Skills for Successful Remediation of Underperforming Trainees

Slide Note
Embed
Share

In this resource, Trish Kritek, MD, EdM, from the University of Washington, and Timothy Gilligan, MD, MS, from the Cleveland Clinic, share insights on remediation strategies for underperforming trainees. Key concepts include focusing on outcomes, providing structure and accountability, honing communication skills, ensuring trainee ownership, and maintaining the relationship throughout. The material also covers diagnosis of deficit categories, prework requirements, and effective feedback practices.


Uploaded on Sep 20, 2024 | 0 Views


Download Presentation

Please find below an Image/Link to download the presentation.

The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.

E N D

Presentation Transcript


  1. How Come Nobody Ever Told Me This Before?" Skills for successful remediation of underperforming trainees. Trish Kritek, MD, EdM, University of Washington Timothy Gilligan, MD, MS, Cleveland Clinic

  2. Case

  3. Key Concepts for Remediation Prework Focus on Outcomes Provide Structure and Accountability Pay Attention to Communication Skills Trainee Owns It Attend to the Relationship Throughout

  4. Prework

  5. Diagnosis: Deficit Categories Professionalism Medical Knowledge Clinical Reasoning Interpersonal & Communication Skills Physical Exam & Procedural Skills

  6. Focus on Outcomes

  7. Provide Structure & Accountability

  8. Communication Skills

  9. Trainee Owns It

  10. Attend to Relationship Throughout

  11. Feedback

  12. Language Feedback Evaluation Guidance for improvement Assessment of competency & achievement Forward looking Looking back Often delivered in real time May or may not be actionable Actionable

  13. Challenges to feedback

  14. Six Feedback Pearls

  15. #1 Create a Culture of Feedback

  16. Set expectations Identify feedback Establish mutual goals Safe Environment Reinforce the positive Make it bidirectional Rider and Longmaid, JAMA 1995

  17. The Feedback Sandwich

  18. Transparency test Imagine telling the people your strategy. Alex and Stacey, I have some negative feedback to give you. I ll start with some positive feedback to relax you, and then give you the negative feedback, which is the real purpose of our meeting. I ll end with more positive feedback so you won t be so disappointed or angry at me when you leave my office. How does that work for you? Roger Schwarz, Harvard Business Review, April 19, 2013 hbr.org

  19. An alternative approach What do you think you are doing effectively? This is what I think you are doing effectively . What would you like to do differently to be more effective? I d like to share what I see as your biggest opportunity to improve your performance.

  20. ASK TELL ASK

  21. #2 Create a Culture of Appreciation

  22. #3 Invest sufficient time and energy

  23. Step-wise Process Thought Planning Observation Bing-You and Trowbridge, JAMA, 2009.

  24. #4 Make it Bidirectional Reciprocity

  25. #5 Make it specific and about behaviors Distinguish impact from intention

  26. #6 Establish Accountability

  27. How this could work Specific behavior Feedback Change applied Response

  28. Components of an effective remediation plan 1. Trusting relationship 2. Clear goals with measurable short & long-term outcomes 3. Specific actionable plan, timeline. What will you do when? 4. Access to effective remediation resources 5. Articulated consequences of failure to implement plan and to achieve agreed upon goals. What is at stake? 6. Written documentation

  29. What can help you? Earn the fellow s trust Remain curious, open-minded and empathic It is in both your and the fellow s interest to succeed Work in a learner-centered fashion ID faculty with strong skills in area needing remediation e.g., Who is rated highly for teaching clinical skills? Meet regularly for progress reports / reassessment

  30. An excellent resource.

Related


More Related Content