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The problem resident behavior guide: strategies for remediation.

Kelly Williamson1, Erin Quattromani2, Amer Aldeen3

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Summary

This guide offers over 200 strategies for remediating problem resident behaviors in emergency medicine (EM), addressing gaps in current literature and complementing ACGME milestone evaluations.

Keywords:
Graduate medical educationMilestonesRemediation

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Area of Science:

  • Medical Education
  • Graduate Medical Education
  • Emergency Medicine Training

Background:

  • The Accreditation Council for Graduate Medical Education (ACGME) introduced outcomes-based milestones for resident performance.
  • Existing literature lacks comprehensive resources for addressing and remediating problem resident behaviors.
  • There is a need for practical tools to support remediation plans within residency programs.

Purpose of the Study:

  • To develop a guide with specific remediation strategies for problem resident behaviors.
  • To align remediation with deficiencies identified by the ACGME's emergency medicine milestones.
  • To provide a practical instructional manual for faculty and residency programs.

Main Methods:

  • Compilation of over 200 remediation strategies based on author experience at academic hospitals.
  • Inclusion of recommendations from educational leaders and educational adjuncts.
  • Focus on strategies requiring active resident participation with faculty guidance.

Main Results:

  • The "Problem Resident Behavior Guide" offers concrete examples and actionable strategies.
  • The guide addresses specific deficiencies within the framework of EM milestones.
  • Strategies are derived from diverse academic and educational expertise.

Conclusions:

  • The "Problem Resident Behavior Guide" fills a critical gap in resident remediation resources.
  • It provides faculty with practical tools to address performance deficiencies.
  • The guide supports the effective implementation of ACGME milestone-based evaluations.