Any trainee who has caused concern to his or her Educational Supervisor about the ability to carry out their duties, and which has required unusual measures to be put into place. This would mean anything outside the normal trainer – trainee processes where the Training Programme Director has been called upon to take or recommend action.

Early recognition of problems, appropriate intervention with effective feedback and support for both trainee and trainer are most likely to be successful. In each case, thorough and careful investigation is essential to determine the nature of the problem and identify underlying factors before appropriate action can be taken.

Difficulties usually present as Performance Issues, the range of which can be considerable. More often than not there is an inter-play between several factors including: conduct, health, personal circumstances and the learning environment that leads to poor performance.

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