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Published on: May 29, 2008
The Evolution of Resident Remedial Teaching at One Institution
Jeannette Guerrasio1, Elizabeth Brooks, Carol M Rumack
1J. Guerrasio was professor, Division of Hospital Medicine, Department of Medicine, and director for remediation, University of Colorado School of Medicine, Aurora, Colorado, at the time of writing. She is currently in private practice at David L. Mellman, MD, PLLC, and working as a consultant, Denver, Colorado. E. Brooks is assistant professor, Department of Community and Behavioral Health, University of Colorado School of Public Health, Aurora, Colorado. C.M. Rumack is professor, Department of Radiology, and associate dean for graduate medical education, University of Colorado School of Medicine, Aurora, Colorado. E.M. Aagaard is professor, Division of Medical Education, Department of Medicine, and senior associate dean for education, Washington University School of Medicine in St. Louis, St. Louis, Missouri.
A centralized remediation program for at-risk medical residents improved outcomes, reducing probation rates and increasing graduation and board certification success. This focused review initiative enhanced learner support.
Area of Science:
- Medical Education
- Graduate Medical Education
- Learner Support
Background:
- Residency programs dedicate significant resources to remedial teaching for underperforming learners.
- Struggling residents often face probation or focused review letters.
- A need exists for structured support systems in medical training.
Purpose of the Study:
- To describe the development of a centralized remediation program at the University of Colorado School of Medicine.
- To evaluate the outcomes of this program for at-risk residents.
- To explore factors contributing to improved resident performance.
Main Methods:
- Centralized learner assessment and individualized teaching were implemented.
- The program focused on residents on probation or receiving focused review letters.
- Data on probation rates, graduation, and board certification were analyzed.
Main Results:
- A decrease in the number of residents placed on probation was observed.
- An increase in the graduation and board certification rates for residents in the program was noted.
- The program successfully consolidated expertise and resources for struggling learners.
Conclusions:
- Centralized remediation programs can effectively improve outcomes for at-risk medical residents.
- Individualized teaching and assessment are key components of successful remediation.
- These programs contribute to a more successful physician workforce.
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