Identifying Trainees in Difficulty


 

Trainees in Difficulty (TiD) may be identified in many ways including:

  • Concern voiced from the trainee

  • Concern voiced from a friend

  • Concern voiced from a colleague at any level

  • Greater than expected number of sick days

  • Concerns noted at an End of Term Assessment

 

Supporting Trainees in Difficulty


 

There are many people whom a trainee experiencing challenges may wish to contact. Some of them include their:

  • Team member;

  • Chief resident medical officer;

  • Supervisor/s;

  • Mentor;

  • Educational Supervisor; or

  • Director of Paediatric Education

Trainees and/or supervisors may also wish to get independent assistance.

 

Improving Performance Action Plan (IPAP)

The IPAP provides the framework to help you and your supervisor outline:

  • Learning strategies to be implemented to improve performance in areas where your performance is below the expected standard

  • Expected outcomes from these actions and strategies

  • Dates on which you and your supervisor will meet to review your progress

An IPAP can be implemented at any of these stages:

 
StageTimeframeDetails
1Usually 6 months• The RACP is not notified
• The trainee will regularly meet with their supervisor
• At the end of the timeframe, the supervisor will recommend:
• Exiting from the Training Support Pathway if the issue/s have been remedied
• Working together to develop a new IPAP in stage 2 if the issue/s have not been remedied
2Usually 12 months• The RACP is notified
• The Supervisor must submit 3 monthly assessment reports to the Training Support Unit
• At the end of stage 2 Support, the relevant training committee with assess all the submitted information and either decide to continue monitoring the trainee’s performance with another period of stage 2 support or if there are extensive difficulties, a Comprehensive Review of Training is implemented
3
(Comprehensive Review)
• The RACP is notified
• The Supervisor must submit 3 monthly assessment reports to the Training Support Unit
• There are 2 possible outcomes of a Comprehensive Review of Training
• Training continues with conditions
• Involuntary discontinuation of training
 
 
 
 

Supporting those who are supporting trainees in difficulty

Supervisors can assist in identifying trainees in difficulty in many ways, including:

  • Providing good supervision and support to trainees during their rotation

  • Giving the trainee honest and constructive feedback at least in the middle of their term and again at the end of the term

  • Giving the trainee an honest appraisal in the End of Term Assessment and ensuring that this is received by the training and parent hospital Medical Workforce Units (MWUs).

  • Notifying their DPE if there are significant concerns

  • Giving honest feedback if/when contacted by the Progress Review Panel

 
priscilla-du-preez-3gAiajAfjXI-unsplash-WEB.jpg
 
  • It can also be very challenging for supervisors who are supporting a trainee in difficulty. The RACP has provided framework for helping a trainee [I want to offer support | RACP Wellbeing]

  • If you would like advice regarding a trainee in difficulty, please feel free to contact the Directors of Paediatric Education (DPEs)

  • RCH

    • Associate Professor Romi Rimer (Romi.Rimer@rch.org.au)

    • Dr Nadine Sharples (Nadine.Sharplesbissland@rch.org.au)

    • Dr Jye Gard (Jye.Gard@rch.org.au)

 
patty-brito-Y-3Dt0us7e0-unsplash-WEB.jpg