1. Supporting Trainees
Module 2

2. Trainees in difficulty
How to spot a trainee in difficulty?
Brain storms ideas
@NHS_HealthEdEng

3. Signs and Symptoms
Asking superficial rather than deep learning questions
Never progressing from a low work rate (over-worked?)
Overt clinical problems (poor note-keeping, inappropriate prescriptions/investigations, failure to follow protocols, problems with practical procedures, failure to recognise/ respond to clinical urgency)
Disappearing
Emotional
Coming across as rigid or inflexible
Not demonstrating a progression of competence
Poor ePortfolio
@NHS_HealthEdEng

4. Solutions?
Brainstorm
@NHS_HealthEdEng

5. Making an Educational Diagnosis
Nature of the Problem
Diagnostic tools
WPBA/RCA/SEA
MSF/PSQ/e-portfolio
Management
Guided reflection
Role-modelling-tandem surgeries

6. What is the nature of the problem?
Diagnose the problem(s): RDM-p
Relationship- poor communication skills with patients or practice team
Diagnostics- cannot effectively data gather, analyse, make a decision or poor practical skills
Management- particularly time management and maintaining an effective work-life balance
Professionalism- lack of respect for staff/ patients/ protocol
@NHS_HealthEdEng

7. What is the cause of the problem?
Skills
Knowledge
Internal Factors
Past Factors
External Factors
Internal factors: attitudes/ values; personality traits/ styles; health/ capacity = professionalism
Past factors: upbringing, educational and cultural roots and previous work experiences
External factors: stress at home or work
Current frame of mind + current level of competence = Performance

8. What to do?
Brainstorm
@NHS_HealthEdEng

9. i-SID identify problems early Share your concerns with others
Involve the trainee
Document facts and discussions
@NHS_HealthEdEng

10. Trainee Support Service
A professional, confidential, occupational health service and educational support service for medical and dental trainees within HEE
Initial assessment may lead to requirement for specialist support identified which may then lead to occupational 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
@NHS_HealthEdEng

11. High fliers!
How to stretch the excellent trainee?...
@NHS_HealthEdEng