6,939
Views
70
CrossRef citations to date
0
Altmetric
Web Paper Abstracts

The “problem” learner: Whose problem is it? AMEE Guide No. 76

Pages e1035-e1045 | Published online: 15 Mar 2013

References

  • American Board of Internal Medicine. 1999. Association of program directors in internal medicine (APDIM)'s chief residents’ workshop on problem residents. New Orleans (LA)
  • Bennett J, O’Donovan D. Substance misuse by doctors, nurses and other healthcare workers. Curr Opin Psychiatry 2001; 14(3)195–199
  • Bennett AJ, Roman B, Arnold LM, Kay J, Goldenhar LM. Professionalism deficits among medical students: Models of identification and intervention. Acad Psychiatry 2005; 29(5)426–432
  • Borenstein DB. Should physician training centers offer formal psychiatric assistance to house officers? A report on the major findings of a prototype program. Am J Psychiatry 1985; 142(9)1053–1057
  • Brenner AM, Mathai S, Jain S, Mohl PC. Can we predict “problem residents”?. Acad Med 2010; 85(7)1147–1151
  • Catton P, Hutcheon M, Rothman A. Academic difficulty in postgraduate medical education: Results of remedial programs at University of Toronto. Ann RCPSC 2002; 35(4)232–237
  • Claridge MT, Lewis T. Coaching for effective learning: A practical guide for teachers in health and social care. Radcliffe Publishing, OxonUK 2005
  • Clark CM, Farnsworth J, Springer PJ. Policy development for disruptive student behaviors. Nurse Educ 2008; 33(6)259–262
  • Cleland JA, Knight LV, Rees CE, Tracey S, Bond CM. Is it me or it is them? Factors that influence the passing of underperforming students. Med Educ 2008; 42(8)800–809
  • Coles CR. Helping students with learning difficulties in medical and health-care education. Med Educ 1990; 24(3)300–312
  • Cruess RL, Cruess SR, Steinert Y. Teaching medical professionalism. Cambridge University Press, New York 2009
  • Dabrow S, Russell S, Ackley K, Anderson E, Fabri PJ. Combating the stress of residency: One school's approach. Acad Med 2006; 81(5)436–439
  • Dubovsky SL, Gendel M, Dubovsky AN, Rosse J, Levin R, House R. Do data obtained from admissions interviews and resident evaluations predict later personal and practice problems?. Acad Psychiatry 2005; 29(5)443–447
  • Dudek NL, Marks MB, Regehr G. Failure to fail: The perspectives of clinical supervisors. Acad Med 2005; 80(10)S84–S87
  • Dyrbye LN, Thomas MR, Shanafelt TD. Medical student distress: Causes, consequences and proposed solutions. Mayo Clin Proc 2005; 80(12)1613–1622
  • Evans DE, Alstead EM, Brown J. Applying your clinical skills to students and trainees in academic difficulty. Clin Teach 2010; 7(4)230–235
  • Evans D, Brown J. Supporting students in difficulty. ABC of learning and teaching in medicine, P Cantillon, D Wood. Wiley-Blackwell, OxfordUK 2010; 78–82
  • Faigel HC. Changes in services for students with learning disabilities in US and Canadian medical schools, 1991 to 1997. Acad Med 1998; 73(12)1290–1293
  • Frank-Josephson C, Scott JU. Commentary: Accommodating medical students with learning disabilities. Acad Med 1997; 72(12)1032–1033
  • Gordon MJ. A prerogatives-based model for assessing and managing the resident in difficulty. Fam Med 1993; 25(10)637–645
  • Grams GD, Longhurst MF, Whiteside CB. The faculty experience with the “troublesome” family practice resident. Fam Med 1992; 24(3)197–200
  • Greenburg DL, Durning SJ, Cohen DL, Cruess D, Jackson JL. Identifying medical students likely to exhibit poor professionalism and knowledge during internship. J Gen Intern Med 2007; 22(12)1711–1717
  • Hays RB, Lawson M, Gray C. Problems presented by medical students seeking support: A possible intervention framework. Med Teach 2011; 33(2)161–164
  • Hicks PJ, Cox SM, Espey EL, Goepfert AR, Bienstock JL, Erickson SS, Hammoud MM, Katz NT, Krueger PM, Neutens JJ, et al. To the point: Medical education reviews – Dealing with student difficulties in the clinical setting. Am J Obstet Gynecol 2005; 193(6)1915–1922
  • Howell JB, Schroeder DP. Physician stress: A handbook for coping. University Park Press, Baltimore 1984
  • Ikkos G. Responding to trainee doctors in difficulty. Hosp Med 2000; 61(5)348–351
  • Irby DM, Fantel JI, Milam SD, Schwarz MR. Legal guidelines for evaluating and dismissing medical students. N Engl J Med 1981; 304(3)180–184
