Resident remediation, probation, and dismissal: Basic considerations for program directors

Objectives: To suggest a basic new approach for pathology training programs to consider when a resident requires remediation, probation, or dismissal. Methods: Remediation, probation, or dismissal of the poorly performing pathology resident is one of the most difficult and challenging aspects of any pathology training program. The poorly performing resident requires extra time and resources from the faculty and the program and can be disruptive for the entire program. Effective remediation requires faculty development, a well-constructed remediation or probation plan, and documentation. Results: Despite best efforts, not all remediation plans are successful and dismissal of the resident will need to be seriously considered. Conclusions: Approaches to dealing with resident performance issues can be variable and need to be tailored to the issue being addressed.