Reframing resident remediation: building an effective plan for your learners

Saturday, April 29, 2023

8:00 AM – 9:30 AM ET

Location: Convention Center: 159 AB

CE: Live CME: 1.50

Leader(s)

Elizabeth Nelsen, MD (she/her/hers)

Program director
Upstate Golisano Children's Hospital
Syracuse, New York, United States

Co-Leader(s)

Nicola Orlov, MD MPH (she/her/hers)

Associate Professor of Pediatrics
University of Chicago Division of the Biological Sciences The Pritzker School of Medicine
Chicago, Illinois, United States
Su-Ting Li, MD, MPH (she/her/hers)

Professor; Vice Chair of Education and Residency Program Director
University of California Davis
Sacramento, California, United States
Nathaniel Goodrich, MD

Associate Professor
Pediatrics
University of Nebraska College of Medicine
Omaha, Nebraska, United States

Disclosure(s):

Elizabeth Nelsen, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

David Mills, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Nicola Orlov, MD MPH: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Su-Ting T. Li, MD, MPH: Amgen (Ongoing) (Products/Services: Ownership Interest including individual stocks, stock options, excluding diversified mutual funds); Eli Lilly (Ongoing) (Products/Services: Ownership Interest including individual stocks, stock options, excluding diversified mutual funds); Johnson & Johnson (Ongoing) (Products/Services: Ownership Interest including individual stocks, stock options, excluding diversified mutual funds); Merck (Ongoing) (Products/Services: Ownership Interest including individual stocks, stock options, excluding diversified mutual funds); Organon (Ongoing) (Products/Services: Ownership Interest including individual stocks, stock options, excluding diversified mutual funds); Proctor & Gamble (Ongoing) (Products/Services: Ownership Interest including individual stocks, stock options, excluding diversified mutual funds)

Nathaniel Goodrich, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Workshop

Description: Remediation is not uncommon in GME; over the last five years 10% of pediatric residents have needed remediation. Remediation is defined as additional goal-directed training, supervision, or assistance imposed on or provided to a learner who is not meeting competency-based goals beyond what is typically required for a given specialty. Program directors struggle with the most effective way to remediate residents due to the significant amount of time, energy, and effort required to carry it out; however, there is limited evidence guiding best practices in remediation. Our primarily interactive session aims to close this evidence gap by using data from a recent national survey of pediatric program directors to guide attendees to develop methods to best identify, monitor, support, and evaluate the struggling resident. Attendees will also have the opportunity to build a model for use in their home institutions to successfully remediate trainees while minimizing bias and stigma.

Learning Objectives:

Describe the current landscape of pediatric resident remediation in the United States.
Evaluate methods for identifying, supporting, monitoring, and evaluating the struggling resident.
Construct a structured approach to remediation for your struggling residents supported by an evidence-based model.