Mapping Out Remediation: An Actionable Roadmap to Support Trainees Through Remediation.

Area of Science:

• Medical Education
• Pediatric Residency Training
• Competency-Based Education

Background:

• Graduate medical education aims for independent practice competence.
• Some residents require remediation to achieve necessary skills.
• Limited evidence exists on optimal remediation strategies.

Purpose of the Study:

• To identify best practices for remediation in pediatric residency programs.
• To understand barriers and strategies for effective resident remediation.
• To develop a conceptual model for successful remediation.

Main Methods:

• National web-based survey of pediatric program directors (PDs).
• Inclusion of three open-ended questions on remediation experiences.
• Systematic inductive thematic analysis of self-reported data.

Main Results:

• 50.8% response rate from pediatric PDs.
• Two primary themes: personalized competency plans and psychological safety.
• Twelve actionable categories for successful remediation identified.

Conclusions:

• A conceptual model for effective pediatric remediation is proposed.
• Model integrates competency attainment with resident emotional well-being.
• Four phases: identification, planning, implementation, and assessment.