On a daily basis, health professions educators struggle to find effective and respectful ways of working with trainees who struggle to meet standards most of whom will become practicing clinicians. Society allows and expects the health professions to regulate ourselves, and we must do so. The first edition of this book concentrated on medical student learners mainly in the United States. Since then, the literature has exploded, offering a wider range of remediation practices for all levels of learners in all health professions throughout the world. This new edition continues to offer evidence-based, theory-informed, and pragmatic approaches to identifying and remediating trainees who cannot yet perform to standards. Illustrative case studies frame practical and programmatic advice from experienced front-line educators. All original chapters have been updated, and there are 21 brand new chapters.