{"id":"https://openalex.org/W7225613540","doi":"https://doi.org/10.36834/ry8ejf70","title":"The elephant in the room: a mixed-methods study of remediation perceptions across resident physicians, teaching faculty, and program directors","display_name":"The elephant in the room: a mixed-methods study of remediation perceptions across resident physicians, teaching faculty, and program directors","publication_year":2026,"publication_date":"2026-11-09","ids":{"openalex":"https://openalex.org/W7225613540","doi":"https://doi.org/10.36834/ry8ejf70"},"language":"en","primary_location":{"id":"doi:10.36834/ry8ejf70","doi":"https://doi.org/10.36834/ry8ejf70","is_oa":true,"landing_page_url":"https://doi.org/10.36834/ry8ejf70","pdf_url":"https://cmej.ca/index.php/cmej/article/download/83344/59083","source":{"id":"https://openalex.org/S2764494900","display_name":"Canadian Medical Education Journal","issn_l":"1923-1202","issn":["1923-1202"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310312917","host_organization_name":"Canadian Medical Education Journal","host_organization_lineage":["https://openalex.org/P4310312917"],"host_organization_lineage_names":["Canadian Medical Education Journal"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Canadian Medical Education Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://cmej.ca/index.php/cmej/article/download/83344/59083","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5053669834","display_name":"Aleksandra Mineyko","orcid":"https://orcid.org/0000-0002-6735-6111","observed_orcids":["https://orcid.org/0000-0002-6735-6111"]},"institutions":[{"id":"https://openalex.org/I168635309","display_name":"University of Calgary","ror":"https://ror.org/03yjb2x39","country_code":"CA","type":"education","lineage":["https://openalex.org/I168635309"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Aleksandra Mineyko","raw_affiliation_strings":["University of Calgary"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Calgary","institution_ids":["https://openalex.org/I168635309"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161335789","display_name":"Erin Weir","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I168635309","display_name":"University of Calgary","ror":"https://ror.org/03yjb2x39","country_code":"CA","type":"education","lineage":["https://openalex.org/I168635309"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Erin Weir","raw_affiliation_strings":["University of Calgary"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Calgary","institution_ids":["https://openalex.org/I168635309"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161304373","display_name":"Lea Harper","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I168635309","display_name":"University of Calgary","ror":"https://ror.org/03yjb2x39","country_code":"CA","type":"education","lineage":["https://openalex.org/I168635309"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Lea Harper","raw_affiliation_strings":["University of Calgary"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Calgary","institution_ids":["https://openalex.org/I168635309"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5051477914","display_name":"Aliya Kassam","orcid":"https://orcid.org/0000-0002-7081-6377","observed_orcids":["https://orcid.org/0000-0002-7081-6377"]},"institutions":[{"id":"https://openalex.org/I168635309","display_name":"University of Calgary","ror":"https://ror.org/03yjb2x39","country_code":"CA","type":"education","lineage":["https://openalex.org/I168635309"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Aliya Kassam","raw_affiliation_strings":["University of Calgary"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Calgary","institution_ids":["https://openalex.org/I168635309"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I168635309"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10843","display_name":"Diversity and Career in Medicine","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/3318","display_name":"Gender Studies"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/remediation","display_name":"remediation","score":0.9319999814033508},{"id":"https://openalex.org/keywords/postgraduate-medical-education","display_name":"graduate