Archives of Disease in Childhood 2009;94:492-496
LEADING ARTICLES
Trainees in difficulty
Andrew Long, South London Healthcare NHS Trust, Princess Royal University Hospital, Farnborough Common, Orpington, Kent BR6 8ND, UK; along@btinternet.com
Accepted 17 March 2009
| The first 150 words of the full text of this article appear below. |
There are many reasons why the term "trainee in difficulty", or perhaps even worse "problem doctor", strikes fear into the hearts of consultant trainers. It may be because of issues around patient safety or how to manage the on-call rota, but Richard Smith, former Editor of the British Medical Journal, would have us believe that, at least in part, it is because all doctors are "problem doctors", or at least have the potential to become so.1 In September 2005, the Medical Defence Union (MDU) and the National Patient Safety Agency (NPSA) produced a document entitled "Medical error" in which 14 distinguished senior doctors admitted to making significant clinical errors in an attempt to encourage openness as part of organisational risk management.2 In his foreword,3 the Chief Medical Officer promotes the "new (Foundation) curriculum" for Modernising Medical Careers (MMC) as an opportunity for doctors in training to learn from their
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