The Struggling Infectious Diseases Fellow: Remediation Challenges and Opportunities

Michael T Melia¹, Armando Paez², Gail Reid³, Lisa M Chirch⁴, Vera P Luther⁵, Brian G Blackburn⁶, Federico Perez⁷, Emily Abdoler⁸, Daniel R Kaul⁸, Susan Rehm⁹, Nada Harik¹⁰, Alice Barsoumian¹¹, Anna K Person¹², Heather Yun¹¹, J David Beckham¹³, Susan Boruchoff¹⁴, Paloma F Cariello¹⁵, James B Cutrell¹⁶, Christopher J Graber¹⁷, Dong Heun Lee¹⁸, Eileen Maziarz¹⁹, Molly L Paras²⁰, Raymund R Razonable²¹, Roseanne Ressner²², Anne Chen²³, Brian Chow²⁴, Gerome Escota²⁵, Erica Herc²³, Andrew Johnson²⁶, Ryan C Maves²⁷, Obinna Nnedu²⁸, Heather Clauss²⁹, Prathit Kulkarni³⁰, Paul S Pottinger³¹, Jose A Serpa³⁰, Tanaya Bhowmick¹⁴, Marvin Bittner³², Darcy Wooten³³, Beata Casanas³⁴, Rachel Shnekendorf³⁵, Emily A Blumberg³⁶

Affiliations

¹ Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
² University of Massachusetts Medical School - Baystate, Springfield, Massachusetts, USA.
³ Loyola University Medical Center, Maywood, Illinois, USA.
⁴ University of Connecticut Health Center, Farmington, Connecticut, USA.
⁵ Wake Forest School of Medicine, Winston Salem, North Carolina, USA.
⁶ Stanford University School of Medicine, Stanford, California, USA.
⁷ Case Western Reserve University, Cleveland Heights, Ohio, USA.
⁸ University of Michigan, Ann Arbor, Michigan, USA.
⁹ Cleveland Clinic, Cleveland, Ohio, USA.
¹⁰ Children's National Hospital, Washington, DC, USA.
¹¹ Brooke Army Medical Center, Fort Sam Houston, Texas, USA.
¹² Vanderbilt University, Nashville, Tennessee, USA.
¹³ University of Colorado School of Medicine, Aurora, Colorado, USA.
¹⁴ Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
¹⁵ University of Utah, Salt Lake City, Utah, USA.
¹⁶ University of Texas Southwestern Medical Center, Dallas, Texas, USA.
¹⁷ VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.
¹⁸ Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.
¹⁹ Duke University School of Medicine, Durham, North Carolina, USA.
²⁰ Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
²¹ Mayo Clinic, Rochester, Minnesota, USA.
²² Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
²³ Henry Ford Hospital, Detroit, Michigan, USA.
²⁴ Tufts Medical Center, Boston, Massachusetts, USA.
²⁵ Washington University in Saint Louis School of Medicine, St. Louis, Missouri, USA.
²⁶ University of Calgary, Calgary, Alberta, Canada.
²⁷ Naval Medical Center, San Diego, California, USA.
²⁸ Ochsner Clinic Foundation, New Orleans, Louisiana, USA.
²⁹ Temple University Health Sciences Center, Philadelphia, Pennsylvania, USA.
³⁰ Baylor College of Medicine, Houston, Texas, USA.
³¹ University of Washington, Seattle, Washington, USA.
³² Creighton University, Omaha, Nebraska, USA.
³³ University of California - San Diego, San Diego, California, USA.
³⁴ University of South Florida, Tampa, Florida, USA.
³⁵ Infectious Diseases Society of America, Arlington, Virginia, USA.
³⁶ Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

PMID: 32166097
PMCID: PMC7061231
DOI: 10.1093/ofid/ofaa058

Review

The Struggling Infectious Diseases Fellow: Remediation Challenges and Opportunities

Michael T Melia et al. Open Forum Infect Dis. 2020.

. 2020 Feb 18;7(3):ofaa058.

doi: 10.1093/ofid/ofaa058. eCollection 2020 Mar.

