Post graduate remediation programs in medicine: a scoping review.

Cheong, Clarissa Wei Shuen, Quah, Elaine Li Ying, Chua, Keith Zi Yuan, Lim, Wei Qiang, Toh, Rachelle Qi En, Chiang, Christine Li Ling, Ng, Caleb Wei Hao, Lim, Elijah Gin, Teo, Yao Hao, Kow, Cheryl Shumin
et al (show 12 more authors) (2022) Post graduate remediation programs in medicine: a scoping review. BMC medical education, 22 (1). p. 294.

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<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 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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusion</h4>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.

Item Type: Article
Uncontrolled Keywords: Postgraduate physicians, Physicians in training, Remediation, Surgical, Medical, Education, Systematic scoping review
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Depositing User: Symplectic Admin
Date Deposited: 27 May 2022 07:41
Last Modified: 09 Mar 2023 02:22
DOI: 10.1186/s12909-022-03278-x
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