Study 2: characteristics of cases on resident dismissal at the Dutch conciliation board - Study 2E: Unprofessional behaviours in residents from hospital-based specialties

Framework 4I’s model on unprofessional behaviours

Methods

Quantitative and qualitative analysis of descriptions of unprofessional behaviours Source 61 Conciliation board (RGS-GC) cases from hospital-based specialties Data Description Coding: (file: 2E MedEth Ano) Tabs: 61casus Identifier: Random number Decision program director respected?: Y/N=1/0 Year of training at time of dismissal: Number between (0-6) 2 decimal max Gender: M=1/F=0: M=Male / F=Female CanMEDS: 1=insufficient/0=sufficient Professional, Communicator, Collaborator, Manager, Medical Expertise, Scholar, Health advocacy Number of insufficient CanMEDS competency domains (number) Professional password = prof Identifier: Random number Decision program director respected?: Y/N=1/0 Year of training at time of dismissal: Number between (0-6) 2 decimal max Gender: M=1/F=0: M=Male / F=Female 4I’s (inadequate involvement, integrity, interaction, introspection) Failure to engage: 1=present/0=unnoticed Dishonesty 1=present/0=unnoticed Disrespect: 1=present/0=unnoticed Poor-self-awareness 1=present/0=unnoticed Total items Cumulation Professional 1=insufficient/0=sufficient Description of unprofessional behaviors (in Dutch) free text copied from case law CanMEDS: 1=insufficient/0=sufficient Communicator, Collaborator, Manager, Medical Expertise, Scholar, Health advocacy Number of insufficient CanMEDS competency domains (number) Communicator (Password = com) Identifier: Random number Professional: Insufficient?

Y/N=1/0 Description of unprofessional behavior nvt = not relevant Free-text in Dutch Communicator Insufficient? Y/N=1/0 Type of insufficiencies in communication and with who: (free text in Dutch) Not specified; Patient; Colleague; Supervisor Engage Relationship patients Insufficient? Y/N=1/0 Language difficultés Insufficient?

Y/N=1/0 Report to others (failure to) Insufficient? Y/N=1/0 CanMEDS Collaborator, Manager, Medical Expert, Scholar Health Advocate, Insufficient: Y/N=1/0 Number of insufficient CanMEDS Communication with calculation communication addressed to (patient, colleague, supervisor, number of addressed type of professionals, not specified) Password = w