Nuts and Bolts of Professionalism Remediation

This chapter describes a structured, evidence-based approach to professionalism remediation in four phases: ‘Identify and Evaluate’, ‘Explore and understand’, ‘Remediate’, and ‘Gather evidence for dismissal’. Illustrative cases provide guidelines for the frontline teachers who conduct essential tasks in the first two phases, such as explicitly and implicitly setting professionalism standards, identifying trainees’ lapses in professionalism, clarifying possible causes, intervening, and assessing professionalism. Trainees who move to the ‘Remediate’ phase engage with specialized professionalism remediation coaches. For those few trainees who do not demonstrate reflectiveness and improvement despite remediation attempts, we discuss formal procedures focused on gathering evidence for dismissal.