1. ITC 2014 REFERENCE: THE ESSENTIAL HANDBOOK FOR GP TRAINING AND EDUCATION EDITED BY RAMESH MEHAY Supporting the Trainee in Difficulty and Stretching the Excellent Trainees

2. Trainees in Difficulty How to spot a trainee in difficulty? Brainstorm ideas

3. Tell-tale signs and symptoms Asking superficial rather than deep learning questions Never progressing from a low work rate (and may complain over-worked) Overt clinical problems (poor note-keeping, inappropriate prescriptions, inappropriate 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 E-portfolio

4. Solutions? Brainstorm ideas

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

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

7. What is the cause of the problem? Skills Knowledge Internal Factors Past Factors External Factors

8. What to do? Brainstorm

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

10. Trainee Support Service A professional, confidential, occupational health service and educational support service for medical and dental trainees within HENE Initial assessment may lead to requirement for specialist support identified which may then lead to occ 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 0191 3332593

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