The majority of doctors will thrive within a supportive environment and transition safely and successfully back to work.
However, a small number of individuals may find returning to work more difficult. It is important to try to identify those who may be struggling as early as possible.
The causes for problems with returning to work can be complex and so it is useful to consider any possible reasons and formulate an action plan to help improve their progress (12).
If the problem persists or there are concerns regarding patient safety, the issue will require a multifaceted approach between clinical tutors, supervisors, and HR and may require escalation to the deanery or other regulating bodies (12).
Further information
- Managing Trainees in Difficulty (version 3): Practical Advice for Educational and Clinical Supervisors. NACT UK: Supporting Excellence in Medical Education. October 2013
- Practitioner Performance Advice, NHS Resolution
- RCOG wellbeing resources hub
- RCOG workplace behaviour toolkit
Flowchart on supporting doctors in difficulty
1. Early identification of problems
- Look for ‘early warning signs’
- Examples: Low work rate, lack of engagement in the educational process
2. Establish and clarify circumstances
- Initiate early, effective discussions
- Form realistic learning plans
3. Explore underlying causes
Examples: Clinical, personal, sickness/ill health, environmental
If problems persist, involve:
- Clinical Supervisors
- Director of Medical Education
- TPD and Head of School
- Practitioner Performance Advice Service
- GMC (if doctor’s medical registration is called into question)
Modified from Managing Trainees in Difficulty (version 3): Practical Advice for Educational and Clinical Supervisors. NACT UK: Supporting Excellence in Medical Education. October 2013