Residents in difficulty: a mixed methods study on the prevalence, characteristics, and sociocultural challenges from the perspective of residency program directors

Table 4 Assigned causes for the latest resident being in difficulty (n_respondents = 100)

Category	Causes	Number of respondents agreeing	Average
Attributes	The resident was too insecure or nervous	41	41
	The resident was unable to receive constructive feedback	40
	The resident did not poses the necessary will or competences to comply with the department’s medical standards	41
Stressors	Stressors in the residents personal life situation	25	14
	Psychological or psychiatric health problems	15
	Physical health problems	10
	Substance abuse	3
	Work-related stress and depression	17
Education	The resident lacked in basic medical knowledge and/or clinical skills	36	16
	The resident did not receive adequate in-training feedback and/or supervision	12
	The resident did not have sufficient opportunity to practice relevant procedures	4
	The resident did not experience adequate social acceptance in the department	13

ISSN: 1472-6920