Give every learner a clear path to better communication
Last updated: September 2026
Learners rehearse high-stakes conversations with AI patients and see what they did well and what to practice next. They return to coaching with transcript-linked feedback against the standard your program approves.
of 267 surveyed family medicine program directors reported at least one resident in remediation during the prior three years
CERA Survey, 267 Family Medicine PDs
of residents undergoing remediation were successful within 12 months
Frazier et al., Family Medicine, 2021
of program directors want an accessible remediation toolkit
CERA Survey
mean specialist contact hours in one clinical reasoning remediation program
Guerrasio and Aagaard, J Gen Intern Med, 2014
Why communication remediation is broken
mean specialist contact hours in one clinical reasoning program
Faculty time
One published clinical reasoning remediation program required a mean of 29.6 specialist contact hours. That figure excluded program director, CCC, coordinator, and legal time. It should not be treated as a general range for every remediation case.
Guerrasio and Aagaard, J Gen Intern Med, 2014
practice between scheduled SP encounters
SP bottleneck
Each standardized patient encounter requires a trained actor, space, faculty support, and scheduling. Struggling learners need repeated practice with feedback, and live simulation alone makes that hard to provide.
ClinicalSim platform availability
evidence behind every score
Documentation gap
Faculty observations can vary by observer and may be sparse across a remediation period. ClinicalSim adds a consistent record that a faculty member or CCC can inspect alongside those observations.
ClinicalSim reporting method
How ClinicalSim works for remediation
Five capabilities purpose-built for communication remediation in GME.
On-demand AI patient encounters
Structured practice scenarios built for communication remediation. They are available 24/7, with no scheduling required.
Rubric-scored feedback
Feedback scored against the standard approved for the case, with transcript evidence a learner and faculty member can review.
Longitudinal progress tracking
Track performance across the full remediation period. Improvement is documented over time instead of in single snapshots.
Evidence for CCC review
Every session generates a structured report your Clinical Competency Committee can review alongside other evidence.
Faculty dashboard
Follow learner progress and session data without attending every practice encounter. Faculty time stays focused on coaching and assessment.
Built for every stakeholder in the remediation process
Program directors
“More practice between coaching sessions”
Programs need a repeatable remediation structure and more practice than faculty calendars can provide.
A structured remediation pathway with rubric-scored practice and longitudinal evidence for CCC review between faculty coaching sessions.
DIOs and GMECs
“Shared remediation standards across programs”
Programs may use different approaches to communication remediation and document different kinds of evidence.
Shared case standards and a central view of practice reports, while each program director and CCC keeps authority over the plan.
Simulation centers
“Extend your SP program with repeatable practice”
Live encounters require actor time, faculty support, space, and scheduling. That limits the repetitions available for individual remediation.
AI patient practice that complements scheduled SP encounters without requiring another actor or room for each attempt.
CCCs
“Reviewable evidence from every practice session”
Limited communication evidence across a remediation period.
Structured, longitudinal data with transcript evidence, giving your committee another source to review.
Built by the people who do this work
Simulation directors, communication researchers, and GME leaders who understand what remediation requires.
Simulation medicine
- Director of Simulation, Advocate Health System
- Director of Simulation, University of Chicago
Clinical communication research
- Published communication skills researchers
- Structured evaluation using published frameworks
Graduate medical education
- Program-approved competency standards
- CCC documentation expertise
Healthcare technology
- Synthetic cases written without patient records
- Voice-based AI simulation
Published evidence on remediation
Resident Remediation in Family Medicine Residency Programs: A CERA Survey of Program Directors
Family Medicine (2021)
Among 267 family medicine program directors, 93% reported at least one resident in remediation during the prior three years. In the same survey, 91% reported successful remediation within 12 months, and 50% selected an accessible remediation toolkit as the most important tool for improving the process.
of 267 surveyed family medicine program directors reported at least one resident in remediation during the prior three years
CERA Survey, 267 Family Medicine PDs
of program directors want an accessible remediation toolkit
CERA Survey
mean specialist contact hours in one clinical reasoning remediation program
Guerrasio and Aagaard, J Gen Intern Med, 2014
How the economics compare
Current remediation approaches are expensive, unscalable, and inconsistently documented.
| Method | Cost | Scalability | Availability | Documentation |
|---|---|---|---|---|
| PACE program | Published fees vary by service | One learner at a time | Scheduled externally | External report |
| Faculty 1:1 coaching | Varies by faculty role and time | One learner per faculty member | Subject to faculty availability | Varies by program |
| SP encounters | Actor, space, and faculty costs vary | Scheduled sessions | Scheduling required | Varies by program |
| ClinicalSim | Institutional license | Repeatable sessions for assigned learners | On-demand 24/7 | Rubric-scored reports for CCC review |
PACE program
Faculty 1:1 coaching
SP encounters
ClinicalSim
Frequently asked questions
What is communication remediation in GME?
Communication remediation in graduate medical education (GME) is a structured process for learners identified as struggling with clinical communication skills, particularly interpersonal and communication skills (ICS) as defined by the ACGME. In a CERA survey of 267 family medicine program directors, 93% reported at least one resident in remediation during the prior three years.
In the same survey, 91% reported successful remediation within 12 months, and 50% selected an accessible remediation toolkit as the most important tool for improving the process (Frazier et al., Family Medicine, 2021).
How does ClinicalSim use a program's competency standards?
ClinicalSim can score a case against the competency standard that a program supplies or approves. Each practice session produces structured evidence that program directors and CCCs can review alongside faculty observations.
It does not replace faculty judgment or the committee's decision.
What documentation does ClinicalSim generate for CCCs?
ClinicalSim generates a timestamped report from every practice session. Each report scores observed behavior against the standard approved for the case, cites the learner's words, and tracks performance across the remediation period.
A CCC can review the report alongside faculty observation and the other evidence it already uses. ClinicalSim does not replace faculty judgment or the committee's decision.
How does this compare to standardized patient encounters?
Standardized patient (SP) encounters remain important for high-stakes assessment. Each encounter requires actor time, space, faculty support, and scheduling.
ClinicalSim adds on-demand practice between those encounters, with rubric-scored feedback after every session. It extends an SP program by supplying repetition, and it does not replace live assessment.
What is PACE and how does ClinicalSim compare?
PACE (Program for Accelerated Curriculum in Education) and similar external remediation programs provide intensive assessment or coaching for one learner at a time. They issue an external report at the end.
ClinicalSim provides structured, on-demand practice within the learner's home program and generates rubric-scored documentation from every session. A program can use ClinicalSim on its own or between sessions with an external remediation service.