A novel concept in residency education: case-based remediation

Area of Science:

• Medical Education
• Graduate Medical Training
• Physician Development

Background:

• Resident remediation is mandated for those failing to meet Accreditation Council for Graduate Medical Education core competencies.
• The Council of Residency Directors in Emergency Medicine Remediation Taskforce recognized a need for practical, case-based remediation examples.

Purpose of the Study:

• To present a complex resident remediation case for consensus panel evaluation.
• To discuss assessment tools, due process, documentation, reassessment, and barriers in resident remediation.

Main Methods:

• A de-identified, complex resident remediation case was presented to a multidisciplinary panel of program directors.
• The remediation process, action plan, and outcomes were evaluated using a standardized approach.

Main Results:

• The resident required remediation due to organizational deficits and difficulties with patient care planning.
• The evaluation identified areas for improvement in the remediation process and discussed the utility of neuropsychological assessments.

Conclusions:

• Resident remediation is a complex, multifaceted process requiring detailed planning and execution.
• This case provides practical insights and suggests specific tools for program directors managing resident remediation.