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An Organized Approach to Resident Remediation: Define, Recognize, Apply

Learn how to define residents in need of remediation, recognize a four-step approach, and apply these steps properly to struggling residents. Understand what remediation is, the steps of competence assessment, diagnosis of deficiency, instruction, and reassessment. Get insights on essential components, practical skills assessment, and the importance of clear goals.

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An Organized Approach to Resident Remediation: Define, Recognize, Apply

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  1. An Organized Approach to RESIDENT REMEDIATIONMARIA E. MOREIRA AND ERIC D. KATZ

  2. Is the frog going to fall?

  3. If I give you a stick, can you affect the outcome?

  4. By the end of this session you will: • Define the resident who needs remediation • Recognize a four step approach to remediation • Apply these steps to a struggling resident

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

  6. Do you know me? • 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. Do you know me? • Exceptionally bright • Organized and responsible • Gets along well with everyone • Develops an intention tremor • Does she need remediation?

  8. Last one • 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. Remediation is… • The act or process of correcting a fault or deficiency • It is done in as organized and objective fashion as possible

  10. Four Essential Steps 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 AcadMed:84(12);1822-32

  11. Competence Assessment • Requires reliable and valid assessment tools • ACGME toolbox of assessment methods • May need outside help

  12. Deficiency Diagnosis + Individualized Learning Plan • Based on assessment tools used • Based on deficiency needing remediation • Based on individual being remediated • Based on resources

  13. Instruction/Remediation • Activities need to address deficiencies • Provide opportunity for deliberate practice, feedback, and reflection

  14. Reassessment • Reassess for progress • Continuously • End of remediation period • Can use same modalities as for diagnosis • Can use more focused tools

  15. Other Important Components • 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. Welcome to your Oral Boards! PROGRAM DIRECTOR EDITION

  17. Today you will be taking the PD practical skills assessment • Two cases • Group effort • Goals: • Work through the steps of each remediation • Focus on the practicalities • We will provide guidance and role play the personnel

  18. Have fun!

  19. Conclusions • 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

  20. Questions?

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