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1. Define the resident who needs remediation 2. Recognize a four step approach to remediation 3. Apply these steps to a struggling resident.

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Presentation on theme: "1. Define the resident who needs remediation 2. Recognize a four step approach to remediation 3. Apply these steps to a struggling resident."— Presentation transcript:

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4 1. Define the resident who needs remediation 2. Recognize a four step approach to remediation 3. Apply these steps to a struggling resident

5  The act or process of correcting a fault or deficiency  Questions: 1. Which residents have faults or deficiencies? 2. Do they ALL need remediation?

6  Good In-Service Scores  Taking shortcuts for efficiency  Incomplete workups  Confabulating when not sure of answers  Seems to just tell you what you want to hear (Yes Man)  Does he need remediation?

7  Exceptionally bright  Organized and responsible  Gets along well with everyone  Develops an intention tremor  Does she need remediation?

8  Hard working, bright, dedicated and professional  Very personable  He’s showing up late  Wrinkled scrubs and not shaving  Off his game  Still competent but making mistakes  Does he need remediation?

9  The act or process of correcting a fault or deficiency  It is done in as organized and objective fashion as possible

10 a.Competence assessment b. Diagnosis of deficiency and development of individualized learning plans c. Instruction/remediation with deliberate practice, feedback, and reflection d. Focused reassessment and certification of competence Acad Med:84(12);

11  Requires reliable and valid assessment tools  ACGME toolbox of assessment methods  May need outside help

12  Based on assessment tools used  Based on deficiency needing remediation  Based on individual being remediated  Based on resources

13  Activities need to address deficiencies  Provide opportunity for deliberate practice, feedback, and reflection

14  Reassess for progress  Continuously  End of remediation period  Can use same modalities as for diagnosis  Can use more focused tools

15  Set early clear expectations  Educate faculty on assessment tools  Who will be involved in remediation  Obtain resident buy-in and involvement in development of plan  Set clear timeline for reassessment and contingency plans

16 PROGRAM DIRECTOR EDITION

17  Two cases  Group effort  Goals: 1. Work through the steps of each remediation 2. Focus on the practicalities 3. We will provide guidance and role play the personnel

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19  Remediation is an essential aspect of Resident Education  Essentials for Remediation include:  Identification  Good assessment tools  Individualized plans  Faculty and Resident buy in  Clear goals

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