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{
    "pk": 8999,
    "title": "What is the Prevalence and Success of Remediation of Emergency Medicine Residents?",
    "subtitle": null,
    "abstract": "Introduction:\n The primary objective of this study was to determine the prevalence of remediation, competency domains for remediation, the length, and success rates of remediation in emergency medicine (EM).\nMethods:\n We developed the survey in SurveymonkeyTM with attention to content and response process validity. EM program directors responded how many residents had been placed on remediation in the last three years. Details regarding the remediation were collected including indication, length and success. We reported descriptive data and estimated a multinomial logistic regression model.  \nResults:\n We obtained 126/158 responses (79.7%). Ninety percent of programs had at least one resident on remediation in the last three years. The prevalence of remediation was 4.4%. Indications for remediation ranged from difficulties with one core competency to all six competencies (mean 1.9). The most common were medical knowledge (MK) (63.1% of residents), patient care (46.6%) and professionalism (31.5%). Mean length of remediation was eight months (range 1-36 months). Successful remediation was 59.9% of remediated residents; 31.3% reported ongoing remediation. In 8.7%, remediation was deemed “unsuccessful.” Training year at time of identification for remediation (post-graduate year [PGY] 1), longer time spent in remediation, and concerns with practice-based learning (PBLI) and professionalism were found to have statistically significant association with unsuccessful remediation. \nConclusion:\n Remediation in EM residencies is common, with the most common areas being MK and patient care. The majority of residents are successfully remediated. PGY level, length of time spent in remediation, and the remediation of the competencies of PBLI and professionalism were associated with unsuccessful remediation.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Medical Education, Emergency Medicine"
        }
    ],
    "section": "Educational Research and Practice",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/33h0r84t",
    "frozenauthors": [
        {
            "first_name": "Mark",
            "middle_name": "",
            "last_name": "Silverberg",
            "name_suffix": "",
            "institution": "SUNY Downstate/Kings County Hospital, Department of Emergency Medicine, New York, New York",
            "department": "None"
        },
        {
            "first_name": "Moshe",
            "middle_name": "",
            "last_name": "Weizberg",
            "name_suffix": "",
            "institution": "Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York",
            "department": "None"
        },
        {
            "first_name": "Tiffany",
            "middle_name": "",
            "last_name": "Murano",
            "name_suffix": "",
            "institution": "Rutgers New Jersey Medical School, Department of Emergency Medicine, Newark, New Jersey",
            "department": "None"
        },
        {
            "first_name": "Jessica",
            "middle_name": "L.",
            "last_name": "Smith",
            "name_suffix": "",
            "institution": "Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island",
            "department": "None"
        },
        {
            "first_name": "John",
            "middle_name": "C.",
            "last_name": "Burkhardt",
            "name_suffix": "",
            "institution": "University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, Michigan",
            "department": "None"
        },
        {
            "first_name": "Sally",
            "middle_name": "A.",
            "last_name": "Santen",
            "name_suffix": "",
            "institution": "University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, Michigan",
            "department": "None"
        }
    ],
    "date_submitted": "2015-05-05T01:32:58Z",
    "date_accepted": "2015-05-05T01:32:58Z",
    "date_published": "2015-10-22T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/8999/galley/5080/download/"
        }
    ]
}