Trainees Experiencing Difficulties.

Trainees may have a variety of difficulties including sickness. This section of the site describes the overall Trainee in Difficulty approach. For policies about sickness or special leave, LTFTT etc, please look under the trainee section of the website, particularly the following pages:

Trainee Support

View the policies section to see the policy on Support for Doctors and Dentists.

All those GPStRs who are identified as having problems or indicators of potential future difficulty will be monitored either at Training Programme level or central School level depending on the level of concern. View the policies section to see the overall Health Education England Working Across Yorkshire and the Humber policy provides the formal framework that is followed. There is however specific guidance for the GP school.

The GP school has written a short summary of the courses available for those who may benefit from them.

Here is a copy of the RAG spreadsheet whichdescribes the reasons that a scheme or the GP school would normally want to review progress of a trainee.

The School Lead is Dr Mike Tomson.

School Policy on 'Training Performance Concerns'

The school policy follows a similar format to the generic Health Education Working Across Yorkshire and the Humber policy on the policies section,  for managing performance concerns and falls within that policy, however it has been adapted to be more specific for the different challenges of the GP training programme. If a discrepancy arises, the overall Health Education England Working Across Yorkshire and the Humber policy is the one that should be followed.

GP Educators should also hopefully find following documents relating to the identification and management of under performance useful:

RCGP Indicators of Under Performance Framework 

RCGP Competence Areas (word pictures)

Summary for GP Trainers on managing a trainee in difficulty

Schools Dyslexia Screening Policy

Occupational Health Referral template letter and additional information

Support for those with CSA fails

Doctors in Difficulty 

View further information in the Trainee section.

RDM-p Resources

On this page you will find a set of forms and resources that may help you with identifying the particular problem area with a trainee in difficulty.
They have already been used by several trainers and though sometimes the initial reaction has been “This is yet another form and much of the information is already on the e portfolio or shared knowledge” the conclusion that has consistently been fed back after this has been used is that they are a useful addition to understanding of the situation.

They can be used for any trainee, but may be particularly useful when there are concerns that things may not be going quite as normal… to try to help trainer and trainee clarify where the problem is and start to work on it

One of the tools that most trainers find helpful is the RDM-p model which stands for:

  • Relationship
  • Diagnostics
  • Management
  • And professionalism

The RDM-p screening tool can help you identify trainees in difficult and the nature of that difficulty:

This is also the structure that the new Clinical Supervisors Report is based on and can be linked back to the GP trainee competencies that we are all familiar with.