Remediation

The primary goal of WAGPET is to ensure doctor in training participate in a high quality training program that supports and prepares them for a future in general practice. It is critical that any issues or concerns about a doctor in training’s wellbeing or progress are identified early and action is taken to assess and intervene appropriately, in consultation with the doctor in training.

The issues are often multifactorial, and may be around clinical or consultancy skills, interpersonal or family disharmony or conflict, career disenchantment or personal health or management issues. 

WAGPET monitoring, assessment and feedback processes

The WAGPET process of monitoring, assessment and feedback of all doctors in training begins at the commencement of training and continues throughout their training time. These processes are in place for early identification of doctors in training where there are issues related to:

Professional behaviour: knowledge; communication and consulting skills; ethical and consent issues; resource use; boundary issues (usually identified as requiring ‘remediation’).

Personal health: physical impairment; cognitive impairment; mental health problems; substance abuse; other issues (defined as a ‘registrar at risk’).

The assessment resources and tools are integrated with the education process at all levels – core education (central and regional) and in-practice – and are designed to assess the educational and learning needs within a supportive and developmental framework and to monitor the doctor in training’s progress.  These resources and tools include:

  • Online knowledge assessments
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  • Essential skills log (including assessment  during central workshops)
  • 3600  assessments
  • Online self assessment
  • Patient feedback via a survey in their general practice External clinical teaching visits
  • In practice consultation review
  • GP Supervisor mid- and end-term Assessment Reports
  • Consulting and communication skills assessments during central workshops
  • Program Training Advisor contacts and reports

Practice monitoring, assessment and feedback processes

Primary prevention means the GP Registrar and the doctor in training need to have ways of communicating early about any concerns which may arise during the GP placement.  Together they can explore issues of personal welfare, professionalism, work-life balance and clinical performance.  This can be addressed during standard in-practice teaching and supervision.

Early identification of problems or progress concerns and then intervention is often undertaken at the practice level. It may or may not require intervention by the Program Training Advisor or WAGPET.  If you are unsure then you need to contact WAGPET to discuss the issues.

If there is no resolution of problems identified, or you as the Supervisor are still concerned about a registrar’s progress, then it is important to indicate this on the assessments but more importantly to contact WAGPET early to discuss the issues and decide if any intervention is required, and what intervention may be required.

In some instances immediate intervention may be required and may come without any warning.  As the supervisor you must contact WAGPET or the doctor in training’s  Program Training Advisor immediately so ensure appropriate intervention is planned and implemented as soon as possible. 

Interventions

WAGPET, in conjunction with the supervisor, determines whether a doctor in training requires specific intervention in either (or both) categories of performance – Professional behaviour or personal health.

An intervention may take the form of a:

  • Focused Learning Intervention Plan (FLIP)
  • Required Learning Elective
  • Formal Remediation (training time stops)
  • Formal Remediation with Probation;
  • Exclusion from training

The level of intervention initiated will be dependent on the doctor in training’s identified professional and health needs. The GP Supervisor and the doctor in training will both be intimately involved in the development of the intervention.

Wherever possible the GP Supervisor and the practice will be involved in the delivery of any intervention for the doctor in training. In most cases WAGPET provides additional financial support to the practice for any additional support the practice provides. WAGPET often also provides additional educational support to the doctor in training.

You may like to review the Focussed Intervention Learning Plan template


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