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The supportive roleProcess for managing a supervisee in difficultyThe flow diagram below outlines a useful process to facilitate managing a supervisee in difficulty.Assess the severityConcern expressedabout trainee• Patient safety?• Trainee safety?• Misconduct?Preliminary assessment of concernConsider potential underlying issuesConsider need for further investigationSpeak with traineeListen and assessConsider seeking advice from HR/DMSFurther investigationNote findingsConsider referral to expert practitionerAgree action plan and review dateSeek agreement of traineeDocument the action planImplement action planEnsure trainee is adequately supportedReviewReach a conclusionMatter resolved or requires ongoing review or referralSource: NSW Institute of Medical Education and Training 2009, Trainee in difficulty. A handbook for Directors of Prevocational Education and Training.62 HETI The Superguide FIRST EDITION