Transcript Trainee Support

Trainee Support
Dr Ed Pickles
Trainee Support Lead
[email protected]
Doctors in Difficulty
A trainee in difficulty
• an individual who needs extra support to help
them overcome problems threatening
completion of their training programme.
• Identifying trainees as ‘in difficulty’ is not to
label them, but to initiate certain processes.
The aim is to help them complete training
successfully.
Causes of Difficulty
• Training environment
– mismatches between trainee and trainer
– bullying or harassment
– excessive workload
– commuting
• Personal issues
– partner relationship, bereavement, critical family
illness, visa problems
Causes of Difficulty
• Clinical development and examination
performance
• Generic professional development
Causes of Difficulty
• Professional behaviour, including drug
dependance
• Health concerns & absences, particularly mental
health
• Disability
• Bullying / harassment
Signs
• anger, rigidity, absenteeism, failure to answer
bleeps
• poor time-keeping or personal organisation
• change of physical appearance
• lack of insight
• clinical mistakes, failing exams
• bullying, arrogance, rudeness, lack of team
working
• undermining other colleagues
Signs
• defensive reaction to feedback
• verbal or physical aggression, erratic or volatile
behaviour
• lack of engagement, withdrawing from learning
• communication problems
• depression or other mental illness
• new physical illness or worsening of existing
physical illness
Formal
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Appraisal
ARCP
Examinations
WPBA
Multisource feedback
Clinical governance / incidents
SUIs
Complaints / litigation
Role of Deanery versus Trust
• Employer
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performance
grievances
discrimination
whistleblowing
potential disciplinary
matters
– Trainees should be
managed in the same way
as any other NHS
employee.
• Deanery
– responsible for providing
high quality training and
education.
Sources of Support - immediate
• Educational Supervisor
– regular appraisal
• College Tutor
– LFG
• Clinical Supervisors
– use those you ‘gel’ with
• Trainee colleagues
– be nice to each other
• Register with a local GP
– Don’t self prescribe
Other Sources - trust
• Clinical Tutor & PGME Manager
• Occupational Health
– counseling
– health advice
– employee assistance programme
• Human Resources / Medical Staffing
• Most issues easily managed by you and ES
– Written Plans with SMART objectives
– Confidential as possible
• Deanery involvement where training may
require extension
Support - Deanery
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Educational Supervisor / College Tutor
Training Programme Director
Head of School
Anaesthetic Trainee Support Lead
– [email protected]
Deanery Internal Support
• KSS Careers Counselling
– Career progression
• Language and Communication Support
• Practitioner Health Programme
– Confidential Self-referral welcomed for KSS
trainees
External Support
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BMA Counselling Service
Hope4Medics
Doctors’ Support Network
Sick Doctors Trust (dependance)
Medical Women’s Federation
Samaritans
AAGBI / RCOA
Questions?