A framework to teach self-reflection for the remedial resident

Regardless of the area of deficiency, be it in knowledge, skills or attitudes, residents requiring remediation are rarely self-identified. This illustrates a diminished ability for self-reflection. Self-reflection is a cornerstone of adult education. During the remediation process, the remediation curriculum needs to emphasize self-reflection.

How can one structure self-reflection in a remediation curriculum?

This article describes how to adapt and apply environmental scanning for remedial residents.

Environmental scanning is a rigorous and well-developed business approach that can be adapted for personal continuous quality improvement to foster self-reflection in medical trainees. There are often already existing tools which can form the foundation for regular reflection in medical education using an environmental scanning structure.

Environmental scanning can be thought of as a structured approach to internal and external reflections.