Overview

Failure to remediate a resident and subsequent termination is a rarely discussed, uncomfortable, and taboo topic. Lack of established guidelines at the local and national level hampers the ability of graduate medical education (GME) program leadership to terminate/non-renew resident contracts effectively, anticipate next steps, and create an effective, helpful transition plan to redirect the resident’s career at a time when they are most vulnerable. Furthermore, the residency and institution may be at legal risk if due process and appropriate procedural steps are not taken. Although remediation is meant to rehabilitate a struggling learner, failure to remediate is an unfortunate reality that must be anticipated with proper action plans and frameworks. Wishful thinking and naivety result in a lack of preparedness, which places a program and institution at risk and does a great disservice to the struggling learner. Policies and procedures surrounding termination are often haphazard, lack national guidance, and can vary widely between programs within the same institution. While discussion around remediation framework is growing, a review of the literature illustrates a paucity of information highlighting data-driven studies and guidance around termination policies and procedures. In this workshop, we will review the body of literature, illuminate challenges faced in termination, and highlight procedures fundamental to effective resident dismissal and career redirection. We will establish essential stakeholders and provide participants with a framework for effective due process. Learning points will be reinforced using breakout groups and audience interaction.

Speakers

Barbara Simon, MD
Alexandra Lane, MD
Timothy Kuchera, MD

Content Track

Administration

Audience

GME

Program Type

University-Based

Additional Information

Year Published: 2025 - APDIM Fall Meeting 2025