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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.
"The aim of this book is to provide those of us who deal with medical learners in difficulty much-needed assistance in figuring out what is wrong and how to help. . the book will be most useful to residency program directors (PD) as a reference work. It should be on every PD's shelf, as well as those of clerkship directors and those involved in student assessment, guidance, and remediation." (Paul Lazar, Family Medicine, stfm.org, June, 2015)
Defining and Assessing Competence.- An Example of a Remediation Program.- "She Needs to Read More": Helping trainees who struggle with medical knowledge.- Remediation of Interpersonal and Communication Skills.- Remediation of Physical Exam Skills.- Assessing and Remediating Clinical Reasoning.- Remediating Lapses in Professionalism.- "You said, I heard": Speaking the subtext in interracial conversations.- Learning Differences and Medical Education.- "Well, This Is Awkward": Autism Spectrum Disorder in Medical Trainees.- Stress and Distress and Wellness.- Perspectives from a Psychiatrist in an Office of Advising Resources.- The Metacognitive Competency: The key to life-long learning.- Use of Reflection as a Remediation Tool.- Feedback.- Appreciative Coaching: A positive process for remediation.- Preparing Program Directors to Address Unprofessional Behavior.- The View from the Dean's Office.- Preparing to Conduct Remediation.- "The Prognosis is Poor": When to give up.- A Research Agenda for the Field of Remediation.- Epilogue: A Student's Perspective on Remediation.
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