Trainee underperformance: a guide to achieving resolution

Rashid, Prem, Grills, Richard, Kuan, Melvyn and Klein, Deborah 2015, Trainee underperformance: a guide to achieving resolution, ANZ journal of surgery, vol. 85, no. 5, pp. 303-307, doi: 10.1111/ans.12949.

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Title Trainee underperformance: a guide to achieving resolution
Author(s) Rashid, Prem
Grills, Richard
Kuan, Melvyn
Klein, Deborah
Journal name ANZ journal of surgery
Volume number 85
Issue number 5
Start page 303
End page 307
Total pages 5
Publisher Wiley
Place of publication London, Eng.
Publication date 2015-05
ISSN 1445-2197
Keyword(s) conflict resolution
disharmony
management
trainee underperformance
Science & Technology
Life Sciences & Biomedicine
Surgery
DIFFICULTY
SURGEONS
STRESS
PERSONALITY
ATTITUDES
Summary BACKGROUND: Underperformance and the disharmony it can cause are not commonly faced by trainees. However, when it occurs, a process to recognize and manage the issues compassionately must be put in place. METHOD: A literature review was undertaken to outline processes and themes in addressing and resolving these types of issues. A PubMed search using 'surgical underperformance' and 'remedial teaching' was used as a broad template to find papers that illustrated key concepts. One thousand four hundred and fifteen papers were identified. In papers where the titles were in line with the stated topic, 294 abstracts were reviewed. Key papers were used to develop themes. Additional cross-referenced papers were also included where relevant. RESULTS: There can be a variety of reasons for trainee underperformance. The root cause is not always clear. Disharmony can result in a surgical unit during this time. The involved trainee as well as the members of the clinical unit may experience a variety of stressors. A systematic process of management can be used to evaluate the situation and bring some resolution to difficulties in working relationships. CONCLUSION: Early constructive intervention improves outcomes. There should be a process to systematically and compassionately resolve underlying issues. This paper outlines the disharmony that can result from trainee underperformance and offers guidance for resolution to those involved.
Language eng
DOI 10.1111/ans.12949
Field of Research 1103 Clinical Sciences
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, Royal Australasian College of Surgeons
Persistent URL http://hdl.handle.net/10536/DRO/DU:30081332

Document type: Journal Article
Collection: School of Medicine
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