Sanche Gilbert, Béland Normand, Audétat Marie-Claude
Département de médecine familiale, Université de Montréal, Québec.
Can Fam Physician. 2011 Dec;57(12):e468-72.
As is true in most postgraduate medical education programs, about 10% of the residents in the family medicine residency program at Université de Montréal encounter considerable difficulties in developing their skills.
In order to more adequately support the program's teachers in diagnosing these difficulties and in designing, planning, and following up on a remediation strategy, the Residency Program Evaluation Committee devised a tool consisting of a sample remediation plan and a guide to its use.
The remediation tool consists of 2 documents. The first is a sample remediation plan made up of a contract followed by 4 sections: diagnosis of learning problems, intention to improve, ways to improve, and evaluation of improvement with an interim and a final report. The second is a guide to drafting and systematizing the remediation plan.
The favourable response to the tool and the use that was made of it during the year in which it was implemented demonstrate that the processes we had chosen were a success. Support from the faculty, implementation of the co-construction method to create the tool, as well as training and support for users were all factors in this success. A research project is under way to document the impact that use of this tool will have on our residency program.
正如大多数研究生医学教育项目一样，蒙特利尔大学家庭医学住院医师培训项目中约10%的住院医师在技能培养方面遇到了相当大的困难。
为了更充分地支持项目教师诊断这些困难，并设计、规划和跟进补救策略，住院医师培训项目评估委员会设计了一种工具，该工具包括一份补救计划样本及其使用指南。
补救工具由两份文件组成。第一份是一份补救计划样本，由一份合同以及四个部分组成：学习问题诊断、改进意愿、改进方法以及通过中期和最终报告进行改进评估。第二份是起草和系统化补救计划的指南。
该工具在实施当年得到的积极反馈及其使用情况表明，我们所选择的流程是成功的。教师的支持、创建该工具时采用的共建方法的实施，以及对用户的培训和支持都是取得这一成功的因素。目前正在进行一项研究项目，以记录使用该工具对我们住院医师培训项目的影响。
