Qureshi Muhammad Nauman, Butt Taimur
Department of Emergency Medicine, King Faisal Specialist Hospital and Research Centre, Saudi Arabia.
Int J Pediatr Adolesc Med. 2021 Jun;8(2):82-86. doi: 10.1016/j.ijpam.2020.01.005. Epub 2020 Feb 5.
The "trainee in difficulty" (TID) can have multiple causative factors which can impact the delivery of an expected standard of skill sets. The communication and interpersonal skills in Emergency Department (ED) setting are key to any trainee's performance in an ED environment where team playing is a major factor in achieving safe and holistic care for patients. Trainer or a young faculty member responsible for the training may not have the emotional intelligence or experience to deal with all the issues faced by the TID. This paper talks about the difficulties faced by an experienced trainee in difficulty, who has changed his career from an experienced ED nurse to a trainee registrar in Emergency Medicine. The second case study is about a young emergency medicine residency program director who fails to appropriately address a trainee's situation and compounds the trainees' issues. The effect of honest, transparent communication of an educational supervisor and setting clear goals for the TID can have a huge impact on trainees' performance. A residency program director's inexperience and poor skills to deal and escalate the trainee's issues may jeopardize a young physicians' career.
“困难实习生”（TID）可能有多种成因，这些因素会影响预期技能水平的培养。在急诊科环境中，沟通和人际交往能力是任何实习生表现的关键，在这种环境中团队协作是为患者提供安全全面护理的主要因素。培训师或负责培训的年轻教员可能缺乏情商或经验来处理TID面临的所有问题。本文讲述了一位经验丰富的困难实习生所面临的困难，他从一名经验丰富的急诊科护士转行成为急诊医学实习住院医师。第二个案例研究是关于一位年轻的急诊医学住院医师培训项目主任，他未能妥善处理一名实习生的情况，反而使实习生的问题更加复杂。教育主管进行诚实、透明的沟通并为TID设定明确目标，这对实习生的表现会产生巨大影响。住院医师培训项目主任缺乏处理和解决实习生问题的经验及能力，可能会危及年轻医生的职业生涯。
