Experience of academic remediation in a South African medical undergraduate programme — the voice of remediating students
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Abstract
Background. The purpose of remediation is to provide targeted support and interventions to individuals who are struggling academically, providing support for the improvement and achievement of learning goals.
Objective. The purpose of this study was to explore the perceptions and experiences of undergraduate medical students regarding academic remediation within the Nelson Mandela Fidel Castro (NMFC) final-year integration programme at the University of the Witwatersrand (Wits) and, by so doing,
present a Global South narrative around providing remediation as a pedagogical intervention for medical education.
Methods. In a qualitative exploratory study design, in-depth interviews were conducted with Wits-NMFC students as part of a wider study that included focus group discussions with clinical educators with thematic analysis.
Results. The findings revealed a need to deconstruct the meaning of remediation in a student-centred manner, clarify the procedural approach to successful remediation for students, provide student-centred support, and consider the multidimensional reasons for poor academic performance by students through an individualised approach.
Conclusion. Holistic and structured remediation of learners with identified gaps is crucial in health profession education to achieve the outcomes of clinically competent healthcare providers. A comprehensive approach that is student-centred and addresses individual factors that impact academic performance is imperative to a successful remediation programme
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References
1. Kalet A, Guerrasio J, Chou CL. Twelve tips for developing and maintaining a remediation program in medical
education. Med Teach 2016;38(8):787-792. https://doi.org/10.3109/0142159X.2016.1150983
2. Ellaway RH, Chou CL, Kalet AL. Situating remediation: Accommodating success and failure in medical education
systems. Acad Med 2018;93(3): 391-398. https://doi.org/10.1097/ACM.0000000000001855
3. Winston K. Core concepts in remediation: Lessons learned from a 6-year case study. Med Sci Educ 2015;25(3):307-
315. https://doi.org/10.1007/s40670-015-0149-z.
4. Bachman RM. Shifts in attitudes: A qualitative exploration of student attitudes towards efforts of remediation Res
Teach Dev Educ 2013;29(2):14-29.
5. Braun V, Clarke V. Using thematic analysis in psychology. Qualitat Res Psychol 2006;3(2):77-101.
6. Lindheim T. Participant validation: A strategy to strengthen the trustworthiness of your study and address ethical
concerns. In: Researching Values: Methodological Approaches for Understanding Values Work in Organisations
and Leadership: New York: Springer, 2022:225-239.
7. Donda BM, Hift RJ, Singaram VS. Assimilating South African medical students trained in Cuba into the South
African medical education system: Reflections from an identity perspective. BMC Med Educ 2016;16(1):1-7.
https://doi.org/10.1186/s12909-016-0800-4.
8. Watkins S, Bagg W, Curtis E, Yielder J. The student narrative of undergoing academic difficulty and remediation
in a medical programme: Indigenous Māori and Pacific Admission Scheme (MAPAS) and international student
perspectives at the University of Auckland. N Z Med J
9. 2022;135(1551):40-53.
10. Selva-Rodriguez A, Sandars J. Twelve tips for providing academic remediation to widening access learners in
medical education. Med Teach 2023;45(10):1112-1117. https://doi.org/10.1080/0142159X.2023.2216360
11. Mittelman E, Ark R. To accept or decline academic remediation: What difference does it make? Medical students'
perspective. Med Teach 2020;42(2):239. https://doi.org/10.1080/0142159X.2019.1620197
12. Mills LM, Boscardin C, Joyce EA, O’Sullivan P. Emotion in remediation: A scoping review of the medical
education literature. Med Educ 2021;55(12):1350-1362. https://doi.org/10.1111/medu.14605