Evidence map›Paper›PMID 34434511›Full record

ArticleJournal of graduate medical education2021

Unheard Voices: A Qualitative Study of Resident Perspectives on Remediation.

Sara M Krzyzaniak, Bonnie Kaplan, Daniella Lucas, Elizabeth Bradley, Stephen J Wolf

Abstract read
In one paragraph

Article in Journal of graduate medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sara M Krzyzaniakis Clinical Associate Professor and Residency Program Director, Department of Emergency Medicine, Stanford University.
Bonnie Kaplanis Assistant Professor, Department of Emergency Medicine, University of Colorado School of Medicine, and Residency Program Director, Department of Emergency Medicine, Denver Health Medical Center.
Daniella Lucasis a Resident, Department of Emergency Medicine, Cook County Health and Hospitals System.
Elizabeth Bradleyis Associate Professor of Medical Education, University of Virginia School of Medicine.
Stephen J Wolfis Professor and Vice Chair, Department of Emergency Medicine, University of Colorado School of Medicine, and Director of Service, Department of Emergency Medicine, Denver Health Medical Center.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRemediation is an important component of residency training that ensures residents are progressing toward competency and unsupervised practice. There is literature describing educators' attitudes about remediation; however, little is known about residents' perspectives regarding peers who are struggling and remediation. Understanding this perspective is critical to supporting struggling residents and developing successful remediation programs.

objectiveThe objective of this study was to describe residents' perspectives on peers who are struggling and remediation processes within graduate medical education programs.

methodsIn 2015, we conducted focus groups of residents in a multi-institutional exploratory qualitative study designed to investigate resident perspectives on remediation. Focus groups included questions on identification of residents who are struggling, reasons residents face difficulty in training, attitudes toward remediation, and understanding of the remediation process. Using conventional content analysis, we analyzed the focus group data to discover common themes.

resultsEight focus groups were performed at 3 geographically distinct institutions. A total of 68 residents participated, representing 12 distinct medical specialties. Four major themes emerged from the participants' discussion: lack of transparency, negative stigma, overwhelming emotions, and a need for change.

conclusionsResident perspectives on remediation are affected by communication, culture, and emotions. The resident participants called for change, seeking greater understanding and transparency about what it means to struggle and the process of remediation. The residents also believed that remediation can be embraced and normalized.

Indexed as

Internship and ResidencyClinical CompetenceEducation, Medical, GraduateFocus GroupsHumansQualitative Research

Identifiers

PMID34434511
PMCPMC8370372

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.