Résumé :
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[BDSP. Notice produite par INIST azNJR0xT. Diffusion soumise à autorisation]. Context Internal medicine residency training is demanding and residents can experience a wide variety of professional and personal difficulties. A problem resident is defined by the American Board of Internal Medicine as "a trainee who demonstrates a significant enough problem that requires intervention by someone of authority." Data are sparse regarding identification and management of such residents. Objective To gain more understanding of the prevalence, identification, management, and prevention of problem residents within US internal medicine residency programs. Design, Setting, and Participants Mailed survey of all 404 internal medicine residency program directors in the United States in October 1999, of whom 298 (74%) responded. Main Outcome Measures Prevalence of problem residents ; type of problems encountered ; factors associated with identification and management of problem residents. Results The mean point prevalence of problem residents during academic year 1998-1999 was 6.9% (SD, 5.7% ; range, 0% - 39%), and 94% of programs had problem residents. The most frequently reported difficulties of problem residents were insufficient medical knowledge (48%), poor clinical judgment (44%), and inefficient use of time (44%). Stressors and depression were the most frequently identified underlying problems (42% and 24%, respectively). The most frequent processes by which problem residents were discovered included direct observation (82%) and critical incidents (59%). (...)
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