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Remediation has been used for students at risk for clinical failure, with the belief that additional support will enhance the potential for students to be successful their clinical practicums. A multi-modal remediation program was developed which utilized evidence-based approaches to address clinical judgment abilities for students unable to meet the clinical performance objectives. This program incorporated various facets shown to have a positive effect on the development of clinical judgment, including: 1) an individualized remediation plan; 2) low and high fidelity simulation; 3) student self-assessment of their performance compared to actual performance; 4) the Lasater Clinical Judgment Rubric (LCJR) and; 5) a virtual community (VC). This multi-modal approach to remediation appeared to successfully meet the student’s learning needs while providing a clearly defined process that used a pedagogically sound framework. The individualized learning plan provided the student with a clear action plan. Simulation provided experiences in a safe environment. The LCJR worked well as a tool for student self-assessment and faculty feedback. The VC aided the students in the ‘knowing’ of the character as a person and their unique patterns related to their illnesses. This multi-modal remediation program allowed students a chance for success in meeting clinical performance objectives.

Fostering Clinical Judgment Abilities during Clinical Remediation: A Multi-Modal Approach