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A Model for Instituting a Comprehensive Program of Remediation for At-Risk Residents

Ratan, Rini Banerjee MD; Pica, Adrienne G. MPH; Berkowitz, Richard L. MD

doi: 10.1097/AOG.0b013e31818a6d61
Current Commentary

Residents who are performing below a level appropriate for their stage of training pose challenges for the departments and institutions that train them. This problem may be encountered all over the United States and in every area of medicine. However, programs designed to help these residents improve and overcome their deficits have not yet been described in the literature. This article offers a model for instituting a comprehensive program of remediation into a residency training program. A sample letter of notification outlining such a program is included, which can be modified for use by other programs. Possible barriers as well as strategies to guide the successful development and implementation of a remediation program are discussed. The model provides a guide and tools to assist program directors and others involved in medical education in creating and tailoring a remediation program that suits the needs of the at-risk resident as well as the program and institution.

When the proposed model of remediation is tailored and implemented, due process is served and the “at-risk” resident is provided with an individually tailored plan of action. Supplemental Digital Content is Available in the Text.

From the Department of Obstetrics and Gynecology, New York Presbyterian-Columbia University Medical Center, and Center for Education Research and Evaluation, Columbia University Medical Center, New York, New York.

Corresponding author: Rini Banerjee Ratan, MD, 161 Fort Washington Avenue, New York, NY 10032; e-mail:

Financial Disclosure The authors have no potential conflicts of interest to disclose.

© 2008 The American College of Obstetricians and Gynecologists