Managing Trainee Performance

Do's and Don'ts

  • Be prepared to take immediate action once aware of concerns.
  • Ask for documented evidence from relevant colleagues and team members.
  • Speak to the trainee and document the meeting.
  • Consider appropriate assessments to gain information e.g. MSF
  • Feedback is very important; the trainee must be aware that issues have been raised.
  • Do not deal with difficult scenarios on your own; ask a colleague to attend the meeting with you.
  • Educational supervisor report is vital for informing progression of trainee.
  • Do not wait for the next annual review to raise issues - 'No surprises' at annual review (RITA / ARCP)

Signs and Triggers

Is your trainee demonstrating any of the following?

  • Anger
  • Rigidity/ Being obsessive
  • Emotionality
  • Absenteeism
  • Failure to answer bleeps
  • Poor time keeping or personal organisation
  • Poor record-keeping
  • Lack of insight
  • Lack of judgement
  • Unaware of limitations
  • Clinical mistakes
  • Failing exams
  • Discussing a career change
  • Communication problems with patients, relatives, colleagues or staff

Have there been complaints from patients or staff about any of the following?

  • Bullying
  • Arrogance
  • Rudeness
  • Lack of team working (e.g. isolation; unwilling to cover for colleagues)
  • Undermining colleagues (e.g. criticising or arguing in public/ in front of patients)
  • Inability to prioritise
  • Defensive reactions to feedback
  • Verbal or physical aggression
  • Erratic or volatile behaviour
  • Attitude problems

Have there been issues with any of the following?

  • Frequent sick leave (Mondays and Fridays especially)
  • Over or under motivation
  • Change of physical appearance
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