Concern over Foundation competence in a new core or specialty trainee

There are occasions when newly appointed trainees are identified as experiencing significant difficulties in the clinical setting. Occasionally this amounts to concern over whether they possess Foundation Year 2 Competence. It is important to explore the reasons behind this and to take proportionate action whilst ensuring patient safety. The process document and flowchart available below describes the actions that should be taken in Scotland when such concerns are raised. Programme Directors should follow each step in the process and seek support from their Training Programme Administrator as required. Gold Guide processes still apply.

Please note this guidance is not for trainees who are established in a programme and experience difficulties - they should be supported in the usual way. This is only for those recently recruited who do not seem to be at the expected standard for an ST1/CT1 on entry to the programme.

Deanery Process when there is a concern that a newly appointed trainee (ST1/CT1) is performing below the eligibility criteria for Specialty Training (including flowchart)

Referral form for simulation exercises (described within the process document)

This page was last updated on: 10.07.2023 at 15.41