Learning Support Plans (LSPs), Remediation, and Probation

 Learning Support (Informal) Remediation Probation
What does it assist the resident with? Addressing identified deficits early to ensure that learning objectives are metCorrecting performance deficienciesCorrecting serious performance deficiencies that could jeopardize successful program competition
What is it?An informal support plan for individualized educational support (individualized assessments are optional)- A formal program of individualized educational support, assessment and monitoring 
- Residency Program Committee (RPC) approval is required
-Must inform PGME
- A formal program of individualized educational support, assessment and monitoring 
- Residency Program Committee (RPC) approval is required
-Must inform PGME
Typical Duration4 to 12 weeks12 weeks12 weeks
Extension of Training - No extension of training
- Concurrent with regular rotations
- Usually extends training
- Rotations adjusted to suit needs (may be adjusted significantly 
- Usually extends training
- Rotations adjusted to suit needs (may be adjusted significantly 
Consequences of Failure RemediationExtension of remediation or probationDismissal from program
When should it be implemented? Consider when resident: 
- self-identifies learning deficits,
- returns from an extended LOA, or
- requires ongoing monitoring after successful remediation,
 - And when...objectives can be achieved without change to rotations. 
Required when:
- ongoing informal feedback and support have not been fully effective in correcting a performance deficiency, or
- a resident has failed a single rotation, program requirement, or education experience. 
 
Must consider when resident: 
- has failed a single remediation, 
- has performance deficiencies that jeopardize successful program completion,
- has failed two rotations within a 12 month period,
- has already been required to undergo two remediation periods or has exceeded a cumulative maximum of 24 weeks of remediation, or
- In Royal College CBME Programs, when a Competence Committee determines that a resident is not progressing as expected and the performance deficiencies are such that successful completion of the program is in jeopardy
Determining Learning Support, Remediation or Probation