Table 4.

Remediation strategies per CanMEDs competency

CanMEDS competency	Remediation strategies
Professional	Mentor, (role-modelling) tutor, coach, team coach, intervision
	Additional talks with programme director or training staff
	Writing reflection assignments
	Career advice or career coaching
	Strengths and weakness analysis, psychological assessment
	Psychiatrist, psychotherapist or psychologist
Communicator	Interaction: video assessments, roleplay, communication training.
	Language: logopaedic, language course.
	Written: letter correction.
Manager	Reducing multitasking such as a training programme break, quitting research projects, adapted outpatient clinics, rotations in a smaller hospital, working parttime, not participating in irregular shifts.
Medical Expert	Extension of training duration, passing with specified conditions, such as setting measurable timely targets.
	Competency matrix or personal performance development plan.
	Clinical practice assessments, help of an educational expert.
	Exposure to activities that currently lack quality or experience.
	Resit of assessments, exams or rotations.
	Checks, direct strict supervision.

Legend: This table shows the remediation strategies for several, most often deficient CanMEDS, per CanMED in residents ultimately dismissed from the programme