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Managing Trainee Performance: Challenges and Solutions

Explore issues in trainee performance, legal aspects, conduct, professional standards, and employer responsibilities. Learn about identifying and addressing underperforming trainees.

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Managing Trainee Performance: Challenges and Solutions

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  1. TRAINEE PERFORMANCE ISSUESManagers Conference 2013 Dr Nick Roberts Performance Lead

  2. Deanery Involvement in Performance • Working with Pre CCT Trainees • Undertaking investigations post CCT for Area Team • Implementing Remediation pre and post CCT using advanced Trainer group

  3. overview • They are DIFFICULT!! • Emotionally draining • Each case is unique • Legally threatening • Complex • Time consuming • Frustrating

  4. Performance Areas. • Health • Capability / Competence • Conduct • A mixture of all 3

  5. Health and sickness • Stress – work / relationship • Depression • Drug and Alcohol • Physical illness

  6. Determining conduct v capability • Can the trainee do it but won’t? • Is the trainee unable to and so doesn’t?

  7. Major Conduct Lapses Personal Professional • Theft • Fraud • Computer Pornography • Bullying • Self prescribing • Patient relationships • Consent • Confidentiality

  8. Professional Conduct • Treatment of Colleagues • Respect for patients • Engagement with e-portfolio • Time Keeping • Record keeping • Communication

  9. PROFESSIONAL STANDARDS GOOD MEDICAL PRACTICE 2013

  10. Competency • Disappearing act • Low work rate • Rigidity • Exam failure • Insight failure • Underperforming clinically

  11. ROLES AND RESPONSABILITIES • EMPLOYER • Employment law • Discipline procedures • Health and Safety • Equal opportunities • Pay and sickness

  12. TRAINER • Patient safety • Poor performance – symptom not diagnosis • Meet early with trainee (not alone) • Involve Deanery early • Document everything • Offer support • Objectivity • Learning plans

  13. Deanery Role • Support trainer and practice • Support trainee • Coordinating other assessments • Trainers / TPD’s / Occupational health • Decision making (ARCP) • Remedial placements • (managing trainees in difficulty – deanery website)

  14. Deanery Performance Group • Meets regularly to discuss underperforming trainees. • Trainees grouped as Red / Amber / Green depending on degree of concern • Manages primary and secondary Care cases

  15. Questions?

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