Introduction

Each physician undertaking education to reenter practice should consider the merits of the specific program offering the education. As a learner, the physician has the right to expect that the reentry program will address a range of criteria including full disclosure, initial and periodic assessment of learner needs; educational and clinical Resources; competent and appropriate faculty; and continuous assessment and updating of the program, itself. To this end, the Physician Reentry into the Workforce Project has developed a Learner’s Bill of Rights This tool is designed to help the reentering physician make choices that best suit his or her situation and needs.

Content of the Learner’s Bill of Rights

Full disclosure regarding the program’s :

  • history
  • mission
  • organizational structure
  • methods
  • cost
  • benefits (including liability coverage)
  • resources (including confidential ombudsman role)

Assessment that is:

  • independent,
  • available in writing
  • objective, using reproducible tools (when appropriate)
  • encompasses clinical competence involving:
    • communications skills
    • data gathering
    • medical records
    • knowledge
    • clinical judgment and decision-making
    • technical or psychomotor skills (when applicable)
    • neuropsychological assessment
  • at program onset, at intervals throughout program, and at the conclusion of the training

An Educational Program that:

  • is based on assessment
  • has specific goals and educational objectives
  • has adequate clinical Resources, including:
    • laboratory and imaging facilities
    • phlebotomy , IV, and transport services
    • medical records
    • patient volume
    • nursing, clerical and faculty support
  • has medical information access to:
    • reference materials in print or electronic format
    • searchable electronic medical literature
  • utilizes methods to identify if clinical activities contribute to defined educational objectives
  • has adequate clinical volume
    • considering other learners in same educational environment
    • with appropriate faculty involvement
  • has faculty mentors

Reporting (available to participating physicians and authorized referring organizations) that includes:

  • formal reports from the program (at onset, during, and at conclusion)
  • maintenance of written records of participants’ performance and progress

Program Development and Review that includes:

  • ongoing faculty development
  • internal and external reviews, at least every five years

References utilized:

  1. ACGME Institutional Requirements (www.acgme.org)
  2. Guidelines for Physician Enhancement Programs (approved October 13, 2006)
  3. Coalition for Physician Enhancement website (www.physicianenhancement.org)
  4. Physician Reentry into the Workforce Project website (http://www.aap.org/reentry)

Resources

The Web site at www.physicianreentry.org provides additional information on the Physician Reentry into the Workforce Project. The Web site also contains practical Resources for both physicians seeking to reenter the workforce and others interested in the issue, including employers, educators, regulatory groups, and medical and specialty societies.

Fair Use Policy: Individuals or organizations interested in distributing this Issue Brief or using its content should acknowledge the authorship of the Physician Reentry into the Workforce Project in an appropriate citation.

Suggested Citation: Physician Reentry into the Workforce Project. Issue Brief: Learner’s Bill of Rights. Elk Grove Village, Ill. American Academy of Pediatrics; 2009.