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Orthopaedic Resident Remediation: Frequency, Interventions, and Outcomes
William Melton1, J Benjamin Jackson1, David Koon1
1Palmetto Health USC Orthopaedic Center, Columbia, South Carolina.
JB & JS Open Access
|March 19, 2019
Summary
Orthopaedic resident remediation is common, with professionalism and communication issues most frequent. Mentorship and feedback improve on-time graduation rates for struggling residents.
Area of Science:
- Medical Education
- Orthopaedic Surgery
- Graduate Medical Education
Background:
- Limited research exists on orthopaedic resident remediation.
- This study addresses the gap in literature regarding remediation in orthopaedic surgery training.
Purpose of the Study:
- To determine the frequency, causes, interventions, and outcomes of orthopaedic resident remediation.
- To identify factors associated with successful on-time graduation for remediated residents.
Main Methods:
- A non-identifying digital survey was sent to program directors of all 159 Accreditation Council for Graduate Medical Education-recognized orthopaedic residency programs in the US.
- Follow-up emails were sent for 3 months, and data were analyzed using descriptive statistics.
Main Results:
- Seventy program directors responded (44% response rate).
- 158 residents required remediation, most in their third postgraduate year (PGY-3), with professionalism, patient care, and communication as primary issues.
- Mentorship, feedback, and probation were common interventions; rehabilitation, didactics, feedback, and mentorship correlated with higher on-time graduation rates.
Conclusions:
- PGY-3 residents face increased scrutiny, with affective domain deficiencies being most common.
- Screening measures like away rotations and interviews are important.
- Enhanced feedback and mentorship are crucial for successful resident remediation and timely graduation.
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