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Nuts and Bolts of Professionalism Remediation

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Remediation in Medical Education

Abstract

This chapter describes a structured, evidence-based approach to professionalism remediation in four phases: ‘Identify and Evaluate’, ‘Explore and understand’, ‘Remediate’, and ‘Gather evidence for dismissal’. Illustrative cases provide guidelines for the frontline teachers who conduct essential tasks in the first two phases, such as explicitly and implicitly setting professionalism standards, identifying trainees’ lapses in professionalism, clarifying possible causes, intervening, and assessing professionalism. Trainees who move to the ‘Remediate’ phase engage with specialized professionalism remediation coaches. For those few trainees who do not demonstrate reflectiveness and improvement despite remediation attempts, we discuss formal procedures focused on gathering evidence for dismissal.

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Author information

Authors and Affiliations

  1. Department of General Practice, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands

    Marianne Mak-van der Vossen

  2. Education Center, Department of Clinical Skills Training, University Medical Center, Utrecht, The Netherlands

    Sjoukje van den Broek

  3. Department of Intensive Care Medicine, Academy for Postgraduate Training and School of Health Professions Education, Maastricht University and Maastricht University Medical Center, Maastricht, The Netherlands

    Walther van Mook

  4. Center for Research and Development of Health Professions Education, University Medical Center, Utrecht, The Netherlands

    Marian Wolters

Authors
  1. Marianne Mak-van der Vossen
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  2. Sjoukje van den Broek
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  3. Walther van Mook
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  4. Marian Wolters
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Corresponding author

Correspondence to Marianne Mak-van der Vossen .

Editor information

Editors and Affiliations

  1. Robert D. and Patricia E. Kern Institute for the Transformation of Medical Education, Medical College of Wisconsin, Milwaukee, WI, USA

    Adina Kalet

  2. Veterans Affairs Health Care System, University of California, San Francisco, San Francisco, CA, USA

    Calvin L. Chou

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Mak-van der Vossen, M., van den Broek, S., van Mook, W., Wolters, M. (2023). Nuts and Bolts of Professionalism Remediation. In: Kalet, A., Chou, C.L. (eds) Remediation in Medical Education. Springer, Cham. https://doi.org/10.1007/978-3-031-32404-8_14

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  • DOI: https://doi.org/10.1007/978-3-031-32404-8_14

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-031-32404-8

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