J. Guerrasio was professor, Division of Hospital Medicine, Department of Medicine, and director for remediation, University of Colorado School of Medicine, Aurora, Colorado, at the time of writing. She is currently in private practice at David L. Mellman, MD, PLLC, and working as a consultant, Denver, Colorado. E. Brooks is assistant professor, Department of Community and Behavioral Health, University of Colorado School of Public Health, Aurora, Colorado. C.M. Rumack is professor, Department of Radiology, and associate dean for graduate medical education, University of Colorado School of Medicine, Aurora, Colorado. E.M. Aagaard is professor, Division of Medical Education, Department of Medicine, and senior associate dean for education, Washington University School of Medicine in St. Louis, St. Louis, Missouri.
Acad Med. 2019 Dec;94(12):1891-1894. doi: 10.1097/ACM.0000000000002894.
Residency program directors and teaching faculty invest an enormous amount of time, energy, and resources in providing underperforming at-risk learners with remedial teaching. A remediation program was created and centralized at the University of Colorado School of Medicine in 2006 and 2012, respectively, that consolidated expertise in and resources for learner assessment and individualized teaching for struggling learners, particularly those placed on probation or receiving letters of warning (called focused review letters) from their residency programs. Since the implementation of the program, the authors have observed a decrease in the number of residents being placed on probation, and, of those on probation, more are graduating and obtaining board certification. In this Article, the authors aim to describe the development and outcomes of the program and to explore possible reasons for the improved outcomes.
住院医师项目主任和教学师资投入了大量的时间、精力和资源，为表现不佳和有风险的学习者提供补救教学。科罗拉多大学医学院分别于 2006 年和 2012 年创建并集中了学习者评估和个体化教学方面的专业知识和资源，为有困难的学习者，特别是那些处于试用期或收到居住项目警告信（称为重点审查信）的学习者提供帮助。自该计划实施以来，作者观察到被置于试用期的居民人数有所减少，而在这些试用期的居民中，更多的人毕业并获得了委员会认证。在本文中，作者旨在描述该计划的发展和结果，并探讨改善结果的可能原因。
