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Academic Remediation

Highlights

  • Recognize red flags in resident applications.

  • Identify early indicators of struggling learners in resident assessments.

  • Describe how using focused experts for coaching milestone deficits can change behavior.

  • Discuss when a letter of warning and probation may be needed.

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Introduction

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Identifying Red Flags in Resident Applications

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Identifying Early Indicators of Struggling Performance Is Critical to Success

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Making a Diagnosis

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Medical Knowledge

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Patient Care

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Interpersonal and Communication Skills

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Professionalism

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Clinical Competency Committee Deliberations

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Notifying the Resident: Focused Review Letters

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Making a Remediation Plan

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Remediation Institutional Resources

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Acknowledgement

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References

  • 1. Guerrasio J., Brooks E., Rumack C.M., et. al.: Association of characteristics, deficits and outcomes of residents placed on probation at one institution, 2002–2012. Acad Med 2016; 91: pp. 382-387.

  • 2. Guerrasio J., Cumbler E., Trosterman A., et. al.: Determining need for remediation through postrotation evaluations. J Grad Med Educ 2012; 4: pp. 47-51.

  • 3. Yao D.C., Wright S.M.: A national survey of internal medicine residency programs directors regarding problem residents. JAMA 2000; 284: pp. 1099-1104.

  • 4. Guerrasio J., Furfari K.A., Rosenthal L.D., et. al.: Failure to fail: the institutional perspective. Med Teach 2014; 36: pp. 799-803.

  • 5. Zbieranowski I., Takahashi S.G., Verma S., et. al.: Remediation of residents in difficulty: a retrospective 10-year review of the experience of a postgraduate board of examiners. Acad Med 2013; 88: pp. 111-116.

  • 6. Guerrasio J., Hauer K.E., Cyran E., et. al.: Achieving success: diagnosis and remediation of the struggling medical learner. Acad Intern Med Insight 2012; 10: pp. 6-7.

  • 7. Papadakis M.A., Teherani A., Banach M.A., et. al.: Disciplinary action by medical boards and prior behavior in medical school. N Engl J Med 2005; 353: pp. 2673-2682.

  • 8. Hauer K.E., Ciccone A., Henzel T.R., et. al.: Remediation of the deficiencies of physicians across the continuum from medical school to practice: a thematic review of the literature. Acad Med 2009; 84: pp. 1822-1832.

  • 9. Available at; Colorado Physicians Health Program http://cphp.org/training-programs/ Accessed December 12, 2016

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