Remediation of Gaps in Clinical Skills–One Size Fits One

Presented by Cate Nicholas, MS, PA, EdD & Camilla Curren, MD on March 30, 2017 at 12:00 pm

Remediation of gaps in clinical skills requires an individualized approach to the learner, the problem, and the clinical setting in which the gaps are noted. Having the learner repeat a standardized patient skills encounter alone, for example, will likely not result in the desired demonstration of adequate skills which were absent on initial assessment. However, a methodical assessment of the learnerā€™s cognitive or behavioral errors, followed by progressive coaching to an acceptable endpoint, is usually successful in achieving targeted skills acquisition. This session will discuss methods of analyzing clinical skills encounters for, and of remediating, common cognitive or behavioral learning issues in ways that are respectful of the learner and that contribute to durable improvement in clinical skills. We will specifically discuss teaching approaches that have been implemented successfully in clinical skills remediation situations. During this session the participant will learn to: 1. Analyze the learners cognitive or behavioral error 2. Create a individualized remediation plan 3. Assess the effectiveness of the plan

Seminar Archive

Presenter Bios

Dr. Nicholas is the Director of Simulation Education and Operations for the University of Vermont (UVM) Clinical Simulation Laboratory (CSL) which serves the Colleges of Medicine, College of Nursing and Health Sciences, and the UVM Medical Center. The CSL is dually accredited by the Society for Simulation in Healthcare (SSH) and the American College of Surgeons. As simulation educational consultant, she works with faculty to integrate simulation based educational teaching and assessment activities into formal curriculum, programming and continuing healthcare education. Dr Nicholas is the Director of Clinical Skills Curriculum for the UVM Larner College of Medicine. She oversees all M1-M4 clinical skills curriculum and assessment including remediation process. She is an Assistant Professor in OB-GYN and Family Medicine and retired from her private practice after 35 years.

Dr. Nicholas is an Accreditation Site Reviewer for SSH as and the Vice Chair of Quality for the SSH Certification Committee. She is past chair of Research and Grants for the Association of Standardized Patient Educators (ASPE) and was named the ASPE Educator of the Year for 2011.

Dr Nicholas is interested in use of debriefing techniques in remediation, faculty development in feedback and debriefing skills, patient centered/relationship centered communication skills and the effect of gendered communication on interprofessional teams.

Dr. Camilla Curren is an Assistant Clinical Professor of Internal Medicine at OSU Medical Center and of Pediatrics at Columbus Childrenā€™s Hospital, and serves as Director of Longitudinal Groups for the newly integrated Lead.Serve.Inspire Curriculum at OSU College of Medicine in Columbus, Ohio. She is the recipient of numerous teaching awards from the OSU College of Medicine including the 2016 Master Teacher Award from Courage to Teach and the 2016 Distinguished Educator Award from the College of Medicine and the 2015 Alumni Faculty Teaching Award. Dr. Curren works with and mentors faculty in the remediation of students with clinical skills deficits in the first two years of medical school (Part One) during their earliest clinical experiences.

She is a graduate of The Ohio State University College of Medicine and of the OSU and Nationwide Childrenā€™s Hospitals Internal Medicine/Pediatrics program and is actively involved in the preclinical and clinical aspects of teaching medical students and residents.