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Related Experiment Video

Updated: Apr 16, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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Got SPIRiT?: Evaluating a Supportive Approach to Medical Resident Remediation.

Lashika Yogendran1, A Ildiko Martonffy2, William Michael2

  • 1Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, lashika.yogendran@fammed.wisc.edu.

WMJ : Official Publication of the State Medical Society of Wisconsin
|April 14, 2026
PubMed
Summary

Family medicine resident remediation can be difficult. The SPIRiT approach offers a supportive framework, enhancing resident involvement and emotional processing during remediation.

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Area of Science:

  • Medical Education
  • Graduate Medical Education
  • Physician Training

Background:

  • Up to 15% of family medicine residents require remediation.
  • Remediation, though often successful, presents emotional challenges for trainees.

Purpose of the Study:

  • To introduce and evaluate the SPIRiT (Support, Processing emotions, Individualized plan, Reducing stigma/scrutiny, minimizing ego, Transparency) remediation approach.
  • To explore resident experiences with a novel, multidisciplinary remediation strategy.

Main Methods:

  • A multidisciplinary team implemented the SPIRiT approach.
  • Qualitative analysis of interviews with five residents who underwent remediation was conducted using an inductive approach.

Main Results:

  • Residents desired clarity on remediation duration and expressed surprise at needing it.
  • Confidentiality and input opportunities were valued; emotional processing of feedback was challenging.
  • Support from behavioral health faculty and peers who had completed remediation proved beneficial.

Conclusions:

  • The SPIRiT approach offers a structured framework for effective resident remediation.
  • Multidisciplinary support, emotional processing, and learner involvement are key components for successful remediation.
  • This model can improve the experience and outcomes of residents undergoing remediation.