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Remediation Plan
Postgraduate Medical Education
In developing this plan, please note the following:
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The Associate Dean, Postgraduate Medical Education (PGME Dean) must be
advised when a resident is to be placed on remediation.
The remediation plan must be developed and then reviewed by the Residency
Assessment Subcommittee (RAS) or the Residency Program Committee
(RPC) if the RAS does not exist. The plan must be reviewed and approved by
the PGME Dean prior to implementation.
The approved remediation plan must be reviewed (in writing and verbally)
with the resident.
A copy of the final signed remediation plan MUST be forwarded to the PGME
Office.
The Remediation Supervisor is to provide summative written reports to the
Program Director and Associate Dean of PGME at intervals stated on Page 4,
clause 3B 2c).
At the end of the remediation period, the PGME Dean must be advised in
writing of the outcome of the remediation.
Date
Resident’s Name
Training Program
Training Year
Start Date of Remediation
End Date of Remediation
Location/s of Remediation
Remediation Supervisor (Overall)
Remediation Mentor
Other Remediation Supervisors
Approved by RAS________(Date)
Resident’s Initials__________
Program Director’s Initials________
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1. Rationale
The decision to place the Resident on Remediation was made based on one or more of the
following:
 Failure to achieve a satisfactory level of competence in a clinical rotation or
longitudinal clinical experience from __________________ to ____________________.
 Repeated deficiencies in one or more competencies across several (more than two)
rotations (please specify with dates).
 An unsatisfactory or a failing grade on a summative assessment examination.
 A newly recognized, serious problem in professional behaviour.
 Other, please indicate_____________________________________________________________
Specific areas of Trainee’s performance/behaviour that require Remediation
The remediation period is required because of failure of the resident to achieve a
satisfactory level of performance in the following:
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Medical Expert
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Communicator
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Collaborator
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Manager
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Health Advocate
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Scholar
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Professional
For each CanMEDS Role of concern, please list domains of weakness and provide a
detailed description of the specific deficiencies.
Approved by RAS________(Date)
Resident’s Initials__________
Program Director’s Initials________
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2. Remediation Plan
CanMEDS
Role/FM
Principle
Domain
Objectives (Defined expectations in
keeping with resident’s year in
program)
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e.g. Medical
Expert Role
Clinical Decision
Making
Proposed Learning/Teaching
Strategy;
Resources available to trainee
(including accommodations if any
is required);
Person responsible
Recognize, diagnose, and initiate
management of low risk obstetrics.
Demonstrate comprehensive history taking
and develop a differential diagnosis
Approved by RAS________(Date)
Resident’s Initials__________
Program Director’s Initials________
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Assessment strategies;
Person responsible for arranging and administering
assessment;
Assessment method/tool;
PGY level to be assessed at;
Frequency and timing of assessment;
Frequency of feedback;
Benchmarks for achievement/milestones
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3. Responsibilities and Expectations during the Remediation Period
3A. Resident
Dr. ______________________ undertakes to achieve the following minimum performance
standards:
1. a) Be available for and participate in the remediation plan outlined in section 2 above.
b) The resident’s responsibility in arranging these learning opportunities/
assessments is:_______________________________
2. Meet the objectives in section 2 above to the defined level of performance.
3. Meet with his/her Remediation Mentor Dr. __________________ at (specify:
weekly/biweekly/monthly) _______________ intervals of during the remediation
period to discuss progress and ongoing objectives.
a) The mentorship meetings will include:_____________________
b) Mentorship meetings will be arranged by:__________________
c) The minimum expectation for mentorship meetings is:______
4. Other expectations:
a) (define)
b) (define)
3B. Overall Remediation Supervisor
1. The overall remediation supervisor is Dr. _______
______________ during the
remediation period from ________________ to __________________.
2. The responsibilities of the overall supervisor are:
a) To compile written assessment reports based on feedback from all physicians
involved in the remediation period at ____________ (specify: weekly/biweekly/
monthly) intervals.
b) To review the written reports in regular face to face review sessions with the
resident ____________ (specify: weekly/biweekly/monthly).
c) To provide summative written reports to the Program Director and Associate
Dean of PGME at ____________ (specify: weekly, biweekly, monthly) intervals.
d) To compile and present a final summative report to the Resident Assessment
Subcommittee of the Residency Training Committee. This will be used in
determination of the overall outcome of the remediation period.
Approved by RAS________(Date)
Resident’s Initials__________
Program Director’s Initials________
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e) To advise the Program Director and Associate Dean of PGME if there are any
substantive concerns with performance or if there is lack of progress in meeting
the objectives of the remediation period.
f) Other_________________________________________________________
3C. Remediation Supervisor/s
1. Drs. ___________________________agree to assist Dr. __________________in
achieving the desired remediation during the remediation period
from ________________ to __________________ by (check all that apply):
 Clarifying the difficulties the resident is having with knowledge base
 Providing extra teaching in clinical matters
 Providing supervision and training in procedural skills
 Counselling regarding deficient attitudes
 Assessing Dr. __________________ by means of and providing written
performance assessments at ____________ (specify:
weekly/biweekly/monthly) intervals, and to immediately inform the resident
and Program Director of any substantive performance concerns.
