The underlying principles tend to be the same – listen to concerns with interest, explore the background, take advice, seek an agreed way forward and review. We are all human, and none of us get it right all the time. The trick is to recognise that and to be willing to address matters when needed, with respect and care for each other.

Wherever possible, it is good practice to address concerns early and involve the appropriate people to reach a resolution of whatever the concern is. When deciding on the best person to approach for advice, it is always worth considering if the concern arises from an employment matter or an educational one. A supportive and thorough induction period can go a long way to create the atmosphere in which concerns can be aired and addressed early on. Getting to know our trainees as people can also help understand the challenges they face and how that might impact on their training at times. Vijay Nayar  has produced a template to help guide 121 discussions with trainees. Please do consider using that, where appropriate. The SKIPE model can also help to gather background information.

Pastoral support for our trainees is a theme that runs all through this guidance, as well as educators supporting each other. Sometimes, a listening ear is all any of us need to help us work out how to approach our own concerns. It is always worth reflecting on our own part, as educators, in whatever the situation might be. As well as that of the organisation in which we work.

These scenarios are not exhaustive, rather they are intended as examples to help think about who can help. Wherever, you have any doubt, please do speak to one of your local TPDs for advice. They will know where to seek further advice, as needed.

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