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Remediation of the Underperforming Trainee or Provider: A Multidisciplinary, Simulation-Based Workshop

Tuesday, May 15
13:30 - 15:00
Location: Neptune 1&2

Course Goal or Outcome: : Staff/trainees who fail to meet established standards for decision-making, procedural skills, professionalism, and teamwork/ communication present challenges to supervising providers. Our workshop offers a collaborative environment to develop simulations to remediate the healthcare provider.

Learning Objectives: : 1. Develop simulations designed to remediate staff/trainees in the areas of decision-making, leadership, communication and procedural skills.
2. Develop simulations designed to prepare supervisors and mentors to remediate staff/trainees in the areas of professionalism and communication.
3. Utilize methodologies to minimize the perception(s) of simulation-based remediation as being punitive or personal.


Intended Audience: : This workshop would be beneficial for simulation faculty, educators, and training program leadership (MD, RN, AHP). It is appropriate for intermediate or advanced attendees.

Relevance to the Conference: : Competence in professionalism, decision-making, leadership, communication and procedural skills is essential for delivering safe and effective healthcare. Ensuring minimal acceptable standards requires three components: specific expectations, valid assessments and methodologies for remediation. These general components are applicable to all areas in healthcare, and, at all training levels.
We will first address the topic of assessment, and determining when a trainee or staff member is failing to meet minimal expectations. This discussion will include considerations of validity of assessment tools, formative and summative evaluations, and the role of simulation in assessing performance. When providers fail to meet expectations, simulation is commonly utilized as a tool to assist in developing the skills that need to be improved. It can be utilized to address cognitive, technical, and non-technical skills. Workshop attendees will explore the application of simulation as an instructional method to address gaps in each of these cases, as well as an assessment tool to determine subsequent performance.
Workshop design will incorporate key concepts in adult learning, including many opportunities for interactivity (audience response, small group and large group discussion) and a variety of instructional methods (including interactive didactic sessions, video-clips, and facilitated discussions).


Workshop Timeline: : 1. Introductions and Ice Breaker (5-10 min)
2. Interactive Didactic Presentation (25 minutes)
3. Small Group Case-Based Activities (35 minutes)
a. Designing simulation-based remediation
i. Small groups will review short video clips of a provider with a need for remediation (5 clips available), and will design a simulation-based session to address the area of concern. They will also discuss their plans for assessment of performance.
4. Large group report back (15 minutes)
5. Wrap Up (5 minutes)






Mary McBride, MD, MEd

Assistant Professor of Pediatrics
Northwestern University
Chicago

Mary E McBride, MD, MEd is an Assistant Professor of Pediatrics and Medical Education at Northwestern Univeristy Feinberg School of Medicine in Chicago, Illinois, United States of America. She has an appointment in the Divisions of Cardiology and Critical Care Medicine. She is an attending physician in the Regenstein Cardiac Care Unit at the Ann & Robert H Lurie Children's Hospital of Chicago. She is the Director of Critical Care Education and a member of the leadership team in the KiSTAR Simulation program. She is the Associate Fellowship Director in Pediatric Cardiology and the Program Director so the Pediatric Cardiac Critical Care Fellowship program.

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Lindsay C. Johnston, MD, MEd

Associate Professor of Pediatrics
Yale University School of Medicine
New Haven, CT

Lindsay Johnston is an associate professor in the department of pediatrics (neonatology) at Yale university. Her areas of academic interest are in procedural skills training, specifically in neonatal intubation, and development of simulation-based educational curricula for ECMO providers. She has been involved in IPSS for many years, serving on the BOD, as treasurer, and is currently transitioning to the immediate past president role.

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Kelly D. Kadlec, MD, FAAP

Associate Professor of Pediatrics
University of Nebraska College of Medicine
Omaha, Nebraska

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Christie Bruno, DO

Assistant Professor of Pediatrics (Neonatology)
Yale University School of Medicine Department of Pediatrics
New Haven, CT

Dr. Christie Bruno is currently an Assistant Professor of Pediatrics and Attending Neonatologist at Yale School of Medicine and Yale-New Haven Children's Hospital. Dr. Bruno completed her pediatric residency training at Thomas Jefferson University/duPont Hospital for Children and her neonatal-perinatal medicine training at the Children's Hospital of Philadelphia. Her interests include medical education, neonatal neurodevelopmental outcomes, and neonatal simulation training.

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