Do's and Don'ts
- Be prepared to take immediate action once aware of concerns.
- Ask for documented evidence from relevant colleagues and team members.
- Speak to the trainee and document the meeting.
- Consider appropriate assessments to gain information e.g. MSF
- Feedback is very important; the trainee must be aware that issues have been raised.
- Do not deal with difficult scenarios on your own; ask a colleague to attend the meeting with you.
- Educational supervisor report is vital for informing progression of trainee.
- Do not wait for the next annual review to raise issues - 'No surprises' at annual review (RITA / ARCP)
Signs and Triggers
Is your trainee demonstrating any of the following?
- Rigidity/ Being obsessive
- Failure to answer bleeps
- Poor time keeping or personal organisation
- Poor record-keeping
- Lack of insight
- Lack of judgement
- Unaware of limitations
- Clinical mistakes
- Failing exams
- Discussing a career change
- Communication problems with patients, relatives, colleagues or staff
Have there been complaints from patients or staff about any of the following?
- Lack of team working (e.g. isolation; unwilling to cover for colleagues)
- Undermining colleagues (e.g. criticising or arguing in public/ in front of patients)
- Inability to prioritise
- Defensive reactions to feedback
- Verbal or physical aggression
- Erratic or volatile behaviour
- Attitude problems
Have there been issues with any of the following?
- Frequent sick leave (Mondays and Fridays especially)
- Over or under motivation
- Change of physical appearance
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