![]() Medical Education published by Association for the Study of Medical Education and John Wiley & Sons Ltd. Our evidence synthesis provides detailed recommendations on tailoring implementation and design strategies to improve remediation interventions for doctors. Remediation can work when it creates environments that trigger behaviour change mechanisms. Sustained change can be achieved by practising new behaviours and skills, and through guided reflection. Motivation can be enhanced by involving the doctor in remediation planning, correcting causal attribution, goal setting and destigmatising remediation. Insight can be developed by providing safe spaces, using advocacy to promote trust and framing feedback sensitively. Then it will ask you what kind of Appointment you. From there, choose the option to Schedule an Appointment and the mod will guide you through the process of choosing who will be the patient and, if a child is chosen, a Caregiver (required). He is known for significant contributions to methodology and theory in the social sciences. ![]() Remediation programmes are effective when a doctor's insight and motivation are developed and behaviour change reinforced. To set up a Health Checkup, you must first go to a Sim's MyHealthPortal app in the Household phone menu. (R.) Andrew Sayer (born 1949) is Emeritus Professor of Social Theory and Political Economy at Lancaster University, UK. The majority of the studies were from North America (64%). Relevant sections of text relating to the programme theory were extracted and synthesised using a realist logic of analysis to identify context-mechanism-outcome configurations (CMOcs).Ī 141 records were included. We searched bibliographic databases (MEDLINE, EMBASE, PsycINFO, HMIC, CINAHL, ERIC, ASSIA and DARE) and conducted purposive supplementary searches. We developed a programme theory of remediation by carrying out a systematic search of the literature and through regular engagement with a stakeholder group. We conducted a realist literature review consistent with RAMESES standards. The purpose of this study was to conduct a realist review to ascertain why, how, in what contexts, for whom and to what extent remediation programmes for practising doctors work to restore patient safety. However, although remediation is used in health care systems globally, there is limited evidence for the particular models or strategies employed. Remediation, the process that seeks to 'remedy' underperformance and return a doctor to safe practice, is therefore a crucially important area of medical education. Medical underperformance puts patient safety at risk. ![]()
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