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TRAINEE PERFORMANCE ISSUES Managers Conference 2013

TRAINEE PERFORMANCE ISSUES Managers Conference 2013. Dr Nick Roberts Performance Lead. 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. overview.

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TRAINEE PERFORMANCE ISSUES Managers Conference 2013

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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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