Supporting Trainees Module 2
Trainees in difficulty How to spot a trainee in difficulty? Brain storms ideas @NHS_HealthEdEng
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
Solutions? Brainstorm @NHS_HealthEdEng
Making an Educational Diagnosis Nature of the Problem Diagnostic tools WPBA/RCA/SEA MSF/PSQ/e-portfolio Management Guided reflection Role-modelling-tandem surgeries
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
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
What to do? Brainstorm @NHS_HealthEdEng
i-SID identify problems early Share your concerns with others Involve the trainee Document facts and discussions @NHS_HealthEdEng
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 0191 3332593 @NHS_HealthEdEng
High fliers! How to stretch the excellent trainee?... @NHS_HealthEdEng