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Trainees requiring support

Trainees requiring support

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Trainees requiring support

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  1. Trainees requiring support Dr John Edmond Consultant Cardiologist WAHT/BHI

  2. Trainees needing additional support • Trainees in difficulty • Trainees putting patients in difficulty

  3. Most common problems • Most common problem in trainees • Lack of insight • Most common problem with trainers • Lack of time • Lack of documentation

  4. What is required • Early identification • Good documentation • Clear structure for supervisors to work with • Support from experts

  5. Trainee AB • F2 • Successfully completed F1 • Tired, not pulling her weight • “OK” according to colleagues

  6. Trainee AB • F2 • Successfully completed F1 • Tired, not pulling her weight • “OK” according to colleagues • Bowel problems Hb 6 !!

  7. Trainee AB • F2 • Successfully completed F1 • Tired, not pulling her weight • “OK” according to colleagues • Bowel problems Hb 6 !! • Engagement with deanery, GP, surgeon

  8. What is required • Early identification • Good documentation • Clear structure for supervisors to work with • Support from experts

  9. What is required • Early identification • Good documentation • Clear structure for supervisors to work with • Support from experts

  10. What is required • Early identification • Good documentation • Clear structure for supervisors to work with • Support from experts

  11. What is required • Early identification • Good documentation • Clear structure for supervisors to work with • Support from experts

  12. 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

  13. 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!!!!

  14. 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!

  15. 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....”

  16. Most common problems • Most common problem in trainees • Lack of insight • Most common problem with trainers • Lack of time • Lack of documentation

  17. “SUPER” VISION