A guide to managing performance concerns in general practice registrars

Potential barriers or errors when addressing performance concerns

Last revised: 20 Jan 2025


Barriers to identification of performance concerns include:

  • Inexperience of the general practice supervisor, medical educator, or training advisor.
  • Minimisation of the problem.
  • No acknowledgement that a problem exists.
  • Uncertainty as to whether there is a problem.
  • Unwillingness to be seen as negative or critical of the general practice registrar.
  • Unwillingness or reticence to report.
  • Belief that the problem can be easily managed or will resolve.
  • Fear of repercussion from the general practice registrar.

Barriers to notification include:

  • delays in identification and/or reporting
  • unwillingness or reticence to report
  • underplaying of the problem
  • not acknowledging that a problem exists
  • hoping the problem will resolve, ignoring or putting up with the problem.

Errors with problem definition include:

  • insufficient information
  • incorrect or misleading information
  • assumptions made.
  • inappropriate decisions
  • a lack of objectivity
  • preconceived ideas and bias
  • an ill-considered approach.
This event attracts CPD points and can be self recorded

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