An Emergency Medicine Remediation Consult Service: Access to Expert Remediation Advice and Resources

Abstract

Resident remediation is a complex and common issue in emergency medicine programs and requires a specific knowledge base. The Remediation Task Force (RTF) of the Council of Residency Directors in Emergency Medicine (CORD-EM) was created to identify remediation best practices and to develop tools for program directors. Initially housed on a Wiki page, and now located within the CORD-EM website, the RTF provides resources including accepted universal language for documentation and sample remediation plans. The RTF also created a remediation consult service composed of experienced educators to provide real-time structured feedback and advice to submitted remediation scenarios with consultation outcomes and conclusions uploaded to the website. CORD-EM members now have easy access to online resources and expert advice for remediation queries through the consult service. The combination of online resources and access to real-time expert advice is an innovative approach to improving resident remediation and recognizing best practices.

Can USMLE and COMLEX-USA Scores Predict At-Risk Emergency Medicine Residents' Performance on In-Training Examinations?

“…Emergency medicine (EM) program directors and core faculty are interested in identifying residents at risk of poor academic performance early in their training, preferably early in the first post-graduate year (PGY1). The Council of Emergency Medicine Residency Directors (CORD) concluded that successful remediation is dependent on early identification of poor performance [ 1 ] and created both a remediation task force and a remediation consult service to address these issues [ 2 ]. A 2014 survey [ 3 ] found that 90% of EM programs had at least one resident undergoing remediation, with medical knowledge as the most common indication for remediation.…”

Differences in faculty feedback for high, expected, and below‐expected clinically performing emergency medicine residents

“…Much has been previously written about feedback dynamics, and the graduate medical education community has placed a great deal of emphasis on the remediation of below‐expected clinical performance of residents 1–6 . Comparatively, little attention has been paid to the evaluation of expected‐ and high‐performing emergency medicine (EM) residents 7–9 .…”

“…Much has been previously written about feedback dynamics, and the graduate medical education community has placed a great deal of emphasis on the remediation of below-expected clinical performance of residents. [1][2][3][4][5][6] Comparatively, little attention has been paid to the evaluation of expected-and high-performing emergency medicine (EM) residents. [7][8][9] The conceptual framework of "deliberate practice," wherein learners of all skill levels can improve their clinical performance by incorporating immediate feedback, is the core idea for framing our research question.…”

Embracing our responsibility to ensure trainee competency

“…Placing them on remediation or dismissing them is upsetting. 12 , 13 Further, it can be difficult to disarticulate mental health issues such as depression and borderline personality and substance use disorder from performance. Programs cannot dismiss trainees due to mental health concerns due to disability laws; however, they have the responsibility to act on unprofessional behavior and problematic clinical performance.…”

“…As educators, we have compassion for trainees. Placing them on remediation or dismissing them is upsetting 12,13 . Further, it can be difficult to disarticulate mental health issues such as depression and borderline personality and substance use disorder from performance.…”