A 5-Step Framework for the Assessment and Remediation of a Struggling Medical Learner in the Clinical Environment

Authors: Sarah B. Merriam, MD, MS, Melissa A. McNeil, MD, MPH, Carla L. Spagnoletti, MD, MS


Struggling medical learners are not uncommon, comprising between 7% and 15% of trainees in >90% of all US internal medicine training programs across a spectrum of size, geographic location, and academic affiliation.1,2 Interactions with such learners present a unique set of challenges to clinical teaching.

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