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thought would be useful. These were very helpful as I worked with the Clinical
Competency Committee to outline a sensible remediation plan for you.
This letter is to formally outline your remediation plan to improve your level of
medical knowledge.
We encourage you to take the following steps:
- Schedule a short time for focused reading and reflection every day.
- Take a self-assessment examination at least monthly. Let these guide your
focused reading. - At the beginning of each rotation, review the goals and objectives for medical
knowledge. Talk with your attending at the beginning of each rotation to get
input on the most appropriate learning resources for those objectives. - Every patient is an opportunity for specific reading. If your knowledge is pegged
to patient, you will never forget.
It is ultimately your responsibility to take the steps necessary to your improve
your level of knowledge. To assist you, the following help will be organized:
- Dr. Nelson has agreed to be your advisor. We recommend you meet with her at
least monthly. - You have access to our Specialty Question Bank and Self-Assessment Program.
- Dr. Cash and Dr. Owens are trained Board Examiners – they have agreed to give
you periodic mini-oral exams upon request.
This remediation plan will be in place until next February. Your regular semian-
nual review will occur midway through this plan, and Dr. Nelson will review indi-
vidual evaluations with you as they come in. The parameters the CCC will use to
assess your progress will include:
- Faculty ratings and comments regarding medical knowledge on your evalua-
tions, with emphasis on the final few months. - Oral examination assessment cards from the final 3 months of this plan.
- Your in-service exam score. (This exam is just one piece of information, but scores
are predictive of eventual success in board certification exam for our specialty.
Improvement up to at least the 35th percentile for your PGY group should be a goal).
You will be promoted to your PGY2 year. Despite the knowledge deficits, your
clinical skills are very good, and we trust you to assume PGY2 clinical and super-
visory responsibilities. We do not plan any alterations to your regular schedule, but
if at any point you feel like you need that, we can revisit. If you meet your learning
goals in February, we will consider the remediation completed. If you have not met
your learning goals by then despite active participation in the plan, we will either
continue or modify it. In most instances, a plan that requires extension includes a
more formal letter of deficiency.
We are all aware that the birth of your twins created some significant time man-
agement challenges for you. I’m pleased to hear that they are now sleeping through
K. Broquet and J.S. Padmore