Dataset Information

Post graduate remediation programs in medicine: a scoping review.

ABSTRACT:

Background

Recognizing that physicians may struggle to achieve knowledge, skills, attitudes and or conduct at one or more stages during their training has highlighted the importance of the 'deliberate practice of improving performance through practising beyond one's comfort level under guidance'. However, variations in physician, program, contextual and healthcare and educational systems complicate efforts to create a consistent approach to remediation. Balancing the inevitable disparities in approaches and settings with the need for continuity and effective oversight of the remediation process, as well as the context and population specific nature of remediation, this review will scrutinise the remediation of physicians in training to better guide the design, structuring and oversight of new remediation programs.

Methods

Krishna's Systematic Evidence Based Approach is adopted to guide this Systematic Scoping Review (SSR in SEBA) to enhance the transparency and reproducibility of this review. A structured search for articles on remediation programs for licenced physicians who have completed their pre-registration postings and who are in training positions published between 1st January 1990 and 31st December 2021 in PubMed, Scopus, ERIC, Google Scholar, PsycINFO, ASSIA, HMIC, DARE and Web of Science databases was carried out. The included articles were concurrently thematically and content analysed using SEBA's Split Approach. Similarities in the identified themes and categories were combined in the Jigsaw Perspective and compared with the tabulated summaries of included articles in the Funnelling Process to create the domains that will guide discussions.

Results

The research team retrieved 5512 abstracts, reviewed 304 full-text articles and included 101 articles. The domains identified were characteristics, indications, frameworks, domains, enablers and barriers and unique features of remediation in licenced physicians in training programs.

Conclusion

Building upon our findings and guided by Hauer et al. approach to remediation and Taylor and Hamdy's Multi-theories Model, we proffer a theoretically grounded 7-stage evidence-based remediation framework to enhance understanding of remediation in licenced physicians in training programs. We believe this framework can guide program design and reframe remediation's role as an integral part of training programs and a source of support and professional, academic, research, interprofessional and personal development.

SUBMITTER: Cheong CWS

PROVIDER: S-EPMC9020048 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature

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Publications

Post graduate remediation programs in medicine: a scoping review.

Cheong Clarissa Wei Shuen CWS Quah Elaine Li Ying ELY Chua Keith Zi Yuan KZY Lim Wei Qiang WQ Toh Rachelle Qi En RQE Chiang Christine Li Ling CLL Ng Caleb Wei Hao CWH Lim Elijah Gin EG Teo Yao Hao YH Kow Cheryl Shumin CS Vijayprasanth Raveendran R Liang Zhen Jonathan ZJ Tan Yih Kiat Isac YKI Tan Javier Rui Ming JRM Chiam Min M Lee Alexia Sze Inn ASI Ong Yun Ting YT Chin Annelissa Mien Chew AMC Wijaya Limin L Fong Warren W Mason Stephen S Krishna Lalit Kumar Radha LKR

BMC medical education 20220420 1

<h4>Background</h4>Recognizing that physicians may struggle to achieve knowledge, skills, attitudes and or conduct at one or more stages during their training has highlighted the importance of the 'deliberate practice of improving performance through practising beyond one's comfort level under guidance'. However, variations in physician, program, contextual and healthcare and educational systems complicate efforts to create a consistent approach to remediation. Balancing the inevitable dispariti ...[more]

PMID: 35443679

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Dataset Information

Post graduate remediation programs in medicine: a scoping review.

Background

Methods

Results

Conclusion

Publications

Post graduate remediation programs in medicine: a scoping review.

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