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Copyright © 2018 The Authors. Published by The Journal of Bone and Joint Surgery, Incorporated.

MELTON ET AL.

ORTHOPAEDIC RESIDENT REMEDIATION.FREQUENCY,INTERVENTIONS, AND OUTCOMES

http://dx.doi.org/10.2106/JBJS.OA.18.00011 Page 1

Appendix

Survey Questions

1. In last 10 years, have any residents been remediated?

• No residents have been remediated

• If yes, how many?

o 1 o 2 o 3 o 4 o 5 o 6 o 7 o 8 o 9 o 10

o Free text if greater than 10

***********

The following set of questions will be answered based on the response to the question above regarding the number of residents who had been remediated.

Each set (Question 2 through Question 8) will be repeated for each resident who has been remediated. The questions will be asked in a sequential manner (Question 2 through Question 8) for each resident. For example, if the answer to Question 3 is 2 residents, then the set of

questions will be repeated for each specific resident.

***********

2. What PGY year was the resident remediated?

• 1

• 2

• 3

• 4

• 5

3. When was this resident accepted?

• PGY-1

• PGY-2 or later

4. Failure of which milestone competency prompted remediation? Select all that apply

• Practice-based learning

• Patient care

o Clinic setting o Operative setting

• Medical knowledge

• Interpersonal and communication skills o With residents

o With attendings o With staff

(2)

Copyright © 2018 The Authors. Published by The Journal of Bone and Joint Surgery, Incorporated.

MELTON ET AL.

ORTHOPAEDIC RESIDENT REMEDIATION.FREQUENCY,INTERVENTIONS, AND OUTCOMES

http://dx.doi.org/10.2106/JBJS.OA.18.00011 Page 2

o With patients

• Professionalism

o Not trustworthy o Drug or alcohol abuse

o Consistently not fulfilling requirements or duties o If none of the above apply, then free text

5. How was the remediated resident identified? Select all that apply

• Milestone achievement

• Conference performance

• Attending evaluations

• Direct observation in clinical setting

• Direct observation in operative setting

• Orthopaedic In-Training Examination score

• Incident report

• Competency Committee meeting

• Other (free text)

6. Who identified the remediated resident? Select all that apply

• Attending

• Chief resident

• Residents

• Physicians from other services

• Ancillary staff

• Self

• Parents or family

• Other (free text)

7. Intervention: select all that apply. Rank effectiveness if applicable

• Increased number of feedback sessions

• Mentor or structured supervision

• Probation

• Psychiatric or psychological counseling

• Strict behavioral guidelines

• Remedial didactic curriculum

• Leave of absence

• Formal psychomotor function testing or learning assessment

• Substance abuse rehabilitation program 8. Outcome: select all that apply

• Transitioned to another program in Orthopaedics

• Transitioned to another field in medicine o If so, what field? (free text)

• Terminated

• Pursued career outside of medicine

• Graduated from original program o If so, on time?

• Litigation pursued

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