Table 2 Aspects of insufficient professionalism and communication (n = 42) from: ethical issues in unprofessional behavior of residents who dispute dismissal: ten year analysis of case law in hospital-based specialties

Professional

(39)

Failure to engage (involvement)

30.8 (12)

Absences, delays, unavailability when on call, insufficient preparation for consultations, shift work or education days

Uncertain wait and see attitude

Superficial interaction with peers and supervisors

Dishonest behavior

20.5 (8)

Resumé fraud

(integrity)

Concealing not honoring commitments

Lying about medical actions that were or weren’t carried out

Concealing incidents

Disrespectful behavior

28.2 (11)

Conflicts with staff (handling authority) and peers

(interaction)

Disturbing attitude, annoyed or impolite

Poor-self-awareness (introspection)

79.5 (31)

Avoiding or externalizing feedback, unable to give or receive critiques, or recognize or profit from feedback

Insufficient self-reflection or introspection

Lacking insight in competence limitations

Lacking in trainability, correctability or indulgence

Communicator

(42)

Failure to engage in therapeutic relationships

with patients and family

23.8 (10)

Lack of interpersonal skills, difficult, detached or stiff in contact, lack of structure, problems to tune into patients and imagine what it would be like for them, problems with observing and adequately naming non-verbal communication

Language problems

16.7 (7)

Understanding others, clarity and being understood, pronunciation, grammar errors and misspellings

Failure to accurately report relevant findings to others (oral or written)

40.5 (17)

Abruptness in communication with colleagues and supervisors, or frequent miscommunication and vagueness (when discharging patients) regularly not writing a discharge summary or daily progress notes for shift handovers