A Standardized Remediation Approach for the Integrated Cardiothoracic Surgery Trainee: Review of Current Paradigms and Suggested Strategies.

Abstract

Effective remediation is essential for the success of residency programs, yet integrated cardiothoracic (I6) surgery training lacks standardized guidelines. Drawing from remediation practices in other surgical subspecialties, this study evaluates existing strategies and proposes a structured remediation framework tailored to I6 trainees. A systematic review examining remediation policies in surgical residency programs was conducted through December 2024. Studies meeting inclusion criteria were critically analyzed and key themes were synthesized to inform a standardized approach for I6 trainees. Of 239 identified articles, 18 met inclusion criteria. Findings emphasized the importance of regular assessments, structured performance evaluations, and collaborative intervention strategies, including faculty mentorship and success teams. Standardized remediation protocols, as seen in neurosurgery and orthopedics, were instrumental in addressing competency deficiencies through competency-based assessments and curriculum refinements. I6 training demands a multifaceted remediation approach encompassing technical proficiency, clinical acumen, and professional development. By integrating best practices from related surgical fields, this study proposes a tailored, evidence-based remediation framework to enhance surgical education and to support struggling residents. Establishing a standardized remediation policy across I6 programs can optimize training outcomes, ensuring competence and preparedness of future cardiothoracic surgeons.