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Trainee Support

Trainee Support

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Trainee Support

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  1. Trainee Support Dr Ed Pickles Trainee Support Lead ed.pickles@qvh.nhs.uk

  2. Doctors in Difficulty

  3. 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.

  4. 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

  5. Causes of Difficulty • Clinical development and examination performance • Generic professional development

  6. Causes of Difficulty Professional behaviour, including drug dependance Health concerns & absences, particularly mental health Disability Bullying / harassment

  7. 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

  8. 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

  9. Formal • Appraisal • ARCP • Examinations • WPBA • Multisource feedback • Clinical governance / incidents • SUIs • Complaints / litigation

  10. Role of Deanery versus Trust • Employer • 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.

  11. 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

  12. Other Sources - trust • Clinical Tutor & PGME Manager • Occupational Health • counseling • health advice • employee assistance programme • Human Resources / Medical Staffing

  13. Most issues easily managed by you and ES • Written Plans with SMART objectives • Confidential as possible • Deanery involvement where training may require extension

  14. Support - Deanery • Educational Supervisor / College Tutor • Training Programme Director • Head of School • Anaesthetic Trainee Support Lead • ed.pickles@qvh.nhs.uk

  15. Deanery Internal Support • KSS Careers Counselling • Career progression • Language and Communication Support • Practitioner Health Programme • Confidential Self-referral welcomed for KSS trainees

  16. External Support • BMA Counselling Service • Hope4Medics • Doctors’ Support Network • Sick Doctors Trust (dependance) • Medical Women’s Federation • Samaritans • AAGBI / RCOA

  17. Questions?