training at time of dismissal: Number between (0-6) 2 decimal max Sick leave in total: Y/N=1/0, sick leave (>2w) present during the training of the resident.

Functioning well before sick leave: Y/N=1/0 Gender: M=1/F=0: M=Male / F=Female CanMEDS: 1=insufficient/0=sufficient Professionalism, Communicator, Collaborator, Manager, Medical Expertise, Scholar, Health advocacy Number of insufficient CanMEDS competency domains: (number) Description of unprofessional behaviors (in Dutch): free text copied from case law Canadian Code of Ethics: Type of unprofessional behavior present?

Attitude (towards patients, nurses, peers, supervisors, institute) Honesty, Humility, Reliability, Prudence. Overview cases Academic Psychiatry. In the period 2011 - 2020 there were 229 requests for conciliation. 98 were ultimately withdrawn by the applicants, resulting in unpublished decisions. 3 were inadmissible, because filed too late. 8 cases were not about dismissal. 74 cases excluded based on specialty. 10 cases were excluded based on sufficient scores on professionalism (7) or insufficient match (3) based on the shortness or lack of richness of description of unprofessional behavior. 2 psychiatry cases from the period 2010/2011 were added From the 38 remaining cases, 19 were previously in residency training for psychiatry and 19 previously in residency training for family medicine (matched).