BEHAVIORS THAT COMPROMISE TRUST IN RESIDENCY PROGRAMS

Abstract

Background: Developing trust and reliability on others are complicated decisions to be made in the community. These are influenced via numerous challenging elements within the workplace. Endorsing supervision is defined benchmarks of entrustment, reliability and feeling comfortable, collectively with the supervisors’ roles and behaviors.

Objective: The objective of the study is to explore the behaviors of senior medical residents that affects the entrustment of supervisors to put sole responsibility for unsupervised tasks in clinical training.

Methods: A qualitative exploratory study in which 12 clinical faculty members supervising senior residents in post graduate clinical programs from Rawalpindi and allied were enrolled. They were selected by purposive sampling technique for semi-structured interviews. Thematic Data and Content analysis was carried out. Data collection and data analysis both were initiated simultaneously. Interviews were recorded, transcribed verbatim, analyzed manually.

Results: A total of 12 participants took part in the study and reported many factors and behaviors among trainees that affect entrustment. Five major themes were found to influence supervisor entrustment in trainees pertaining to critical and unseen situations i.e. resident attributes, working relationship, patient care and context, competence and professionalism.

Conclusion: Factors that contribute resident behaviors demonstrate trustworthiness and credibility promote entrustment by supervisors. It is analyzed that for a supervisor to build trust successfully, the requirements are to work with the resident for a significant duration, the optimum knowledge and sense of commitment are foremost.