The remediation challenge: theoretical and methodological insights from a systematic review

Objectives  Remediation is usually offered to medical students and doctors in training who underperform on written or clinical examinations. However, there is uncertainty and conflicting evidence about the effectiveness of remediation. The aim of this systematic review was to synthesise the available evidence to clarify how and why remediation interventions may have worked in order to progress knowledge on this topic.

[1]  Lester R. Bittel,et al.  TRAINING AND DEVELOPMENT HANDBOOK. , 1967 .

[2]  L. Sjodahl Evaluation of Training. , 1975 .

[3]  T. Cook,et al.  Quasi-experimentation: Design & analysis issues for field settings , 1979 .

[4]  L. Delbeke Quasi-experimentation - design and analysis issues for field settings - cook,td, campbell,dt , 1980 .

[5]  J. Ende Feedback in clinical medical education. , 1983, JAMA.

[6]  F. L. Ficklin,et al.  The reduced load as a remedial program to increase retention of first-year medical students. , 1985, Journal of medical education.

[7]  Frierson Ht Combining test-taking intervention with course remediation: effects on National Board subtest performance. , 1987 .

[8]  H. Frierson Combining test-taking intervention with course remediation: effects on National Board subtest performance. , 1987, Journal of the National Medical Association.

[9]  I. McManus,et al.  Anxiety and study methods in preclinical students: causal relation to examination performance , 1989, Medical education.

[10]  S. Campbell,et al.  A tutorial for students demonstrating adequate skills but inadequate knowledge after completing a medicine clerkship at the Oregon Health Sciences University , 1992, Academic medicine : journal of the Association of American Medical Colleges.

[11]  Martha Reeves,et al.  Evaluation of Training , 1993 .

[12]  Mark W. Lipsey,et al.  The efficacy of psychological, educational, and behavioral treatment. Confirmation from meta-analysis. , 1993, The American psychologist.

[13]  B. Edeiken Remedial Program for Diagnostic Radiology Residents , 1993, Investigative radiology.

[14]  M. Hojat,et al.  Is the glass half full or half empty? A reexamination of the associations between assessment measures during medical school and clinical competence after graduation , 1993, Academic medicine : journal of the Association of American Medical Colleges.

[15]  M. Lipsey,et al.  The efficacy of psychological, educational, and behavioral treatment. Confirmation from meta-analysis. , 1993, American Psychologist.

[16]  N. Purdie,et al.  Effects of Learning Skills Interventions on Student Learning: A Meta-Analysis , 1996 .

[17]  D. Tabak,et al.  A remedial course on interviewing skills , 1996, Academic medicine : journal of the Association of American Medical Colleges.

[18]  B. Zimmerman,et al.  Self-regulated learning : from teaching to self-reflective practice , 1998 .

[19]  E. G. Loten,et al.  Effect of remedial tutorial help on students who fail in‐course assessments , 1998, Academic medicine : journal of the Association of American Medical Colleges.

[20]  B. Giordani,et al.  The Academic Support Program at the University of Michigan School of Medicine. , 1999, Academic medicine : journal of the Association of American Medical Colleges.

[21]  M. Challis Andy Flett Gifford Batstone,et al.  An accident waiting to happen? A case for medical education. , 1999, Medical teacher.

[22]  D. Solomon,et al.  Grade Inflation in Internal Medicine Clerkships: Results of a National Survey , 2000, Teaching and learning in medicine.

[23]  P. Davies The Relevance of Systematic Reviews to Educational Policy and Practice , 2000 .

[24]  M. Chaput De Saintonge,et al.  Support for students with academic difficulties , 2002, Medical education.

[25]  Peter Reason,et al.  Special Issue- Editorial: The Practice of Co-operative Inquiry. , 2002 .

[26]  Gurjeet S. Shokar The effects of an educational intervention for "at-risk" residents to improve their scores on the In-training Exam. , 2003, Family medicine.

[27]  M. Hojat,et al.  An empirical study of the predictive validity of number grades in medical school using 3 decades of longitudinal data: implications for a grading system , 2004, Medical education.

[28]  L. Perkowski,et al.  Remediation strategies and students' clinical performance. , 2004, Medical teacher.

[29]  L. Perkowski,et al.  Factors influencing choice of hospital for the Pre-Registration House Officer (PRHO) year. , 2004 .

[30]  C. Abraham,et al.  Interventions to change health behaviours: evidence-based or evidence-inspired? , 2004 .

[31]  Don C Des Jarlais,et al.  Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement. , 2004, American journal of public health.

[32]  A. Teherani,et al.  Disciplinary action by medical boards and prior behavior in medical school. , 2005, The New England journal of medicine.

[33]  Glenn Regehr,et al.  Failure to Fail: The Perspectives of Clinical Supervisors , 2005, Academic medicine : journal of the Association of American Medical Colleges.

[34]  Colleen Monaghan,et al.  A Simulator-Based Curriculum to Promote Comparative and Reflective Analysis in an Internal Medicine Clerkship , 2005, Academic medicine : journal of the Association of American Medical Colleges.

[35]  J. Cleland,et al.  Failing finals is often a surprise for the student but not the teacher: identifying difficulties and supporting students with academic difficulties , 2005, Medical teacher.

[36]  B. Schirmer,et al.  Remediation of low ABSITE scores. , 2005, Current surgery.

[37]  S. Heys,et al.  Good for them or good for us? The role of academic guidance interviews , 2006, Medical education.

[38]  J. Dowell,et al.  What to do about medical students with unsatisfactory consultation skills? , 2006, Medical teacher.

[39]  E. Copeland Disciplinary Action by Medical Boards and Prior Behavior in Medical School , 2006 .

