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. 2011 Dec;57(12):e468-72.

[Creation and implementation of a remediation tool in a family medicine residency program]

[Article in French]
Affiliations

[Creation and implementation of a remediation tool in a family medicine residency program]

[Article in French]
Gilbert Sanche et al. Can Fam Physician. 2011 Dec.

Abstract

Problem being addressed: As is true in most postgraduate medical education programs, about 10% of the residents in the family medicine residency program at Université de Montréal encounter considerable difficulties in developing their skills.

Objective of program: In order to more adequately support the program's teachers in diagnosing these difficulties and in designing, planning, and following up on a remediation strategy, the Residency Program Evaluation Committee devised a tool consisting of a sample remediation plan and a guide to its use.

Program description: The remediation tool consists of 2 documents. The first is a sample remediation plan made up of a contract followed by 4 sections: diagnosis of learning problems, intention to improve, ways to improve, and evaluation of improvement with an interim and a final report. The second is a guide to drafting and systematizing the remediation plan.

Conclusion: The favourable response to the tool and the use that was made of it during the year in which it was implemented demonstrate that the processes we had chosen were a success. Support from the faculty, implementation of the co-construction method to create the tool, as well as training and support for users were all factors in this success. A research project is under way to document the impact that use of this tool will have on our residency program.

Problème à l’étude: Comme dans la majorité des programmes de formation médicale post-graduée, environ 10% des résidents du programme de résidence en médecine familiale de l’Université de Montréal éprouvent des difficultés considérables dans la construction de leurs compétences.

Objectif du programme: Afin de mieux soutenir les enseignants du programme dans le diagnostic de ces difficultés ainsi que dans la conception, la planification et le suivi d’une stratégie de remédiation, le Comité d’évaluation du programme de résidence a conçu un outil constitué d’un plan type de remédiation et d’un guide de rédaction de ce plan.

Description du programme: L’outil de remédiation est constitué de 2 documents. Le premier est un plan type de remédiation constitué d’une partie contractuelle suivie de 4 sections: diagnostic pédagogique, intentions de remédiation, moyens de remédiation et évaluation de la remédiation, avec un bilan intermédiaire et un bilan final. Le deuxième est un guide de rédaction et de systématisation d’un plan de remédiation.

Conclusion: L’accueil favorable qu’a reçu l’outil et l’utilisation qui en a été faite durant l’année de son implantation témoignent du succès des processus que nous avions adoptés. L’appui de la faculté, le mécanisme de «co-construction» de l’outil, de même que la formation et le soutien aux utilisateurs sont des facteurs qui expliquent ce succès. Un projet de recherche est en route pour documenter l’impact qu’aura l’utilisation de cet outil dans notre programme de résidence.

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