Main description:

Remediation in medical education is the act of facilitating a correction for trainees who started out on the journey toward becoming excellent physicians but have moved off course. This book offers an evidence-based and practical approach to the identification and remediation of medical trainees who are unable to perform to standards. As assessment of clinical competence and professionalism has become more sophisticated and ubiquitous, medical educators increasingly face the challenge of implementing effective and respectful means to work with trainees who do not yet meet expectations of the profession and society.

Remediation in Medical Education: A Mid-Course Correction describes practical stepwise approaches to remediate struggling learners in fundamental medical competencies; discusses methods used to define competencies and the science underlying the fundamental shift in the delivery and assessment of medical education; explores themes that provide context for remediation, including professional identity formation and moral reasoning, verbal and nonverbal learning disabilities, attention deficit disorders in high-functioning individuals, diversity, and educational and psychiatric topics; and reviews system issues involved in remediation, including policy and leadership challenges and faculty development.

Contents:

Table of Contents

Part I: Presenting Problems and Symptoms Leading to Remediation

Chapter 1. Defining and Assessing Competence

Adina Kalet and Martin Pusic

Chapter 2. An Example of a Remediation Program

Adina Kalet, Linda Tewksbury, Jennifer Ogilvie, Sandra Yingling

Chapter 3. "She Needs to Read More": Helping trainees who struggle with medical knowledge

Jeannette Guerrasio

Chapter 4. Remediation of Interpersonal and Communication Skills

Calvin Chou, James Bell, Carol Chou, and Anna Chang

Chapter 5. Remediation of Physical Exam Skills

Tahlia Spector and Cha-Chi Fung

Chapter 6. Assessing and Remediating Clinical Reasoning

Andrew Mutnick and Michael Barone

Chapter 7. Remediating Lapses in Professionalism

Muriel J Bebeau and Kathy Faber-Langendoen

Part II: Contextual Factors

Chapter 8. "You said, I heard": Speaking the subtext in interracial conversations

Elizabeth Brondolo and Kristy-Lee Jean-Pierre

Chapter 9. Learning Differences and Medical Education

Paul Yellin

Chapter 10. "Well, This Is Awkward": Autism Spectrum Disorder in Medical Trainees

Sandra Yingling

Chapter 11. Stress and Distress and Wellness

Sarah Williams

Chapter 12. Perspectives from a Psychiatrist in an Office of Advising Resources

Laurie Raymond

Part III: Resources

Chapter 13. The Metacognitive Competency: The key to life-long learning

Mark Quirk

Chapter 14. Use of reflection as a remediation tool

David Hatem

Chapter 15. Feedback

Denise Connor, Calvin Chou, and Denise Davis

Chapter 16. Appreciative coaching: A positive process for remediation

Maysel Kemp White and Peter Barnett

Part IV: Systems Viewpoint

Chapter 17. Preparing Program Directors to address unprofessional behavior

Eve Caligor, Ze'ev Levin, and Emily Deringer

Chapter 18. The view from the Dean's office

Lynn Buckvar-Keltz

Chapter 19. Preparing to conduct remediation

Adina Kalet and Sondra Zabar

Chapter 20. "The Prognosis is Poor": When to give up

Jeannette Guerrasio

Chapter 21. A Research Agenda for the Field of Remediation

Calvin Chou, Adina Kalet, Karen Hauer

Chapter 22: Epilogue: A Student's Perspective on Remediation

David Tawfik

Appendix A: Contributor Biographies