Early signs of the trainee in difficulty

Hosp Med. 2004 Apr;65(4):238-40. doi: 10.12968/hosp.2004.65.4.12739.


A series of high-profile medical scandals and tragedies has generated increasing interest in the earlier detection of doctors whose health, conduct or performance may pose a risk to themselves or others. The earliest signs of problems often emerge during the training years, when it may be possible to take remedial action to prevent the doctor derailing. This article describes the early signs that have identified doctors in difficulty in a large postgraduate deanery.

Publication types

  • Review

MeSH terms

  • Absenteeism
  • Clinical Competence / standards
  • Decision Making
  • Humans
  • Interpersonal Relations
  • Physician Impairment*
  • Stress, Psychological / diagnosis
  • Stress, Psychological / etiology
  • Trust