Release date: September 2016
Estimated completion time*: 3 hrs

This resource explains the process to supervisors and trainees so they work together effectively to address training difficulties. It supports supervisors and trainees to navigate the Training Support Pathway.

*The estimated completion time is an approximate guide and does not account for time spent on optional additional readings and activities.

Note: Access to this resource is currently available for College members only. Please ensure that you are logging in using your user ID and password. If you are unable to access the resource, or don't have access and feel that you should, please contact

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Tags: Category 1 Educational activities

Learning outcomes

Overview of the Trainee in Difficulty Support Policy and Pathway

  1. Describe the Trainee in Difficulty Support Policy
  2. Outline the steps involved in the Pathway

Identifying the difficulty

  1. Explain how a trainee in difficulty might be identified.
  2. Outline reasons why a trainee might experience difficulty.

Assessing and diagnosing the difficulty

  1. Explain strategies that can be used to assess and diagnose a trainee in difficulty.
  2. Recognise the importance of feedback and how it can be used to improve performance.
  3. Outline how a supervisor could prepare for and conduct a performance review meeting

Supporting the trainee and managing training performance

  1. Describe strategies that can be used to support a trainee in difficulty.
  2. Use the Improving Performance Action Plan (IPAP) to define expected performance standards and assist a trainee to get back on track.
  3. Identify satisfactory and/or unsatisfactory performance and manage appropriately
  4. Recognise when assistance or escalation of the issue is required and follow the appropriate pathway

Who it is for

  • New and experienced supervisors
  • Basic and advanced trainees
  • RACP Fellows from any specialty

What you'll get

  • Video scenarios that demonstrate the Trainee in Difficulty Support Policy, Process and Pathway
  • Practice, reflection and discussion activities
  • Toolbox of supporting resources that cover the skills and frameworks in detail
  • Curated list of additional resources and further reading

What you'll learn

  • How to identify a trainee in difficulty
  • The main types of difficulty experienced by trainees
  • How to refer a trainee to the Training Support Pathway
  • Tips for having challenging conversations and providing feedback
  • How to prepare for a successful meeting
  • How to write and review an IPAP

  • Dr James Macdonald (Chair)
  • Dr Weng Chin
  • Dr Tonya Kara
  • Dr Theresa Pitts
  • Dr Jay Ramanathan
  • Dr Matt Wheeler
  • Dr Sharon Wong