ITC 2014

REFEREN C E:THE ESS ENTIAL HAN DB O O K FO R GP TR AIN IN G AN D EDUC ATIO N EDITED BY RAMES H MEHAY

Supporting the Trainee in Difficulty and Stretching the

Excellent Trainees

Trainees in Difficulty

How to spot a trainee in difficulty?

Brainstorm ideas

Tell-tale signs and symptoms

Asking superficial rather than deep learning questionsNever progressing from a low work rate (and may

complain over-worked)Overt clinical problems (poor note-keeping, inappropriate

prescriptions, inappropriate investigations, failure to follow protocols, problems with practical procedures, failure to recognise/ respond to clinical urgency)

DisappearingEmotionalComing across as rigid or inflexibleNot demonstrating a progression of competencePoor E-portfolio

Solutions?

Brainstorm ideas

Making an Educational Diagnosis

Management

Guided reflection Role-modelling-tandem surgeries

Diagnostic toolsWPBA/RCA/SEA MSF/PSQ/e-portfolio

Nature of the Problem

What is the nature of the problem?

Diagnose the problem(s): RDM-po Relationship- poor communication skills

with patients or practice teamo Diagnostics- cannot effectively data gather,

analyse, make a decision or poor practical skills

o Management- particularly time management and maintaining an effective work-life balance

o Professionalism- lack of respect for staff/ patients/ protocol

What is the cause of the problem?Ski

lls

Knowled

ge

Internal Factors Past Factors

External

Factors

What to do?

Brainstorm

i-SID

identify problems earlyShare your concerns with others

Involve the traineeDocument facts and discussions

Trainee Support Service

A professional, confidential, occupational health service and educational support service for medical and dental trainees within HENE

Initial assessment may lead to requirement for specialist support identified which may then lead to occ health/ psychotherapy or educational support. Employer is informed if this is required and of outcome or if adjustments are required. Can self refer or be referred via training programme.

Tel 0191 3332593

High fliers!

How to stretch the excellent trainee?