[40]  K. Borman Does academic intervention impact ABS qualifying examination results? , 2006, Current surgery.

[41]  A. Oakley Resistances to new technologies of evaluation: education research in the UK as a case study , 2006 .

[42]  Kirsti Lonka,et al.  Studying in higher education: students' approaches to learning, self‐regulation, and cognitive strategies , 2006 .

[43]  J. Cleland,et al.  Undergraduate medical students: who seeks formative feedback? , 2007, Medical education.

[44]  A. Farmer,et al.  Designing and evaluating complex interventions to improve health care , 2007, BMJ : British Medical Journal.

[45]  A. Duffy,et al.  Design, management, and critical evaluation of a surgical basic/clinical science curriculum: the role of an educational chief resident. , 2008, Journal of surgical education.

[46]  J. Cleland,et al.  Cohort study on predicting grades: is performance on early MBChB assessments predictive of later undergraduate grades? , 2008, Medical education.

[47]  P. O'Sullivan,et al.  Approaches to medical student remediation after a comprehensive clinical skills examination , 2007, Medical education.

[48]  H. Schmidt,et al.  Description, justification and clarification: a framework for classifying the purposes of research in medical education , 2008, Medical education.

[49]  M. Kosir,et al.  The Kolb learning cycle in American Board of Surgery In-Training Exam remediation: the Accelerated Clinical Education in Surgery course. , 2008, American journal of surgery.

[50]  Charlotte Dignath,et al.  Components of fostering self-regulated learning among students. A meta-analysis on intervention studies at primary and secondary school level , 2008 .

[51]  J. Cleland,et al.  Is it me or is it them? Factors that influence the passing of underperforming students , 2008, Medical education.

[52]  C. Chou,et al.  Clinical skills remedial training for medical students , 2008, Medical education.

[53]  C. Chou,et al.  Remediation workshop for medical students in patient–doctor interaction skills , 2008, Medical education.

[54]  Elizabeth A. Baker,et al.  Medical School Policies Regarding Struggling Medical Students During the Internal Medicine Clerkships: Results of a National Survey , 2008, Academic medicine : journal of the Association of American Medical Colleges.

[55]  Paula T. Ross,et al.  Remediating Students’ Failed OSCE Performances at One School: The Effects of Self-Assessment, Reflection, and Feedback , 2009, Academic medicine : journal of the Association of American Medical Colleges.

[56]  D. Irby,et al.  Remediation of the Deficiencies of Physicians Across the Continuum From Medical School to Practice: A Thematic Review of the Literature , 2009, Academic medicine : journal of the Association of American Medical Colleges.

[57]  L. Laatsch Evaluation and Treatment of Students With Difficulties Passing the Step Examinations , 2009, Academic medicine : journal of the Association of American Medical Colleges.

[58]  K. Eva Broadening the debate about quality in medical education research , 2009, Medical education.

[59]  J. Cleland,et al.  A remedial intervention linked to a formative assessment is effective in terms of improving student performance in subsequent degree examinations , 2010, Medical teacher.

[60]  J. Fogel,et al.  Pediatric Board Review Course for Residents “at Risk” , 2010, Clinical pediatrics.

[61]  Reed G. Williams,et al.  Verification of proficiency in basic skills for postgraduate year 1 residents. , 2010, Surgery.

[62]  A. Scherpbier,et al.  An investigation into the design and effectiveness of a mandatory cognitive skills programme for at-risk medical students , 2010, Medical teacher.

[63]  J. Sandars Pause 2 Learn: developing self‐regulated learning , 2010, Medical education.

[64]  M. P. Ramos,et al.  First Brazilian experience in web-based course for healthcare professionals. , 2010, Medical teacher.

[65]  A. Scherpbier,et al.  At‐risk medical students: implications of students’ voice for the theory and practice of remediation , 2010, Medical education.

[66]  Robin H Demuth,et al.  An OSCE remediation experience focused on diagnostic reasoning. , 2011, Medical teacher.

[67]  J. Sandars,et al.  Self-regulation theory: Applications to medical education: AMEE Guide No. 58 , 2011, Medical teacher.

[68]  Reed G. Williams,et al.  The Efficacy of a Targeted Remediation Process for Students Who Fail Standardized Patient Examinations , 2011, Teaching and learning in medicine.

[69]  J. Sandars,et al.  Perspective: viewing "strugglers" through a different lens: how a self-regulated learning perspective can help medical educators with assessment and remediation. , 2011, Academic medicine : journal of the Association of American Medical Colleges.

[70]  Janke Cohen-Schotanus,et al.  Academic dismissal policy for medical students: effect on study progress and help‐seeking behaviour , 2011, Medical education.

[71]  J. Sandars,et al.  Assessing self-regulatory processes during clinical skill performance: A pilot study , 2011, Medical teacher.

[72]  S. Durning,et al.  Using Self-Regulated Learning Theory to Understand the Beliefs, Emotions, and Behaviors of Struggling Medical Students , 2011, Academic medicine : journal of the Association of American Medical Colleges.

[73]  Trudie Roberts,et al.  Is short-term remediation after OSCE failure sustained? A retrospective analysis of the longitudinal attainment of underperforming students in OSCE assessments , 2012, Medical teacher.

[74]  A. Scherpbier,et al.  The role of the teacher in remediating at-risk medical students , 2012, Medical teacher.

[75]  J Cleland,et al.  Glasgow supported self-management trial (GSuST) for patients with moderate to severe COPD: randomised controlled trial , 2012, BMJ : British Medical Journal.

[76]  T. Dornan,et al.  Kirkpatrick’s levels and education ‘evidence’ , 2012, Medical education.

[77]  J. Cohen-schotanus,et al.  Motivation, learning strategies, participation and medical school performance , 2012, Medical education.