SummaryThis study examined how 120 cases of residents scored on introspection, who were dismissed from training between 2011-2020 and heard by the Dutch Conciliation Board. The characteristics of residents deemed ‘insufficient’ regarding introspection as part of the CanMEDS professional domain were compared with the decisions about residents without reported insufficiencies on introspection, on gender, years of training at dismissal, and number of insufficiencies on CanMEDS domains. Qualitative research included analysis of descriptions of behavior lacking introspection. Research Questions How often are insufficiencies on introspection considered in decisions about dismissal? Does insufficient introspection serve as a precursor to insufficiencies in competencies? Framework CanMEDS competencies + Introspection (from the 4I’s model) Methods Quantitative analysis: descriptive and inferential statistics regarding competencies and introspection. Qualitative analysis: differentiating elements of introspection present in resident cases Source 120 Conciliation board (RGS-GC) casesStudy 2A including 3 emergency medicine + 1 occupational medicine Data Description Coding (2F Introspection data anon): password: intro Identifier: Random number Year of training at time of dismissal: Number between (0-6) 2 decimal max Gender: M=1/F=0: M=Male / F=Female CanMEDS: 1=insufficient/0=sufficient Professionalism, Communication, Collaboration, Management, Medical Expertise, Scholar, Health advocacy Introspection: 1=insufficient / 0=insufficiency not mentioned Description (of introspection), contains: The wording: reflection, feedback, Critique, Insight, Own, Self, Externalizing, Adaptation, self-insight, coachable Description of unprofessional behaviors (in Dutch) free text copied from case law