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Table 4 Qualitative Results: Challenges to developing ILPs

From: Pediatric resident and faculty attitudes toward self-assessment and self-directed learning: a cross-sectional study

Resident comments

Faculty comments

Time

   • Takes time away from reading.

   • Finding the time to keep with the program.

   • Time-consuming in what is already a limited/full schedule.

   • Time to develop and monitor.

Insufficient understanding of how to construct an effective ILP

   • Ability to recognize your weaknesses.

   • Adequate understanding of strengths/weaknesses and goals that should be achieved.

   • Determining one's own strengths and weaknesses and finding ways to utilize and improve them respectively.

   • Residents may not have enough insight to develop effective ILPs, and faculty advisors may not be able to a.) spend enough time in helping with the ILP development, and b.) know the resident well enough.

   • Knowing exactly what to include.

   • Specifically identifying areas of weakness in a resident's education that should be addressed, and how to best structure a plan to adequately provide the resources to address this area.

   • Creating a realistic plan that will be easy to follow.

   • Knowing what elements work and don't work.

   • Knowing what sources to refer to. Setting reasonable goals that can be accomplished while working.

   • Faculty need instruction on what is involved.

Maintaining same goals throughout residency training

   • We have such a variable schedule that anyone who can maintain the same goals/plan no matter the rotation deserves FIVE GOLD STARS.

 

   • My interests may change.

 

   • May be too narrow in scope.

 

Appropriate self-discipline and attitude (for residents)

   • Finding adequate time and motivation to really focus on it.

   • Denial, lack of self-discipline, fatigue.

 

   • Attitude.

 

   • Motivation to develop it and desire to make changes.

 

   • Tunnel vision of most residents. A sense of entitlement and lack of sacrifice.

 

   • Learning how to make a reasonable effort.

Follow through

   • Follow through

   • Organization and follow through.

 

   • I think the most important step in ILP is finding the time to implement the plan once you have identified your learning goals – need to set aside time for timely reading and review of literature, etc.