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

To which extent did these competencies overlap within an individual? Which typical qualifications were used to describe unprofessional behaviours? Framework CanMEDS + 4I’s model on unprofessional behaviours

Methods

Qualitative analysis using thematic analysis, collecting and describing illustrative examples of resident behaviour according to the 4I’s model’s categories. Source 24 Conciliation board cases of GP residents Data Description file:2D GP Excel Data Anon) Tabs GP (password = GP) o Identifier: randomized number o Year of training at time of dismissal number between (0-6) 2 decimal max o Gender: M=1/F0, M=Male/F=Female o 4I’s (Y/N=1/0): Failure to engage (Involvement), Dishonesty (Integrity), Disrespect (Interaction), Poor-self-awareness (Introspection), description from case law in Dutch o CanMEDS: 1=insufficient/0=sufficient Professionalism, Communication, Collaboration, Management, Medical Expertise, Scholar, Health advocacy, Number of insufficient CanMEDS o Years of training of detection of problems (Y/N=1/0) o APC: insufficient score on patient communication test (Y/N=1/0) o LHK: insufficient on at least one knowledge test Y/N=1/0 o Sick leave during training? >2weeks Y/N=1/0 o Functioned well before sickness Y/N=1/0 o Previously enrolled in GP training programme?

Y/N=1/0 o Remediation programme applied? Y/N=1/0 o Cultural/Language difficulties? Y/N=1/0 Remediation (password = rem): remediation present Y/N=1/0, type of remediation (copied statements anonymized from case law), formal remediation (Y/N=1/0), other forms of remediation (Y/N=1/0), case characteristics (specific features regarding remediation, progress or programme directors decision), professionalism insufficient?

(Y/N=1/0). Capacity (password = capp): calculation with numbers from the Dutch National Capacity Body Overview cases. In the period 2011 - 2020 there were 229 requests for conciliation. 98 were ultimately withdrawn by the applicants, resulting in unpublished decisions. 3 were inadmissible, because filed too late. 8 cases were not about dismissal. 96 cases were excluded based on specialty Eventually, 24 cases were previously in training for family medicine.