Resident Perspectives on Remediation: A Qualitative Study Informing a Learner‑Centered Model in Pediatric Residency...

Area of Science:

• Graduate Medical Education
• Medical Training
• Physician Development

Background:

• Limited literature exists on resident remediation processes.
• Existing frameworks focus on program directors, not resident experiences.
• A prior model for pediatric program directors lacked resident perspectives.

Purpose of the Study:

• To understand resident experiences with remediation.
• To inform an updated model for effective resident remediation.
• To incorporate resident feedback into remediation strategies.

Main Methods:

• National qualitative study using semi-structured interviews.
• Grounded theory analysis of de-identified transcripts.
• Comparison of resident themes with program director framework.

Main Results:

• Eleven pediatric residents were interviewed.
• Key themes included feedback inadequacy and lack of transparency.
• Remediation impacted residents' emotional well-being and career outlook.

Conclusions:

• Residents prefer transparent, personalized remediation.
• Psychological safety is crucial for successful remediation.
• An updated conceptual model for remediation was developed.