title: A framework to teach self-reflection for the remedial resident.
abstract: BACKGROUND
  Regardless of the area of deficiency, be it in knowledge, skills or attitudes, residents requiring remediation are rarely self-identified. This illustrates a diminished ability for self-reflection. Self-reflection is a cornerstone of adult education. During the remediation process, the remediation curriculum needs to emphasize self-reflection.
  
  
  OBJECTIVE
  How can one structure self-reflection in a remediation curriculum?
  
  
  METHODS
  This article describes how to adapt and apply environmental scanning for remedial residents.
  
  
  RESULTS
  Environmental scanning is a rigorous and well-developed business approach that can be adapted for personal continuous quality improvement to foster self-reflection in medical trainees. There are often already existing tools which can form the foundation for regular reflection in medical education using an environmental scanning structure.
  
  
  CONCLUSIONS
  Environmental scanning can be thought of as a structured approach to internal and external reflections.
authors.affiliation: St. Michael's Hospital, Department of Family and Community Medicine, 30 Bond Street, Toronto, ON, M5B 1W8, Canada. fokhan.leung@utoronto.ca
authors.forename: Fok-Han
authors.initials: FH
authors.lastname: Leung
authors.forename: Savithri
authors.initials: S
authors.lastname: Ratnapalan
mesh_terms: D002983:Clinical Competence; D006801:Humans; D007396:Internship and Residency; D012073:Remedial Teaching; D012647:Self-Assessment