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Embracing our responsibility to ensure trainee competency

Embracing our responsibility to ensure trainee competency Every summer, emergency medicine (EM) residency educators graduate their residents, hand them a diploma, and certify that they have completed training and are ready for practice. Similarly, medical school deans hood, shake hands, award diplomas, and repeat the physicians’ oath where they pledge with graduates, “the health and well‐being of my patient will be my first consideration.”1The unfortunate secret is that faculty graduate trainees they know in their hearts they would not let care for their family.2,3 They know the struggles and sometimes unprofessional behaviors of these trainees; yet, a small number are allowed to graduate. It is a significant issue and is unacceptable. We termed this “kicking the can down the road: when medical schools fail to self‐regulate.”4The students enter residency becoming the responsibility of EM program directors, and as faculty, we find this process frustrating and unacceptable. Despite frustrations with medical schools, similarly residency programs graduate trainees they would not let take care of their families.1,2 Fifty‐two percent of internal medicine program directors acknowledged “I have graduated at least one person in the last three academic years (2014, 2015, 2016), about whom I have concerns regarding their ability to practice independently.” Furthermore, 57% of them noted “every http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png AEM Education and Training Wiley

Embracing our responsibility to ensure trainee competency

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References (43)

Publisher
Wiley
Copyright
Copyright © 2023 Society for Academic Emergency Medicine
eISSN
2472-5390
DOI
10.1002/aet2.10863
Publisher site
See Article on Publisher Site

Abstract

Every summer, emergency medicine (EM) residency educators graduate their residents, hand them a diploma, and certify that they have completed training and are ready for practice. Similarly, medical school deans hood, shake hands, award diplomas, and repeat the physicians’ oath where they pledge with graduates, “the health and well‐being of my patient will be my first consideration.”1The unfortunate secret is that faculty graduate trainees they know in their hearts they would not let care for their family.2,3 They know the struggles and sometimes unprofessional behaviors of these trainees; yet, a small number are allowed to graduate. It is a significant issue and is unacceptable. We termed this “kicking the can down the road: when medical schools fail to self‐regulate.”4The students enter residency becoming the responsibility of EM program directors, and as faculty, we find this process frustrating and unacceptable. Despite frustrations with medical schools, similarly residency programs graduate trainees they would not let take care of their families.1,2 Fifty‐two percent of internal medicine program directors acknowledged “I have graduated at least one person in the last three academic years (2014, 2015, 2016), about whom I have concerns regarding their ability to practice independently.” Furthermore, 57% of them noted “every

Journal

AEM Education and Training – Wiley

Published: Apr 1, 2023

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