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Effective remediation requires faculty development, a well-constructed remediation or probation plan, and documentation. For example, a program director and I met with a resident concerning a professionalism incident. The ACGME compiles an up-to-date list of residency programs under probation or with withdrawn accreditation in all specialties. C Boiselle As a former designated institutional official, I always appreciated being informed earlier rather than later about at-risk residents who are placed on remediation or probation. The ACGME ruling comes a little over a year after a medical resident in the cardiovascular program alleged that a cardiologist sexually assaulted her and other fellows. These requirements set the context within clinical learning environments for development of the skills, knowledge, and attitudes necessary to take personal responsibility for the individual care of patients. Probation is a conditional status that places specified requirements for improved performance on the resident, with dismissal from the residency as a possible result if the prescribed improvement does not occur. Endoscopic Full-Thickness Resection of Polyps Involving the Appendiceal Orifice: A Multicenter International Experience. GB To adequately assess and evaluate a resident’s performance, close observation by multiple observers using multiple evaluation tools is required at multiple points during the training period. Oxford University Press is a department of the University of Oxford. Documentation, ongoing assessment of performance, a defined timeline, and defined next steps are critical components to any remediation or probation plan. Most of us can find areas for improvement, but it does not necessarily rise to the level of remediation. It is recommended that in addition to the program director at least one other faculty member (eg, a CCC member, the department chair, the resident’s faculty mentor, the institution’s associate dean for graduate medical education, etc) should be present when the remediation or probation plan is presented and discussed with the resident. LEARN MORE, Accreditation Council for Graduate Medical Education, Advancing Innovation in Residency Education (AIRE), Newsroom and Blog Updates on Diversity, Equity, and Inclusion, Clinical Learning Environment Review (CLER), Institutional Application and Requirements, Program Directors’ Guide to the Common Program Requirements, Future Annual Educational Conference Dates and Locations, Marvin R. Dunn Keynote Address and Closing Plenary Speakers, Developing Faculty Competencies in Assessment, Leadership Skills Training Program for Chief Residents, Osteopathic Neuromusculoskeletal Medicine, Data Systems Technical Support: 312.755.7474. Other specialty groups outside pathology have offered their approaches to resident remediation and the approach outlined here incorporates these various principles.13–18 Before a remediation plan can be developed, every effort needs to be made to ensure that the correct underlying problem, deficiency, or performance issue is identified. Probation may include relieving a resident of clinical responsibilities. et al. According to the ACGME, they had been approved for 24 slots; 17 of which were filled. Despite everyone’s best efforts, remediation and probation plans are not always successful and the difficult decision to terminate a resident must be made.20 Not all behaviors or deficits can be remediated, and as noted before, some residents may simply find themselves in a field of medicine in which it is beyond their ability to meet the milestones. et al. The ACGME is separate from the Liaison Committee on Medical Education (LCME), which put SLU’s medical school accreditation on probation last year. Residents achieve ACGME milestones at different stages during training. Roberts PM After the meeting, the program director should put a written summary of the meeting, along with a copy of the signed remediation plan, in the resident’s permanent file. SN Functional Assessment of Platelet Dense Granule ATP Release: About American Journal of Clinical Pathology, About the American Society for Clinical Pathology, Transforming Incompetent Pathology Trainees Into Competent Physicians, Identification of Resident Performance Problems, Development and Monitoring of the Remediation Plan, http://www.acgme.org/acgmeweb/tabid/429/ProgramandInstitutionalAccreditation/CommonProgramRequirements.aspx, Receive exclusive offers and updates from Oxford Academic, Special Report: Megatrends in Pathology Practice: Implications for Residency Training Ninth Conference for Pathology Residency Program Directors—A Summary, Report of the ASCP/CAP/APC Joint Task Force on Pathology Manpower, Harmonization of Training, Training Requirements, Board Certification, and Practice of Hematopathology, Molecular and Cytogenetic Education in Hematopathology Fellowship: Proceedings From the Society for Hematopathology 2018 Program Directors Meeting. 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