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date: 16 September 2019

Abstract and Keywords

This chapter focuses on the myriad ways in which training may go awry. It first focuses upon trainees with problems of professional competence (TPPC), with consideration given to problems in core competency domains, psychosocial stress, psychological difficulties, and interpersonal challenges. It then addresses problems related to trainers (faculty members or supervisors), with a focus on challenges in training/supervisory technique; psychological and medical difficulties; and interpersonal, cultural, and ethical challenges. Subsequent sections address three additional categories: trainee-trainer matches, peers with problems of professional competence, and contextual factors. Following this, the paper provides recommendations with regard to strategies for reducing the likelihood that training will go awry related to each of the aforementioned categories and for addressing difficulties in each category when they do arise.

Keywords: problems of professional competence, trainee-trainer matches, peers

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