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E. C. Tolman emphasized the purposiveness of behavior — the idea that much of our behavior is goal-directed. For instance, employees who aim for a promotion work diligently to meet their targets. Tolman argued that when classical conditioning and operant conditioning occur, the organism acquires certain expectations. In classical conditioning, a child might fear a dog because they expect it to bite. In operant conditioning, a person might consistently work overtime because they expect a...
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Flags for seeking help: making supervisor expectations of general practice trainee help-seeking explicit.

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Education for Primary Care : an Official Publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors
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General practice trainees face barriers seeking supervisor help. A new tool, 'Flags for Seeking Help', clarifies when trainees should request in-consultation supervision to improve patient safety.

Keywords:
General practiceclinical supervisiongeneral practitioner traininghelp-seekingsupervisor training

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Area of Science:

  • Medical Education
  • General Practice
  • Patient Safety

Background:

  • Clinical supervision is vital for patient safety in general practice training.
  • Current supervision models place excessive burden on trainees to request assistance, despite known barriers.
  • Trainee uncertainty regarding supervisor expectations hinders timely help-seeking.

Purpose of the Study:

  • To introduce the 'Flags for Seeking Help' tool to improve supervisor input in general practice trainee patient care.
  • To make supervisor expectations for seeking assistance explicit, including timing and modality (face-to-face vs. remote).
  • To reduce barriers for trainees requesting in-consultation and face-to-face supervision when indicated.

Main Methods:

  • Modification of an existing checklist into the 'Flags for Seeking Help' tool.
  • Pilot testing of the tool in Australian general practice training settings.
  • Analysis of preliminary findings from the pilot study.

Main Results:

  • The 'Flags for Seeking Help' tool aims to clarify when trainees should seek immediate, face-to-face supervision.
  • Preliminary pilot findings suggest the tool may reduce barriers to help-seeking.
  • The tool standardizes supervisor expectations for trainee assistance requests.

Conclusions:

  • Explicitly defining supervisor expectations can mitigate barriers for general practice trainees.
  • The 'Flags for Seeking Help' tool offers a practical approach to enhance clinical supervision.
  • Improved supervision communication is crucial for patient safety in general practice training.