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by Dr Neil James
Last updated: January 2020
Understanding and dealing with poor
performance in doctors is something now expected of all doctors.
The GMC’s publications Raising and acting on concerns about
patient safety (GMC, 2012) and
Good Medical Practice (GMC,
2019) make this clear. Serious issues are relatively
uncommon, perhaps only one or two cases per year in most average
sized mental health trusts or health boards. Developing and
employing the necessary skills is therefore not particularly easy.
This module aims to provide an introduction to what doctors need to
know about how to approach such problems.
This module provides
a deceptively simple vignette,
which illustrates and develops some of the skills and habits
of mind that are useful and effective in dealing with performance
In this module, we will also look specifically
While the module is aimed mainly at those
managing others, it will also be of value to all doctors in helping
them understand the frameworks and processes associated with
dealing with poor performance.
The second module, Problem psychiatrists: Part
2 – understanding and managing poor
performance, follows on from Part 1
with more of an emphasis on national guidance and discussions
with Practitioner Performance Advice (formerly
If you like this module, you may also be
psychiatrists: Part 2 – understanding and
managing poor performance by Dr Neil Margerison
professional practice: Part 1 and Part 2 by By Dr
Ashok G Patel and Dr Haider Malik
Avoiding clinical bias in psychiatry by Dr
Prasanna N. de Silva
Book from RCPsych Publications:
Management for Psychiatrists (4th edition)
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Download take-home notes to print and