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Scotland Deanery

Home of Medical and Dental Excellence

Trainer Information

Performance Support Unit

The Deanery's Performance Support Unit was formally opened in February 2017. Further information (Trainer page)

The Performance Support Unit (PSU) has been established to ensure that trainees who are struggling will be consistently managed across the Deanery in all specialties. Robust local structures are integral to the effective delivery of PSU and the PDs have a key role in identifying trainees who may need help, supporting them and their ESs and monitoring progress in the workplace. They are the link between the workplace, the region and the PSU.

All trainees will be categorised as Level 0,1,2,3 so that PDs, Associate Deans and Assistant Directors can have oversight of their trainees and ensure that all trainees with concerns are considered for appropriate support. The definitions are below:

No Concerns (Level 0): Trainee progressing without issues that could impact on training.

  • ACRP outcome 1

 

Level One Concern: Minor concerns which can be managed locally by training team. Concerns which are of low risk to patients, colleagues and self.

  • ARCP outcome 5, 7.4
  • Concerns raised by educational or clinical supervisor requiring discussion with PD but locally remediable.
  • Health issues with 10-20 days sickness leave
  • Single failed examination

 

Level Two Concern: Concern which if left unmanaged could pose a significant risk to patients, colleagues or for the trainee of failing to progress or requiring additional training time.

  • Unsatisfactory educational supervisor end of placement report.
  • More than one examination failure, or failure of examinations which will trigger additional time in training.
  • ARCP outcomes 2, 3, 7.2, 7.3.
  • Any trainee likely to require extension of training due to lack of satisfactory progress or ill health for any reason.
  • Trainees requiring additional support to allow them to continue to cover on call and perform usual work of grade.
  • Health problems with sickness leave of more than 20 days.
  • Any trainee requiring triggered occupational health referral by LEP.
  • Any incident of clinical concerns triggering formal disciplinary investigation.

 

Level Three Concern: Concern or repeated performance problems that present a high level of risk to patients, colleagues or to progression of trainees in their programme.

  • Unsatisfactory educational supervisor end of placement report from more than one placement in that training programme.
  • Repeated Failure of examinations which will trigger additional time in training
  • ARCP outcome 3,4, 7.3, 7.4
  • Any trainee who despite extension of training due to lack of satisfactory progress or ill health is still not meeting training targets.
  • Any clinical concern requiring removal from on call duties or usual work of grade
  • Any incident of clinical concerns triggering formal disciplinary investigation which triggers suspension from duty.
  • Any GMC referral by LEP or trainers
  • Combinations of any of above

PDs , Associate deans and Assistant Directors will manage levels 1 and 2 locally. The local Associate Deans for Performance Support will have regular reviews of all trainees. Level 3 trainees will be referred to the PSU and a case manager will be appointed to support them. The PSU will communicate with the PD and local structure on trainee progress and plan for remediation.

 


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