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Published byCamilla Brooks Modified over 9 years ago
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The Intangibles that affect Residency Pam Lupo, CO Residency Director Wright & Filippis
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Residency History 5 Years 3-6 Residents per year
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Residency Program 2 week orientation for operational issues Primary site 3 days a week Quarterly Rotation 2 days a week under specialties Pediatrics, geriatrics, trauma, diabetic footcare, overall footcare, scoliosis, polio, CMT, adult rehab, central fabrication.
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Quarterly evaluations Patient care Technical skills Canon of ethics
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Example #1: Resident 1 2 Positive quarterly evaluations Quarterly Evaluation Supervisor/Residency Director Assumed progressing well *research project
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Clinical 90 day evaluation nothing negative 6 month nothing negative 4 th quarter Identified lack follow-through with 2 rotations Did not complete research project 10 month point of residency Written notification refusal to sign Final Evaluation of Resident’s Performance.
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Personal Sleeping with administrator at hospital Rumor is he is going to marry her. Making matters worse: paraplegic in wheelchair. Renegotiating contract/Impact on business
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Resolution NCOPE Intervened Sited favorable evaluations Non-work related issues Mutual agreement sat for ABC Exam under Canadian guidelines
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Note: Canon of Ethics Objective 6: Section III Responsibility to the Patient “sexual relations with patients prohibited”
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Example #2: Resident 2 O&P Certificate Program Senior President Presented well organized and had good reference from school.
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Clinical Exemplary relationship with physicians and staff at the hospital Good patient care
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Personal Financial Disaster Asking co-workers for money. Needing time off for bankruptcy court. Eventually no transportation for work.
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Resolution Loaned company car for monthly rental. Ongoing problems
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Example #3: Resident 3 First 2 Evaluations Positive Rotate to our Medical Center office Fast pace and high stress
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Warning Signs Missed 6 out of 8 Mondays. Leaving early on numerous occasions No previous history
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Resolution Heart to heart talk Confided spastic bowel and getting physically ill Sunday evenings and Monday mornings. Transferred back to original site.
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Tools for Resolution
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Employee Assistance Programs TEAM Total Employee Assistance Management Employee Assistance/Counseling Management support and direction
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Documentation
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Individual Corporate Employee Manual Relationship with co-workers Absenteeism Conflict of interest Guiding Principles
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Lessons learned Document Timely Code of Ethics Social taboos Be approachable
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NCOPE Site
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Issues surrounding residents are NO different than those of all employees. Must be diligent in accountability to NCOPE
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