An Organized Approach to RESIDENT REMEDIATION MARIA E. MOREIRA AND ERIC D. KATZ
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Transcript of An Organized Approach to RESIDENT REMEDIATION MARIA E. MOREIRA AND ERIC D. KATZ
An Organized Approach to RESIDENT REMEDIATIONMARIA E. MOREIRA AND ERIC D. KATZ
Is the frog going to fall?
If I give you a stick, can you affect the outcome?
By the end of this session you will:
1. Define the resident who needs remediation
2. Recognize a four step approach to remediation
3. Apply these steps to a struggling resident
What is remediation?
The act or process of correcting a fault or deficiency
Questions:1. Which residents have faults or
deficiencies?
2. Do they ALL need remediation?
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?
Do you know me? Exceptionally bright Organized and
responsible Gets along well
with everyone Develops an
intention tremor
Does she need remediation?
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?
Remediation is…
The act or process of correcting a fault or deficiency
It is done in as organized and objective fashion as possible
Four Essential Steps
a. Competence assessmentb. Diagnosis of deficiency and development of individualized learning plansc. Instruction/remediation with deliberate practice, feedback, and reflectiond. Focused reassessment and certification of competenceAcad Med:84(12);1822-32
Competence Assessment
Requires reliable and valid assessment tools
ACGME toolbox of assessment methods
May need outside help
Deficiency Diagnosis + Individualized Learning Plan Based on assessment tools used Based on deficiency needing
remediation Based on individual being
remediated Based on resources
Instruction/Remediation
Activities need to address deficiencies
Provide opportunity for deliberate practice, feedback, and reflection
Reassessment
Reassess for progress Continuously End of remediation period
Can use same modalities as for diagnosis
Can use more focused tools
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
Welcome to your Oral Boards! PROGRAM DIRECTOR EDITION
Today you will be taking the PD practical skills assessment Two cases Group effort
Goals:1. Work through the steps of each
remediation2. Focus on the practicalities3. We will provide guidance and role
play the personnel
Have fun!
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
Questions?