Adaptability: an Atribute in Family Medicine PGY1 Residents

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Family Medicine Professional Choices

One important area assessed in the Family Medicine Professional Choices FMProC/CProMF (Choix professionnels en Médecine de famille) is adaptability and resilience. Family Medicine PGY1s are know to work under pressure while in hospital or in clinic settings. While a typical day in the life of PGY1 may through several bottle-necks on their time management, however, their ability to remain flexible, manage ambiguity and remain calm while managing work stresses, will be tested on FMProc.
 

Keeping the foundations of resolving issues directly, choosing sensitive approaches and avoiding conflicts will help you answer question successfully. This is achieve if the following guidelines were followed in regards to adaptability:

  • speak with respect
  • seek help when unsure or not coping with workload
  • become aware of your limitations, your supervisor and your mentor are two separate entities
  • when faced with many demand on your attention at the same time: prioritize
  • patient status will guide your response: care for unstable patients first, address patients in pain second, while you check off your routine duties as PGY1.
     

 

Question:
 

Your supervisor call you while on her way to work and tell you she's running late. She ask you to see the first two patients and to perform pap test for them. She has confidence in you as she demonstrated the procedure last week in clinic. You have not done the procedure by yourself but she mentioned you are entitled to do it now.

Rank the following proposed courses of action according to their desirability, that the most-desirable action on top and the least-desirable action or response lower on the bottom.
 

  1. politely stand in your grounds and say you'll happy to do it when she arrives
  2. ask colleague with experience to do the procedures
  3. go over the procedure on your study material before you do them
  4. do it and document it with the conversation over the phone with your supervisor
  5. refuse to do it and suggest you see the other patients with follow up visits

 

 

Successful Answer:
 

  1. politely stand in your grounds and say you'll happy to do it when she arrives.
  2. ask colleague with experience to do the procedures.
  3. go over the procedure on your study material before you do them.
  4. do it and document it with the conversation over the phone with your supervisor.
  5. refuse to do it and suggest you see the other patients with follow up visits.