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The Trainee Requiring Extra Support: What Is the New Consultant Supervisor's Experience?
1Faculty of Health, Social Care & Medicine, Edge Hill University, Ormskirk, Lancashire, UK.
The Clinical Teacher
|June 8, 2026
Summary
Supervising doctors requiring extra support (TRES) is challenging for new consultants, often impacting their well-being. Inconsistent support networks and poor trainee information handover exacerbate these difficulties.
Area of Science:
- Medical Education
- Doctoral Training
- Supervisory Practice
Background:
- Supervising doctors requiring extra support (TRES) presents unique challenges, especially for newly qualified consultants.
- Existing literature lacks depth and applicability to the UK hospital context.
- New consultants face significant hurdles transitioning into their roles while supervising TRES.
Purpose of the Study:
- To explore the experiences of new consultants supervising a TRES in a UK hospital setting.
- To understand the challenges and support needs of supervisors managing TRES.
Main Methods:
- A qualitative study involving nine new consultants (within 5 years of completing training).
- Face-to-face semi-structured interviews were conducted at a district general hospital.
- Thematic analysis was employed to analyze interview data.
Main Results:
- Supervisors felt unprepared for the role, highlighting a need for better support networks.
- Inconsistent support structures significantly impacted the supervisory experience.
- Supervision of TRES imposed considerable time and emotional burdens on new consultants.
Conclusions:
- Supervising TRES is complex for new consultants due to interconnected factors.
- Developing robust supervisor support networks and improving trainee information handover are crucial.
- Further research is needed on supervision pedagogy and effective preparation/support strategies for new consultants supervising TRES.
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