Trainees with Difficulties
OVERVIEW
- difficulties during training are common
- most situations can be overcome such that the trainee can continue with his or her career
IDENTIFICATION
- below expected performance during work
- ability should progress towards necessary levels of responsibility and autonomy
- failure of exams
- personal problems that interfere with work or passing examinations
- personality traits clash with effective communication or team work
- substance abuse observed
INITIAL PROCESS
- staff members to discuss concerns with SOT and HOD
- interview with trainee
- shortcomings clearly identified by SOT
- opportunity for trainees self evaluation
- clear expectation established (achievable goals)
- time frame for improvement set
- mobilisation of assistance and resources (remedial learning, advice and counselling, mentoring, medical or psychological intervention, human resources, Welfare of Anaesthetists)
- documentation of action plan
- inform HOD
MONITORING OF PROGRESS
- another time in future for formal discussion of progress (+/- support person)
- it is expected that most trainees with respond to this process
UNSATISFACTORY PROGRESS
Seek advice from Regional Educational Officer or Chief Executive Officer
- options then include:
1. further period of specified training with assistance and review 2. training time not be recognised until specified conditions met 3. leave of absence followed by specified training 4. a career change (candidate may appeal to College)
Disciplinary action as appropriate
- Medical Board
- Medical Council
SMILE
squared
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
His one great achievement is being the father of three amazing children.
On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.
| INTENSIVE | RAGE | Resuscitology | SMACC