section 1. Introduction to the identification, diagnosis and remediation of the struggling medical learner: The need for remediation ; Introduction to identification and diagnosis ; Framework for diagnosing area of learner difficulty ; Diagnostic cases ; Responsibilities of the evaluator ; Self-assessment quiz for section 1 -- section 2. Remediation of the struggling medical learner: Introduction and initial steps to remediation ; Deficit-specific remediation algorithms ; Determining success of remediation and reassessment ; Remediation cases ; Self-assessment quiz for section 2 -- section 3. Giving feedback to the struggling learner: Key elements of giving and receiving difficult feedback ; Self-assessment quiz for section 3 -- section 4. Building a remediation program and outcomes data: Building a remediation program from the ground up ; Legal considerations with co-author Steve Zweck-Bronner JD ; Supporting learners and teachers ; Outcomes and reflections