been examining disputes arising between trainee doctors and their colleges for
some time. Representing both trainees and supervisors across all specialties, we see the complexity of these disputes and the serious impact they can
have on all involved. We have an interest in helping our members avoid being
caught up in training program disputes, and for those who do become involved, in
supporting them through the dispute resolution process.
Although small, the number of training
disputes we see has been increasing over the past ten years. Several specialist
medical colleges also expressed to us their increasing concerns about disputes
arising in vocational training programs. With competition for training places
becoming more intense, and increasing focus on diversity in healthcare
workplaces, we expect the issues raised in these disputes to remain important
ones for the profession.
To explore Avant’s role in helping to prevent and resolve such disputes, and to tease out multiple contributing factors, in 2016 we convened a workshop on training disputes. Drawing on the
insights gained from the various perspectives of those attending, we continued
to explore the issue. Our recently released issues and discussion paper: Preventing
and resolving training disputes, offers further
reflections on the contributing factors to training disputes and some proposed
It seems clear that, as with many of the complex cultural issues the medical profession
faces today, this issue cannot be solved in silos. It will need input from the many different groups involved to identify solutions
designed around the people involved and the real world environments in which they
While the most appropriate solutions to
the issues raised are likely to be different for each college and workplace, we
suggest that there are some core principles that shape those solutions, and we
offer these for discussion.
Please share your experiences and responses
to the questions posed in the paper, by 18 August 2017 by emailing us at email@example.com.
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