Authors

Affiliations

¹ Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
² University of Massachusetts Medical School - Baystate, Springfield, Massachusetts, USA.
³ Loyola University Medical Center, Maywood, Illinois, USA.
⁴ University of Connecticut Health Center, Farmington, Connecticut, USA.
⁵ Wake Forest School of Medicine, Winston Salem, North Carolina, USA.
⁶ Stanford University School of Medicine, Stanford, California, USA.
⁷ Case Western Reserve University, Cleveland Heights, Ohio, USA.
⁸ University of Michigan, Ann Arbor, Michigan, USA.
⁹ Cleveland Clinic, Cleveland, Ohio, USA.
¹⁰ Children's National Hospital, Washington, DC, USA.
¹¹ Brooke Army Medical Center, Fort Sam Houston, Texas, USA.
¹² Vanderbilt University, Nashville, Tennessee, USA.
¹³ University of Colorado School of Medicine, Aurora, Colorado, USA.
¹⁴ Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
¹⁵ University of Utah, Salt Lake City, Utah, USA.
¹⁶ University of Texas Southwestern Medical Center, Dallas, Texas, USA.
¹⁷ VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.
¹⁸ Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.
¹⁹ Duke University School of Medicine, Durham, North Carolina, USA.
²⁰ Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
²¹ Mayo Clinic, Rochester, Minnesota, USA.
²² Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
²³ Henry Ford Hospital, Detroit, Michigan, USA.
²⁴ Tufts Medical Center, Boston, Massachusetts, USA.
²⁵ Washington University in Saint Louis School of Medicine, St. Louis, Missouri, USA.
²⁶ University of Calgary, Calgary, Alberta, Canada.
²⁷ Naval Medical Center, San Diego, California, USA.
²⁸ Ochsner Clinic Foundation, New Orleans, Louisiana, USA.
²⁹ Temple University Health Sciences Center, Philadelphia, Pennsylvania, USA.
³⁰ Baylor College of Medicine, Houston, Texas, USA.
³¹ University of Washington, Seattle, Washington, USA.
³² Creighton University, Omaha, Nebraska, USA.
³³ University of California - San Diego, San Diego, California, USA.
³⁴ University of South Florida, Tampa, Florida, USA.
³⁵ Infectious Diseases Society of America, Arlington, Virginia, USA.
³⁶ Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

PMID: 32166097
PMCID: PMC7061231
DOI: 10.1093/ofid/ofaa058

Abstract

Remediation of struggling learners is a challenge faced by all educators. In recognition of this reality, and in light of contemporary challenges facing infectious diseases (ID) fellowship program directors, the Infectious Diseases Society of America Training Program Directors' Committee focused the 2018 National Fellowship Program Directors' Meeting at IDWeek on "Remediation of the Struggling Fellow." Small group discussions addressed 7 core topics, including feedback and evaluations, performance management and remediation, knowledge deficits, fellow well-being, efficiency and time management, teaching skills, and career development. This manuscript synthesizes those discussions around a competency-based framework to provide program directors and other educators with a roadmap for addressing common contemporary remediation challenges.

Keywords: program director; remediation; struggling fellow.

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Figures

**Figure 1.**
Summary of feedback, evaluation, performance management, and remediation strategies.

See this image and copyright information in PMC

References

1. Guerrasio J. Remediation of the Struggling Medical Learner. Irwin, PA: Association for Hospital Medical Education Press; 2013.
1. Bowen JL. Educational strategies to promote clinical diagnostic reasoning. N Engl J Med 2006; 355:2217–25. - PubMed
1. Person ACC, Skaug L, Rawn L, Wright P. Four standardized patient cases for the infectious diseases fellow. MedEdPORTAL 2016; 12:10379.
1. Bienstock JL, Katz NT, Cox SM, et al. ; Association of Professors of Gynecology and Obstetrics Undergraduate Medical Education Committee To the point: medical education reviews—providing feedback. Am J Obstet Gynecol 2007; 196:508–13. - PubMed
1. Ende J. Feedback in clinical medical education. JAMA 1983; 250:777–81. - PubMed

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The Struggling Infectious Diseases Fellow: Remediation Challenges and Opportunities

Affiliations

The Struggling Infectious Diseases Fellow: Remediation Challenges and Opportunities

Authors

Affiliations

Abstract

Figures

References

Publication types

LinkOut - more resources

Full Text Sources