Surgeons as Educators A Guide for Academic Development and Teaching Excellence

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the night! Every faculty member is invested in your success and is devoted to help-
ing you become the great doctor we know you can be.
Sincerely,
Signed by Program Director and Resident

Remediation Plan: Sample 2

This is a PGY2 resident with significant, ongoing deficits in multiple domains, with
limited insight. Deficits have persisted despite several months of a program level
remediation plan. This Sponsoring Institution uses a “letter of deficiency” process
in lieu of a traditional probation process.
Dear Jamie,
I. Notice of Deficiency
This letter is to notify you that you are being given a letter of deficiency due to
insufficient progress in the competency areas of medical knowledge, patient care, pro-
fessionalism and practice-based learning, and improvement. Your faculty recognizes
that you have been working very hard to improve your performance. However, your
performance remains significantly below your level of training. These concerns have
been discussed with you on numerous occasions over the past several months, both in
your rotation feedback sessions and in monthly progress meetings with your advisor
and myself. To review, the assessment of your progress is based on the following:

• Continued variability and unpredictability in performance.


• Reporting of patient data without processing or interpreting it.


• Continued instances of missing details in patient care or presenting wrong
  information.


• Continued instances of medication errors.


• Faculty continues to have concerns that you respond to feedback in a defensive
  manner or with excuses.


• Continued tardiness to conferences, clinical obligations, responding to pages,
  and completing medical records.


• Marked decrease in your ITE score.

At your level of training, you should be able to:

• Consistently demonstrate a predictable clinical performance on a day-to-day
  basis.


• Demonstrate an appropriate level of medical knowledge as demonstrated on
  evaluations and ITE.


• Attend to detail in caring for patients. Information presented should be accurate
  and correct.


• Be able to accurately order medications in the inpatient and outpatient setting.


• Accept feedback professionally and use self-reflection to analyze your own per-
  formance and areas for improvement.


• Respond to pages promptly, and keep current with medical records.

17 Optimizing Success for the Underperforming Resident