Reasoning for registrars--an overview for supervisors and medical educators

As supervisors and medical educators, one of the most difficult tasks we face is helping a general practice registrar who is struggling to adapt to the primary care environment. Of course, there are many features of the registrar that can make this process difficult: a need for certainty, a lack of flexibility, or personal or professional qualities. And sometimes we find it difficult to create an environment conducive to effective learning: interpersonal conflicts, lack of educational experience or resources, and the perennial lack of time may affect our capacity to support our registrars.