 Other: __________________________________________________________
3D. Remediation Mentor
1. Dr. ______________ agrees to serve as a mentor and meet with
Dr._____________________ at ____________ (specify: weekly/biweekly/monthly)
intervals.
Responsibilities of the mentor include:
 Regular review and clarification of the objectives and assessment of the
resident’s progress in achieving the objectives of the remediation period.
 Monitor the resident’s experiences with clinical supervision and feedback,
assist the resident in resolving concerns if there are difficulties encountered
in meeting the remediation requirements as outlined above by (as
appropriate) clarifying the resident’s responsibility, communicating
concerns beyond the resident’s control to the Program Director and
Remediation Supervisor.
 Monitor, guide, and assess both program-directed and self-directed learning
/studying.
 Direct the resident to appropriate resources as necessary.
Approved by RAS________(Date)
Resident’s Initials__________
Program Director’s Initials________
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 Keep written records of meetings, concerns and progress, and to submit
these to the resident’s Program Director.
 Other:
4. Outcomes
The Residency Assessment Subcommittee will review all relevant documentation to
determine the outcome of the remediation period.
1. Successful remediation will require Dr. ____________________________(resident) to
meet the above listed objectives to the defined level of performance.
2. If other deficiencies are identified during this remediation period, the program will
address this by modifying this plan or developing an additional plan, as
appropriate.
3. Successful completion of the remedial period will result in reinstatement in the
program with credit applied to training up until the commencement of the remedial
period. No credit is applied to the remedial period of training.
a) Unconditional return to training: If the remediation period is deemed to have
successfully resolved all concerns about resident performance, reinstatement
will be without conditions.
b) Conditional return to training: In the event that there is sufficient progress for
the resident to return to training but there are residual concerns, return to
training may be limited by specific conditions at the discretion of the Resident
Assessment Subcommittee of the residency program committee. These
conditions must be clearly articulated (along with reasons) and provided in
writing to the resident. Continued supplemental support must be provided to
assist the resident in resolving any remaining issues in a timely manner.
4. A failing performance will be identified by (but not necessarily limited to) the
following indicators:
a) (define)
b) (define)
5. Unsuccessful completion of the remedial period may result in any of the following
outcomes, as recommended by the residency training committee after review of the
resident’s performance and achievements during the remedial period:
a) Extension of the remediation period
i. with partial credit for the remediation period completed
ii. with no credit for the remediation period completed
Approved by RAS________(Date)
Resident’s Initials__________
Program Director’s Initials________
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b) Conversion of an unsuccessful remediation period to a probation period
c) Termination
d) Other (define)
5. Development of the PLAN
 The Residency Assessment Subcommittee (RAS) was involved in development of
plan.
 The Resident was involved in development of plan.
 The Resident has been provided a copy of the plan.
 The PGME policies and procedures on Assessment of Trainees was followed in
the development of this plan (see link below).
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List and describe any extenuating circumstances pertinent to the development
or execution of this Remediation Plan:_____________
6. Resident Acknowledgement
I understand the following about this remediation program:
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The identified areas to be remediated
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The expected level of performance on remediation objectives / competencies
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The nature of the remedial program
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The time frame of the remedial program
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The assessment modalities to be used
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The consequences of successful/unsuccessful remediation
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I have been given the chance to clarify all components of this remediation plan
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I have been made aware of the following document:
Assessment of Postgraduate Trainees: Guiding Principles – Policies and Procedures:
Promotion and deferral of Promotion, Remediation, Probation, Dismissal, Appeal that is
on the University of Saskatchewan College of Medicine Postgraduate Medical Education
Website and available as a reference
http://www.medicine.usask.ca/education/medical/postgrad/policiesguidelines/Assessment%20of%20PGME%20Trainees-Guiding%20PrinciplesFINAL%20Sept%2016%202009.pdf
Signature of Resident
Approved by RAS________(Date)
Date
Resident’s Initials__________
Program Director’s Initials________
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7. Other Signatures
Program Director
Date
Remediation Mentor
Date
Remediation Supervisors
Date
PGME Associate Dean
Date
Approved by RAS________(Date)
Resident’s Initials__________
Program Director’s Initials________
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Final Remediation Evaluation
Postgraduate Medical Education
Dr. _______________________________ has completed a remedial period in
__________________________ from _____________________ to _______________________.
CanMEDS Role
Objectives
Pass
Borderline /
Provisional
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e.g. Medical Expert
e.g. Recognize, diagnose,
and initiate management
of low risk obstetrics.
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Demonstrate
comprehensive history
taking and develop a
differential diagnosis
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Overall
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Approved by RAS _______(date)
Resident’s initials ______
Program Director’s initials ______
Fail
N/A
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The following assessment modalities were used to inform this final assessment:
NB: the resident must be aware of all information contributing to the final evaluation
(including the content and source).
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Direct observation
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OSCE
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Written examinations
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Oral examinations
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Chart reviews
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Review of resident notes (consults, dictations, OR reports etc.)
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360 evaluation
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Solicited feedback
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Simulations
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Other (specify)
Overall, the remediation process is considered:
successful
Signature of Resident
Date
Signature of Probation Supervisor
Date
Signature of Program Director
Date
unsuccessful
NOTE: The outcome of the remediation MUST be presented in writing to the PGME
Dean immediately following the remediation period.
[Type text]
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