1. Define the resident who needs remediation 2. Recognize a four step approach to remediation 3. Apply these steps to a struggling resident
The act or process of correcting a fault or deficiency Questions: 1. Which residents have faults or deficiencies? 2. Do they ALL need remediation?
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?
Exceptionally bright Organized and responsible Gets along well with everyone Develops an intention tremor Does she need remediation?
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?
The act or process of correcting a fault or deficiency It is done in as organized and objective fashion as possible
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);1822-32
Requires reliable and valid assessment tools ACGME toolbox of assessment methods May need outside help
Based on assessment tools used Based on deficiency needing remediation Based on individual being remediated Based on resources
Activities need to address deficiencies Provide opportunity for deliberate practice, feedback, and reflection
Reassess for progress Continuously End of remediation period Can use same modalities as for diagnosis Can use more focused tools
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
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