Managing Underperformance in Trainees

  • Jonathan Beard
  • Hilary Sanfey
Part of the Innovation and Change in Professional Education book series (ICPE, volume 17)


Managing surgical trainees who underperform can place significant demands on surgeons responsible for training. And it is not just trainees who underperform. In some specialities, more than 50% of surgeons can expect suspension from clinical duties pending the outcome of an investigation at some point in their career! This underperformance and its management can have a profound impact on the individual, patients, other surgeons and colleagues and the health service. This chapter explores some of the common categories of underperformance, the underlying causes and strategies for remediation.


Underperformance Behaviour Professionalism Competence Performance Remediation Clinical competence committee Unprofessional Documentation 


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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Jonathan Beard
    • 1
  • Hilary Sanfey
    • 2
  1. 1.Faculty of MedicineUniversity of SheffieldSheffieldUK
  2. 2.Department of SurgerySouthern Illinois School of MedicineSpringfieldUSA

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