trainees in difficulty
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RAC Conference Workshop, RCPE 5 th June 2014. Trainees in Difficulty. Dr Ken McHardy Consultant Diabetologist Associate Postgraduate Dean Member NES Faculty Development Alliance Aberdeen [email protected]. - PowerPoint PPT PresentationTRANSCRIPT
Trainees in Difficulty
Dr Ken McHardyConsultant DiabetologistAssociate Postgraduate DeanMember NES Faculty Development AllianceAberdeen
RAC Conference Workshop, RCPE 5th June 2014
Aim 1:
TO INCREASE CONFIDENCE AND COMPETENCE IN RECOGNITION OF PROBLEMS AND CONSIDERING UNDERLYING CAUSES
Definitions • Personal conduct– performance or behaviour not associated with the exercise
of medical duties• Professional conduct– performance or behaviour arising from the exercise of
medical duties• Professional competence– adequacy of performance related to the exercise of technical
skills and professional judgement
Problems and Causes
• There are several types of underlying problem
• The manifestation may not reveal the problem
• There are usually several contributory factors
• Attempts at resolution are facilitated by
understanding
• Modelling can be perhaps useful….
Knowledge & Skills
Attitudes & Behaviour
Health
Working Environment
External Environment
Knowledge & Skills
Attitudes & Behaviour
Health
Working Environment
External Environment
• Trainee
• Trainer
• Post
• Workplace
• External
Expectations : Experiences : Culture : Support
Induction : Resilience : Other Responsibilities
Aim 2:
TO RAISE AWARENESS OF STRUCTURES AND RESOURCES TO HELP MANAGE SITUATIONS WHERE TRAINEES ARE HAVING DIFFICULTIES
GMC
Health Boards
DME
NES
Educational Supervisor
Clinical Supervisor
TPD
Royal Colleges
College Tutor
Trainee
NES Support Structure• NES Policy• Operational Framework• Trainee Performance Advisory Group
www.nes.scot.nhs.uk > Education and Training > Medicine > Help and Support (bottom left) > Doctors in Difficulty…
NES OPERATIONAL FRAMEWORK
–Ten guiding principles- Classification of problems- Roles and responsibilities- Levels of seriousness- Resources for remediation and
assessment- Ill health- Contact details
Guiding Principles1. Ensure patient safety2. Address problems as they occur3. Find out the facts4. Speak to the trainee – two sides to every story5. Consider underlying health problems6. Seek help / guidance if uncertain7. Set realistic measurable goals8. Document everything9. Be proportionate, consistent and fair10.Confidentiality
Aim 3:
To EMPHASISE THE PARAMOUNT IMPORTANCE AND RELATIVE SIMPLICITY OF TIMELY INTERVENTION
Educational Practice or Clinical Practice
Early Detection Early intervention Knowing the processes……. and who is there to help? Prevention better than cure!
REMEMBER!While all trainees have problems of some sort or another during training, most trainees progress satisfactorily most of the time without coming anywhere near to a definition of ‘doctor with difficulty’