Remediation of Basic Science in Integrated Blocks
The session will define remediation and describe the unique challenges of struggling medical students, including information to guide course directors and students through the process. Drs. Guerrasio and Bonaminio will highlight teaching tips to improve our learners’ studying and test taking skills. Examples of remediation programs will also be discussed.
Trust and Remediation: Entrustable Professional Activities and Trust Decisions
Professionalism is difficult to define, and both professionalism and unprofessional activities are too often described in terms that resemble the old adage: “you will know it when you see it.” Activities that are difficult to define and quantitate are also difficult to remediate, and leave the educator with the difficult and frustrating task of accessing a remedial endpoint for an attribute that is difficult to define. This program will examine the important role of trust in the training of medical professionals. How do we develop, evaluate and remediate trust in the training of medical professionals? The new paradigm in undergraduate medical education assessment: Entrustable Professional Activities (EPAs), has made the incorporation of trust a vital part of medical education. Medical Educators and patients both want the same thing in student health care providers. The patient needs to trust that the team member who is in a learning role is knowledgeable, yet understands the limits of his/her knowledge, is compassionate, can communicate with them in a way they can understand, who will be there when needed; in a word, one they can trust. The preceptor also needs to know the learner has these attributes, and wants a student who is able to ask for, receive and react to, feedback. While it may seem obvious that trust underlies all educational and medical decision making, trust is difficult to access and even more difficult to remediate if it is lacking or lost. There is evidence that physician-learners are poor at accessing their own capabilities, making feedback a critical part of their education, and yet, honest, constructive feedback is both difficult to give and difficult to receive. EPAs may help educators give this feedback by breaking down Entrustable Professional Activities into individual competencies which can be evaluated and discussed. Using a series of case examples this webinar is designed to help the educator develop an emotional intelligence based strategy to help provide better communication and remediate trust based decision making.
Sharing Assessment Information: Why, How, and What to Consider
Competencies in medical education are developed longitudinally, and competency is rarely achieved within one course, clinical rotation, or educational unit. Learners gain competency at differing paces, and some require more time or practice to achieve one or another competency. Sharing assessment information across traditional course boundaries may improve efficiency and support more personalized educational experiences. As a group, educators have some ambivalence about sharing assessment information, with the greatest concern that sharing assessments may introduce bias. This webinar will summarize existing literature on the subject, the case for and against sharing assessment information, and considerations in establishing a process for sharing assessment information.
Remediation of Gaps in Clinical Skills–One Size Fits One
Remediation of gaps in clinical skills requires an individualized approach to the learner, the problem, and the clinical setting in which the gaps are noted. Having the learner repeat a standardized patient skills encounter alone, for example, will likely not result in the desired demonstration of adequate skills which were absent on initial assessment. However, a methodical assessment of the learner’s cognitive or behavioral errors, followed by progressive coaching to an acceptable endpoint, is usually successful in achieving targeted skills acquisition. This session will discuss methods of analyzing clinical skills encounters for, and of remediating, common cognitive or behavioral learning issues in ways that are respectful of the learner and that contribute to durable improvement in clinical skills. We will specifically discuss teaching approaches that have been implemented successfully in clinical skills remediation situations. During this session the participant will learn to: 1. Analyze the learners cognitive or behavioral error 2. Create a individualized remediation plan 3. Assess the effectiveness of the plan
Remediation of “High Stakes” Professional Exams
(USMLE Step-1, COMLEX, PANCE) Aubrey Knight will discuss USMLE Step-1. Nicole Wadsworth will describe the multidisciplinary approach to identifying and supporting the students who are most at risk for failing Level 1 of the COMLEX exam. Pat Kenney-Moore Physician assistant education is a condensed and abbreviated version of allopathic medical education that occurs over an average of 27 months. The licensing examination for PAs (Physician Assistant National Certifying Examination or PANCE) is uniquely situated to occur after graduation, creating challenges in identifying at risk students early in order to ameliorate potentially negative outcomes after graduation. This portion of the webinar will highlight issues related to PA student remediation and the approach to graduates who are unsuccessful in passing the PANCE