Literature DB >> 31636834

Standardized Letters of Concern and Remediation Contracts: Templates for Program Directors.

Peter Moffett, Cedric Lefebvre, Kelly Williamson.   

Abstract

BACKGROUND: Remediation of the struggling resident is a universal phenomenon, and the majority of program directors will remediate at least 1 resident during their tenure.
OBJECTIVE: The goal of this project was to create a standardized template for program directors to use at all stages of remediation.
METHODS: Between 2017 and 2018, the Council of Residency Directors in Emergency Medicine (CORD-EM) Remediation Committee searched for best practices in the medical literature and compiled a survey that was e-mailed to the CORD-EM listserv. After reviewing all information, a standardized remediation contract was created, reviewed by legal counsel, and distributed to members.
RESULTS: Forty-two percent (110 of 263) of program directors or assistant program directors on the CORD-EM listserv answered the initial survey and provided guidance on current remediation practices. The committee created formal and informal standard remediation contracts as both fillable templates and alterable documents. These were reviewed by CORD-EM general legal counsel and approved by the CORD-EM Board of Directors for distribution. The project took approximately 20 hours to complete over 8 months and involved a cost of $480 for legal fees.
CONCLUSIONS: With program director input and legal counsel review, the CORD-EM Remediation Committee produced standardized remediation contracts, which can be used by all emergency medicine programs after comparison to local institutional policy and local legal review. This process was feasible and can be replicated by other specialties. Accreditation Council for Graduate Medical Education 2019.

Entities:  

Mesh:

Year:  2019        PMID: 31636834      PMCID: PMC6795327          DOI: 10.4300/JGME-D-19-00065.1

Source DB:  PubMed          Journal:  J Grad Med Educ        ISSN: 1949-8357


  10 in total

1.  Resident evaluation and remediation: a comprehensive approach.

Authors:  Jim S Wu; Bettina Siewert; Phillip M Boiselle
Journal:  J Grad Med Educ       Date:  2010-06

2.  Guiding principles for resident remediation: recommendations of the CORD remediation task force.

Authors:  Eric D Katz; Rachel Dahms; Annie T Sadosty; Sarah A Stahmer; Deepi Goyal
Journal:  Acad Emerg Med       Date:  2010-10       Impact factor: 3.451

3.  A model for instituting a comprehensive program of remediation for at-risk residents.

Authors:  Rini Banerjee Ratan; Adrienne G Pica; Richard L Berkowitz
Journal:  Obstet Gynecol       Date:  2008-11       Impact factor: 7.661

4.  What does remediation and probation status mean? A survey of emergency medicine residency program directors.

Authors:  Moshe Weizberg; Jessica L Smith; Tiffany Murano; Mark Silverberg; Sally A Santen
Journal:  Acad Emerg Med       Date:  2015-01       Impact factor: 3.451

5.  Legal Considerations in the Remediation and Dismissal of Graduate Medical Trainees.

Authors:  Cedric Lefebvre; Kelly Williamson; Peter Moffett; Angela Cummings; Beth Gianopulos; Elizabeth Winters; Mitchell Sokolosky
Journal:  J Grad Med Educ       Date:  2018-06

6.  General surgery resident remediation and attrition: a multi-institutional study.

Authors:  Arezou Yaghoubian; Joseph Galante; Amy Kaji; Mark Reeves; Marc Melcher; Ali Salim; Matthew Dolich; Christian de Virgilio
Journal:  Arch Surg       Date:  2012-09

7.  Resident remediation, probation, and dismissal basic considerations for program directors.

Authors:  Ronald E Domen
Journal:  Am J Clin Pathol       Date:  2014-06       Impact factor: 2.493

8.  Defining Uniform Processes for Remediation, Probation and Termination in Residency Training.

Authors:  Jessica L Smith; Monica Lypson; Mark Silverberg; Moshe Weizberg; Tiffany Murano; Michael Lukela; Sally A Santen
Journal:  West J Emerg Med       Date:  2016-11-21

Review 9.  The Fundamentals of Resident Dismissal.

Authors:  Paul J Schenarts; Sean Langenfeld
Journal:  Am Surg       Date:  2017-02-01       Impact factor: 0.688

10.  What is the Prevalence and Success of Remediation of Emergency Medicine Residents?

Authors:  Mark Silverberg; Moshe Weizberg; Tiffany Murano; Jessica L Smith; John C Burkhardt; Sally A Santen
Journal:  West J Emerg Med       Date:  2015-10-22
  10 in total

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