  • Irby DM, Milam S. The legal context for evaluating and dismissing medical students and residents. Acad Med 1989; 64(11)639–643
  • Kahn NB. Dealing with the problem learner. Fam Med 2001; 33(9)655–657
  • Klein EJ, Marcuse EK, Jackson JC, Watkins S, Hudgins L. The pediatric intern retreat: 20-year evolution of a continuing investment. Acad Med 2000; 75(8)853–857
  • Lake FR, Ryan G. Teaching on the run tips 11: The junior doctor in difficulty. Med J Aust 2005; 183(9)475–476
  • Langlois JP, Thach S. Preventing the difficult learning situation. Fam Med 2000; 32(4)232–234
  • LeBlanc C, Beatty L, (in press) A resident in difficulty, or a difficult resident? In: Bandiera G, Dath D. editors. Program directors' manual. Ottawa: Royal College of Physicians and Surgeons of Canada
  • Long A. Trainees in difficulty. Arch Dis Child 2009; 94(7)492–496
  • Luthy C, Perrier A, Perrin E, Cedraschi C, Allaz AF. Exploring the major difficulties perceived by residents in training: A pilot study. Swiss Med Wkly 2004; 134(41–42)612–617
  • Marco CA. Ethics seminars: Teaching professionalism to “problem” residents. Acad Emerg Med 2002; 9(10)1001–1006
  • Midtgaard M, Ekeberg O, Vaglum P, Tyssen R. Mental health treatment needs for medical students: A national longitudinal study. Eur Psychiatry 2008; 23(7)505–511
  • Mitchell M, Srinivasan M, West DC, Franks P, Keenan C, Henderson M, Wilkes M. Factors affecting resident performance: Development of a theoretical model and a focused literature review. Acad Med 2005; 80(4)376–389
  • Muller J, Sommers P. A workshop for junior faculty on the learner in difficulty. Acad Med 2000; 75(5)557
  • Peterkin AD. Staying human during residency training. Canadian Medical Association, Ottawa 1991
  • Rankin JW, Kelly MB. Evaluating medical residents – “Fairness,” “due process,” and other legalities. How to evaluate residents, JS Lloyd, DG Langsley. American Board of Medical Specialties, Chicago 1986
  • Reamy BV, Harman JH. Residents in trouble: An in-depth assessment of the 25-year experience of a single Family Medicine residency. Fam Med 2006; 38(4)252–257
  • Roback HB, Crowder MK. Psychiatric resident dismissal: A national survey of training programs. Am J Psychiatry 1989; 146(1)96–98
  • Rose TG. Due process in residency training. Becoming a family physician, M Little, JE Midtling. Springer-Verlag, New York 1989
  • Schwartz PL, Loten EG. Effect of remedial tutorial help on students who fail in-course assessments. Acad Med 1998; 73(8)913
  • Shapiro J, Prislin MD, Larsen KM, Lenahan PM. Working with the resident in difficulty. Fam Med 1987; 19(5)368–375
  • Smith CS, Stevens NG, Servis M. A general framework for approaching residents in difficulty. Fam Med 2007; 39(5)331–336
  • Steinert Y. The ‘problem’ junior: Whose problem is it?. BMJ 2008; 336(7636)150–153
  • Steinert Y, Levitt C. Working with the “problem” resident: Guidelines for definition and intervention. Fam Med 1993; 25(10)627–632
  • Steinert Y, Nasmith L, Daigle N, Franco ED. Improving teachers’ skills in working with ‘problem’ residents: A workshop description and evaluation. Med Teach 2001; 23(3)284–288
  • Teunissen PW, Dornan T. Lifelong learning at work. BMJ 2008; 336(7645)667–669
  • Tulgan H, Cohen SN, Kinne KM. How a teaching hospital implemented its termination policies for disruptive residents. Acad Med 2001; 76(11)1107–1112
  • Tyssen R, Vaglum P. Mental health problems among young doctors: An updated review of prospective studies. Harv Rev Psychiatry 2002; 10(3)154–165
  • Vaughn LM, Baker RC, DeWitt TG. The problem learner. Teach Learn Med 1998; 10(4)217–222
  • Whitman N, Schwenk TL. The physician as teacher. Whitman Associates, Salt Lake City, Utah 1997
  • Winter RO, Birnberg B. Working with impaired residents: Trials, tribulations, and successes. Fam Med 2002; 34(3)190–196
  • Yao DC, Wright SM. National survey of internal medicine residency program directors regarding problem residents. JAMA 2000; 284(9)1099–1104
  • Yao DC, Wright SM. The challenge of problem residents. J Gen Intern Med 2001; 16(7)486–492
  • Zoller DP, Murphy-Cullen CL, Moore S, Graff A. A wellness program model for family practice residency programs. Fam Med 1985; 17(3)93–95

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.