medical education","score":0.9789999723434448},{"id":"https://openalex.org/keywords/medical-residents","display_name":"medical residents","score":0.8629999756813049},{"id":"https://openalex.org/keywords/teachers","display_name":"teachers","score":0.8450000286102295},{"id":"https://openalex.org/keywords/program-directors","display_name":"program directors","score":0.9860000014305115},{"id":"https://openalex.org/keywords/stigma","display_name":"stigma","score":0.7070000171661377},{"id":"https://openalex.org/keywords/peer-support","display_name":"peer support","score":0.890999972820282},{"id":"https://openalex.org/keywords/faculty-confidence","display_name":"faculty confidence","score":0.8410000205039978}],"concepts":[{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.6615999937057495},{"id":"https://openalex.org/C26760741","wikidata":"https://www.wikidata.org/wiki/Q160402","display_name":"Perception","level":2,"score":0.613099992275238},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5235000252723694},{"id":"https://openalex.org/C168285401","wikidata":"https://www.wikidata.org/wiki/Q1427245","display_name":"Stigma (botany)","level":2,"score":0.4984000027179718},{"id":"https://openalex.org/C522964758","wikidata":"https://www.wikidata.org/wiki/Q2019586","display_name":"Environmental remediation","level":3,"score":0.4648999869823456},{"id":"https://openalex.org/C206345919","wikidata":"https://www.wikidata.org/wiki/Q20380951","display_name":"Resource (disambiguation)","level":2,"score":0.3765999972820282},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3391000032424927},{"id":"https://openalex.org/C198477413","wikidata":"https://www.wikidata.org/wiki/Q7647069","display_name":"Survey data collection","level":2,"score":0.30489999055862427},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.2851000130176544},{"id":"https://openalex.org/C177264268","wikidata":"https://www.wikidata.org/wiki/Q1514741","display_name":"Set (abstract data type)","level":2,"score":0.27390000224113464},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.27379998564720154},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.26919999718666077},{"id":"https://openalex.org/C80245801","wikidata":"https://www.wikidata.org/wiki/Q1477475","display_name":"Semi-structured interview","level":3,"score":0.2671000063419342},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.2506999969482422}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.36834/ry8ejf70","doi":"https://doi.org/10.36834/ry8ejf70","is_oa":true,"landing_page_url":"https://doi.org/10.36834/ry8ejf70","pdf_url":"https://cmej.ca/index.php/cmej/article/download/83344/59083","source":{"id":"https://openalex.org/S2764494900","display_name":"Canadian Medical Education Journal","issn_l":"1923-1202","issn":["1923-1202"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310312917","host_organization_name":"Canadian Medical Education Journal","host_organization_lineage":["https://openalex.org/P4310312917"],"host_organization_lineage_names":["Canadian Medical Education Journal"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Canadian Medical Education Journal","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.36834/ry8ejf70","doi":"https://doi.org/10.36834/ry8ejf70","is_oa":true,"landing_page_url":"https://doi.org/10.36834/ry8ejf70","pdf_url":"https://cmej.ca/index.php/cmej/article/download/83344/59083","source":{"id":"https://openalex.org/S2764494900","display_name":"Canadian Medical Education Journal","issn_l":"1923-1202","issn":["1923-1202"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310312917","host_organization_name":"Canadian Medical Education Journal","host_organization_lineage":["https://openalex.org/P4310312917"],"host_organization_lineage_names":["Canadian Medical Education Journal"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Canadian Medical Education Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/4","display_name":"Quality