The Intangibles that affect Residency Pam Lupo, CO Residency Director Wright & Filippis
Residency History 5 Years 3-6 Residents per year
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.
Quarterly evaluations Patient care Technical skills Canon of ethics
Example #1: Resident 1 2 Positive quarterly evaluations Quarterly Evaluation Supervisor/Residency Director Assumed progressing well *research project
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.
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
Resolution NCOPE Intervened Sited favorable evaluations Non-work related issues Mutual agreement sat for ABC Exam under Canadian guidelines
Note: Canon of Ethics Objective 6: Section III Responsibility to the Patient “sexual relations with patients prohibited”
Example #2: Resident 2 O&P Certificate Program Senior President Presented well organized and had good reference from school.
Clinical Exemplary relationship with physicians and staff at the hospital Good patient care
Personal Financial Disaster Asking co-workers for money. Needing time off for bankruptcy court. Eventually no transportation for work.
Resolution Loaned company car for monthly rental. Ongoing problems
Example #3: Resident 3 First 2 Evaluations Positive Rotate to our Medical Center office Fast pace and high stress
Warning Signs Missed 6 out of 8 Mondays. Leaving early on numerous occasions No previous history
Resolution Heart to heart talk Confided spastic bowel and getting physically ill Sunday evenings and Monday mornings. Transferred back to original site.