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The dysfunctional relationship between trainer and trainee: mother of all problems
British Journal of Medical Practitioners, 09/14/09

Mistry M et al. – The relationship between trainer and trainee should reflect the same warmth and nurturing as in a parent–child relationship. There is a parallel with both types of relationship in that there is an imbalance of power that interacts with poor communication and personality conflicts. In medicine although the problem junior doctor is frequently highlighted it must be remembered that the trainer–trainee conflict may reflect a difficult supervisor. The supervisor needs to achieve a healthy relationship that is sensitive to the needs of the trainee, void of any of their preconceived beliefs and prejudices, and act as a role model in making a good doctor and achieving their full potential 16. Interpersonal conflict can nevertheless develop and escalate to the extent that the trainee may suffer in silence. Healthcare organisations can be more proactive in penetrating the causes of the dysfunctional working relationship. Trainees should be fearless in turning to existing support in face of a difficult supervisor.

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