education","score":0.9235000014305115},{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.428600013256073},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.4000000059604645}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225613540.pdf","grobid_xml":"https://content.openalex.org/works/W7225613540.grobid-xml"},"referenced_works_count":22,"referenced_works":["https://openalex.org/W1979290264","https://openalex.org/W2073498969","https://openalex.org/W2125369131","https://openalex.org/W2158536886","https://openalex.org/W2323489188","https://openalex.org/W2982725252","https://openalex.org/W3048948054","https://openalex.org/W3090052176","https://openalex.org/W3165071395","https://openalex.org/W3190084670","https://openalex.org/W3193614439","https://openalex.org/W3195122788","https://openalex.org/W4214730548","https://openalex.org/W4225944184","https://openalex.org/W4280508884","https://openalex.org/W4366439827","https://openalex.org/W4390107323","https://openalex.org/W4400067850","https://openalex.org/W4403250823","https://openalex.org/W4403463528","https://openalex.org/W4404020172","https://openalex.org/W7118169777"],"related_works":["https://openalex.org/W3195122788","https://openalex.org/W7165185607","https://openalex.org/W4366439827","https://openalex.org/W6921088407","https://openalex.org/W7162319653","https://openalex.org/W4416543636","https://openalex.org/W4413860801","https://openalex.org/W7121381355","https://openalex.org/W4323308930","https://openalex.org/W6958496514"],"abstract_inverted_index":{"Background:":[0],"Remediation":[1,185],"in":[2,84,92,103,181,186],"postgraduate":[3,187],"medical":[4,188],"education":[5,189],"(PGME)":[6],"is":[7,190],"a":[8,204],"complex,":[9],"high-stakes":[10],"endeavor.":[11],"Studies":[12],"have":[13,19],"examined":[14],"learner":[15,208],"perspectives,":[16],"but":[17,201],"few":[18],"explored":[20,29],"those":[21],"of":[22,34,39,113,151,195],"program":[23,40],"directors":[24,41],"and":[25,32,46,82,90,139,146,153,166,176,198,219],"teaching":[26,43],"faculty.":[27],"We":[28,51,130],"the":[30,37,117,149],"perceptions":[31],"experiences":[33,194],"remediation":[35,152,156,170],"from":[36,74,123],"perspectives":[38],"(PDs),":[42],"faculty":[44,179],"(TF),":[45],"resident":[47],"physicians":[48],"(RPs).":[49],"Methods:":[50],"used":[52],"an":[53],"explanatory":[54],"sequential-mixed":[55],"methods":[56],"design":[57],"underpinned":[58],"by":[59,94,144,192,203],"pragmatism,":[60],"combining":[61],"survey":[62,75],"data":[63],"with":[64,69,119,173],"semi-structured,":[65],"one-on-one":[66],"interviews":[67],"conducted":[68],"17":[70],"participants":[71,115],"purposively":[72],"recruited":[73],"respondents.":[76],"Data":[77],"were":[78,87,101],"collected":[79],"between":[80],"2021-2023":[81],"analyzed":[83],"2024.":[85],"Interviews":[86],"transcribed":[88],"verbatim":[89],"coded":[91],"duplicate":[93],"at":[95,216],"least":[96],"two":[97],"team":[98],"members.":[99],"Discrepancies":[100],"discussed":[102],"regular":[104],"meetings":[105],"until":[106],"consensus":[107],"was":[108],"reached.":[109],"Results:":[110],"A":[111],"total":[112],"252":[114],"completed":[116],"survey,":[118],"response":[120],"rates":[121],"ranging":[122],"3%":[124],"to":[125,207],"37%":[126],"across":[127],"participant":[128],"groups.":[129],"identified":[131],"five":[132],"themes:":[133],"stigma,":[134,196],"compassion,":[135],"complexity,":[136,197],"perfectionism":[137],"culture,":[138],"peer":[140],"support.":[141],"Limited":[142],"confidence":[143],"PDs":[145],"TF":[147],"perpetuated":[148],"stigma":[150],"RPs":[154],"reported":[155],"rarely":[157],"being":[158],"discussed.":[159],"Participants":[160],"also":[161,202],"highlighted":[162],"that":[163],"substantial":[164],"time":[165],"effort":[167],"required":[168],"for":[169,178],"goes":[171],"unacknowledged,":[172],"limited":[174],"resources":[175],"support":[177],"involved":[180],"these":[182,211],"processes.":[183],"Conclusions:":[184],"shaped":[191],"shared":[193],"resource":[199],"constraints,":[200],"strong":[205],"commitment":[206],"growth.":[209],"Addressing":[210],"challenges":[212],"will":[213],"require":[214],"action":[215],"individual,":[217],"program,":[218],"system":[220],"levels.":[221]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-10T00:00:00"}
