Free Writing Prompt #6 You will have 5 minutes to offer your thoughts about this question. Keep the pen (or pencil) moving. The idea is to access your immediate ideas and put them directly on the page. Your hand should be moving at all times, even if you repeat yourself. Do not worry about spelling, grammar or punctuation. Please feel free to use both sides of the paper. Based on your experiences, what outcome would you hope for from a successful remediation?

Outcomes in Remediation Calvin Chou, MD, PhD, FAACH University of California, San Francisco

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Remediation in medical education Facilitating a correction for trainees who started out on the journey toward becoming an excellent health professional but have moved off course

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Failure to Fail Guerrasio et al, Med Teach 2014

Juan Compelling backstory Engages well with team, can manage patients well with direction Fund of knowledge lacking

Stereotype Threat theory A situational condition where people are or believe themselves to be at risk of confirming negative stereotypes about their cultural group

Alan Taken aside by prior attending: “he’s awkward with patients” You have seen this yourself Appears very anxious

Michael Early 2 nd year resident Did not order chest CT for two different pts with recurrent pneumonia Did not order antibiotics swiftly for pt with ESLD and cellulitis

Hunt et al, Nurse Educ Today 2016

Components Triumvirate of educators: frontline faculty, expert remediation coaches, ultimate arbiters Standardized competency-based assessments Consider learner-directed plan building Resources for all of the above Documentation

Case Consultations In a triad: 1.Describe your case (2 min) 2.Listeners ask clarifying questions (1 min) 3.Case presenters turn their backs and take notes (5 min), while consultants share thoughts about the case 4.Case presenters return, reflect on learning (2 min)

Free Writing Prompt #7 You will have 5 minutes to offer your thoughts about this question. Keep the pen (or pencil) moving. The idea is to access your immediate ideas and put them directly on the page. Your hand should be moving at all times, even if you repeat yourself. Do not worry about spelling, grammar or punctuation. Please feel free to use both sides of the paper. What does remediation mean to you?