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Table 4 Remediation strategies per CanMEDs competency

From: Dutch dismissal practices: characteristics, consequences, and contrasts in residents’ case law in community-based practice versus hospital-based specialties

CanMEDS competency

Remediation strategies

Professional

Mentor, (role-modelling) tutor, coach, team coach, intervision

 

Additional talks with programme director or training staff

 

Writing reflection assignments

 

Career advice or career coaching

 

Strengths and weakness analysis, psychological assessment

 

Psychiatrist, psychotherapist or psychologist

Communicator

Interaction: video assessments, roleplay, communication training.

 

Language: logopaedic, language course.

 

Written: letter correction.

Manager

Reducing multitasking such as a training programme break, quitting research projects, adapted outpatient clinics, rotations in a smaller hospital, working parttime, not participating in irregular shifts.

Medical Expert

Extension of training duration, passing with specified conditions, such as setting measurable timely targets.

 

Competency matrix or personal performance development plan.

 

Clinical practice assessments, help of an educational expert.

 

Exposure to activities that currently lack quality or experience.

 

Resit of assessments, exams or rotations.

 

Checks, direct strict supervision.

  1. Legend: This table shows the remediation strategies for several, most often deficient CanMEDS, per CanMED in residents ultimately dismissed from the programme