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1- Biopsychosocial assessments for OMSB Residents in difficulty and where appropriate, ongoing support

a.  These assessments will be provided on a one-to-one basis.

b.  Assessments will be provided for residents who:-

        ·  Self-refer,

        ·  Are referred by a Program Director/ Chairman of a Scientific Committee due to concerns related to a resident’s academic or non-academic performance, or

        ·  Are on probation and/or a remedial program.

c.  An assessment interview will consider the individual resident’s issues and needs. It will assess how biopsychosocial issues are impacting on their academic and non-academic performance.

d.  Following the initial assessment, a decision will be made, together with the Resident, regarding further management.

Support for Academic and Work Performance Difficulties

Listed below are the general areas covered by the term “Performance difficulties in residency training”:

1.  Attitude and behaviour issues

        a.  This is a broad area and includes, but is not limited to,

                ·  Anger

                ·  Impulsive and erratic behavior

                ·  Recurrent absenteeism

                ·  Lack of confidence

                ·  Difficulty dealing with conflict in the workplace

                ·  Poor professional attitudes and behaviours 

2.  Communication difficulties

        a.  Finding it difficult to work in a team

        b.  Communication difficulties with staff and/or patients and/or carers.

        c.  Failure to answer calls at work

        d.  Not being available to do work when at work

3.  Clinical performance difficulties

        a.  Clinical mistakes

        b.  Critical incidents

        c.  Lack of knowledge

        d.  Lack of skills

4.  Unsatisfactory Progress in meeting training expectations

        a.  Poor organisational skills

        b.  Difficulty dealing with prioritization

        c.  Exam failure

        d.  Poor record keeping

        e.  Difficulty meeting deadlines

        f.  Poor leadership

        g.  Case note inadequacy

5.  Exam failure

6.  Health and disability issues

        a.  Frequent sick leave

        b.  Over and under motivation

        c.  Change of physical appearance

As seen above, the term, “Performance Difficulty”, is very broad. Residents may encounter one or more of these throughout the course of their training. There is no limit to the number of times that a Resident may attend the Performance and Wellness Unit.

·  Counseling Definition: “Professional guidance in resolving personal conflicts and emotional problems.” (1)

·  After an initial assessment at the Performance and Wellness Unit, a management plan is developed to address the issues that were uncovered during the assessment.

·  Frequently, counseling is an important part of the management plan.

·  Counseling can be provided free of charge on an appointment basis through the Performance and Wellness Unit.

·  Often only two to three sessions are required.

·  The frequency of sessions and the total duration of the counselling depends on individual need and on the underlying problem. This will be decided upon between the resident and counsellor.

Providing Education on topics aimed at maximizing a Resident’s performance and biopsychosocial wellbeing

a.  Educational activities will be provided for OMSB Residents and for all medical staff that are directly involved in OMSB Resident training.
b.  Education will be provided through
        ·  Workshops.
        ·  Lectures.
        ·  Resource library.
        ·  A staff member of the Performance and Wellness Section will attend Scientific Committee meetings or Progress Subcommittee         meetings, as required, to provide assistance.

Providing career support and guidance will be provided for:

a.  Residents that are considering leaving an OMSB residency program.

b.  Residents considering or requesting a transfer from one OMSB residency program to another.

c.  Residents considering further study overseas.

d.  Residents disillusioned or concerned about their career choice.