Kurzweil Arielle M, Galetta Steven L
Department of Neurology, New York University School of Medicine, New York University, New York, New York.
Semin Neurol. 2018 Aug;38(4):486-492. doi: 10.1055/s-0038-1667137. Epub 2018 Aug 20.
Struggling trainees exist in all residency programs across all fields. Remediation, the act of improving deficiencies in struggling trainees, is necessary to promote the graduation of competent physicians. Deficiencies may be primarily cognitive or behavioral, and occasionally physical limitations do arise during residency. Remediation is challenging for all parties involved, and there is a paucity of literature to help guide the most effective process. In this review, we outline key principles of effective remediation of a struggling trainee in the modern era of medical education. A systematic approach that begins early, is consistent, and remains sensitive to a trainee's need for self-reflection in a nonjudgmental culture is essential for successfully remediating a trainee.
在所有医学领域的住院医师培训项目中，都存在表现不佳的受训者。补救措施，即改善表现不佳的受训者的不足之处，对于促进合格医生的毕业是必要的。不足之处可能主要是认知或行为方面的，偶尔在住院医师培训期间也会出现身体限制。补救措施对所有相关方来说都具有挑战性，而且缺乏有助于指导最有效过程的文献。在本综述中，我们概述了现代医学教育时代对表现不佳的受训者进行有效补救的关键原则。一种早期开始、保持一致且在无评判文化中对受训者自我反思需求保持敏感的系统方法，对于成功补救受训者至关重要。
