Trainees requiring support
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Trainees requiring support. Dr John Edmond Consultant Cardiologist WAHT/BHI. Trainees needing additional support Trainees in difficulty Trainees putting patients in difficulty. Most common problems. Most common problem in trainees Lack of insight Most common problem with trainers
Trainees requiring support
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Presentation Transcript
Trainees requiring support Dr John Edmond Consultant Cardiologist WAHT/BHI
Trainees needing additional support • Trainees in difficulty • Trainees putting patients in difficulty
Most common problems • Most common problem in trainees • Lack of insight • Most common problem with trainers • Lack of time • Lack of documentation
What is required • Early identification • Good documentation • Clear structure for supervisors to work with • Support from experts
Trainee AB • F2 • Successfully completed F1 • Tired, not pulling her weight • “OK” according to colleagues
Trainee AB • F2 • Successfully completed F1 • Tired, not pulling her weight • “OK” according to colleagues • Bowel problems Hb 6 !!
Trainee AB • F2 • Successfully completed F1 • Tired, not pulling her weight • “OK” according to colleagues • Bowel problems Hb 6 !! • Engagement with deanery, GP, surgeon
What is required • Early identification • Good documentation • Clear structure for supervisors to work with • Support from experts
What is required • Early identification • Good documentation • Clear structure for supervisors to work with • Support from experts
What is required • Early identification • Good documentation • Clear structure for supervisors to work with • Support from experts
What is required • Early identification • Good documentation • Clear structure for supervisors to work with • Support from experts
Early identification “Disappearing act” Low work rate Ward rage Rigidity Bypass syndrome Career problems Insight failure etc etc Documentation of facts Opinion = “He’s very arrogant” Fact = “On Monday’s ward round he completely ignored the views of the other team members when seeing Mr X
Early identification “Disappearing act” Low work rate Ward rage Rigidity Bypass syndrome Career problems Insight failure etc etc Documentation of facts Opinion = “He’s very arrogant” Fact = “On Monday’s ward round he completely ignored the views of the other team members when seeing Mr X KEY ROLE OF PGME STAFF!!!!
Early discussions • “Difficulty” is a symptom, not a diagnosis! • Most people respond positively to the offer of further help • If angered/in denial then that’s worse!
Early documentation • Email • E-portfolio • “Thank you for coming to see me today. We discussed.... You were concerned about .... We have agreed to do ... We will meet again in....”
Most common problems • Most common problem in trainees • Lack of insight • Most common problem with trainers • Lack of time • Lack of documentation