Managing trainee doctors in difficulty

When the conduct, performance or health of a doctor in training is called i nto question, them is often confusion about the roles and responsibilities of the parties involved, Where does training stop and employment begin? Whe n should poor performance trigger intensified training, and when should if lead to dismissal? How much information should be transferred from employer to employer as a trainee moves around a training programme? This article d escribes one Deanery's approach.