In this section:
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Support starts first at a local level, with additional support offered through your supervisor. If you are experiencing difficulty during your training program, you should contact your supervisor in the first instance. If you do not feel comfortable talking to your supervisor about the difficulty, you can approach your Director of Physician Education (DPE), another senior Fellow, or contact the Training Support Unit at the College to seek advice.
In some cases, it may be your supervisor who notices that you are having trouble, and they might suggest that you work together to manage the situation. At this point, you and your supervisor can use the College 'Improving Performance Action Plan' (IPAP), which you will work through together, to set learning objectives and activities.
The College is not notified at this stage and if you apply yourself to working through the IPAP over the designated period of time (usually six months), achieve your learning objectives and return to meeting the expected levels of performance for training, you will return to the standard training pathway and requirements. There is no need to advise the College, or future supervisors that you have been on the pathway, unless you encounter further difficulties in the future.
Download the Improving Performance Action Plan (IPAP).
The IPAP provides the framework to help you and your supervisor outline:
Your supervisor may ask you to bring along documentation from previous training rotations, supervisor reports and any other documentation relevant to your progress which will help to put together the IPAP.
The timeframe for an IPAP is usually six months.
At the end of the agreed timeframe, supervisors will provide feedback on your progress, against the IPAP. This can be recorded in the IPAP Review section of the IPAP template. This section summarises your supervisor's feedback on your progress implementing the agreed actions in your IPAP, your current performance against expected standards and recommendations to improve performance if you have not yet reached the expected standard.
At this stage your supervisor will recommend that you either:
Record of meetings
If there is a need to hold additional meetings, a record can be completed using the Record of Meeting template
When you are on Stage 2 or 3 of the Training Support Pathway, you are required to submit three-monthly supervisor assessment reports to assist the Training Support Unit and relevant training committee with monitoring progress.
These reports ensure that you have clarity regarding your progress and performance against expected standards at regular intervals.
Basic Trainees on the pathway should use the Ward Consultant's Report template to complete these. Advanced Trainees on the pathway should use the Final Supervisor's Report template for their training program.
If your training difficulties are not resolved at the end of a period of local support, your supervisor will notify the College, by submitting their supervisor assessment report at the end of the training period.
The Training Support Unit at the College will then get in touch to arrange additional support. This will include letting your supervisors know how they can support you, and is designed to ensure that you have access to regular feedback on your training performance and that you have well structured, achievable learning objectives to enable you to reach the expected standard.
During Stage 2 Training Support, you will need to submit an IPAP, and three-monthly reports to the Training Support Unit, so they can assist the relevant training committee to monitor your performance.
At the completion of Stage 2 Support, the relevant training committee will assess all the submitted information and either decide to continue monitoring your performance with another period of Stage 2 support, or, if there are still significant difficulties, then Stage 3, a Comprehensive Review of Training (CRT), is implemented. There are two possible outcomes of this:
What happens if I am having trouble passing my exams?
Trainees invest a great deal of time and effort preparing for examinations. Contact the Training Support Unit if you are having repeated failed attempts at examinations. The Unit have compiled some useful suggestions for trainees and can assist to put some additional support in place for you with your supervisor. If you have exhausted all your exam attempts, you will be ineligible to continue in training and be exited as per the Progression through Training Policy.
I have not made the required progress on Stage 2 of the Pathway and have been notified that the training committee will be undertaking a Comprehensive Review of Training (CRT). What happens next?
The relevant training committee will collate input from current and previous supervisors, Supervisors' Reports and other documentation. This information will be complied in a Comprehensive Review of Training Book, and sent to you for your consideration.
Once you have reviewed the material you will have the opportunity to provide a written statement and any other additional material you feel needs inclusion.
The CRT Book and your statement and submitted material will then be considered by the committee at the CRT meeting. You will be notified in writing of the decision made.
There are two possible outcomes:
How long will the CRT process take?
In most cases the process will be complete within 12 – 16 weeks.
Can I continue training while the CRT process takes place?
Yes, you can continue training providing you have had your training approved and adhere to all training requirements for this period of training to be eligible for certification. The training committee will defer their consideration of any further approval of training until after the CRT.
If the outcome of the CRT is that you are discontinued from training, then the current training will not be certified (no training fee will be raised for this period). If the outcome of the CRT is that you may continue in training, then the training committee will make a certification decision about the training undertaken while the CRT took place and can also approve the next rotation.
You can also interrupt your training while the CRT process takes place by completing the appropriate Application for Interruption of Training.
What if I am undertaking dual training?
If you are undertaking dual training, both training committees will be involved in the CRT. Each committee will make a decision about your capability to continue in each of the respective training pathways. In these cases it may be possible for training to be discontinued in one training program but to continue with/or without conditions in another.
What if I disagree with the outcome of the Comprehensive Review of Training?
You will have 28 days from the date of the CRT Decision letter to apply for reconsideration, a review or appeal the decision.
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