Mentoring New & Intending GP Trainers
Because even the people who teach doctors need someone in their corner β especially at the start.
π₯ Downloads
Handouts, summaries, and teaching extras β ready when you are.
Practical documents for mentors, mentees, and training programme directors. Use them in mentoring sessions, tutorials, or simply to read on the bus.
path: MENTORING
- mentoring-new-gp-trainers
- 12 top tips for the mentor.docx
- differences between manager mentoring coaching.docx
- guidance for mentoring in childhood practice - a good resource for developing any mentoring programme.pdf
- mentor guidance pack rpl.pdf
- mentoring - a guide for mentees.docx
- mentoring - information for mentors.docx
- mentoring guidelines - a handbook for new mentors.pdf
- mentoring handbook - scottish council.pdf
- setting up your own mentoring scheme.docx
- structured mentoring - grow model.pdf
- what is a mentor - all you think a mentor is and a lot more.docx
π Web Resources
A hand-picked mix of official guidance and real-world GP training resources. Because sometimes the best pearls are not hiding in the official documents.
β‘ Quick Summary β One-Minute Recall
π― If You Only Read One Thing
- Mentoring helps intending GP trainers apply what they learn on courses β theory is not enough on its own.
- A mentor's job is not to assess whether someone is fit to train β it is to support their development and evidence progress.
- Mentoring is semi-structured guidance: sharing knowledge and skills, but also empowering the mentee to find their own way of doing things.
- The mentor-mentee relationship must be built on trust, honesty, and genuine curiosity about the other person.
- Practice is everything. Skills are built through rehearsal β not just talking about them.
- The six core sessions cover: CBDs, COTs, Random Cases & Debriefs, Educational Supervision, and a flexible final session for gaps.
- Use the MENTOR acronym (Clutterbuck 2004): Manage, Encourage, Nurture, Teach, Offer mutual respect, Respond to learner needs.
- Use the ABCDE feedback model: Approach, Balance, Change, Description, Exact.
- Video recording is one of the most powerful tools available. Encourage it. Normalise it. Use it.
- Document sessions as you go β email summaries help both parties remember, reflect, and plan.
π What is Mentoring?
Why Mentoring Matters in GP Training
The number of intending GP trainers is rising. Courses such as the New Trainer's Course and postgraduate certificates in medical education equip people with the theory of teaching. But theory alone does not make someone a confident trainer. The practical application β doing a CBD for the first time, watching yourself give feedback on video, navigating the 14Fish ePortfolio with a real trainee β only comes through experience. And that experience is far richer when someone who has been there before walks alongside you.
That is what educational mentorship provides. It is individual, focused, and built around the specific learning needs of the person in front of you.
β οΈ Important: What This Role Is β And Is Not
Your mentoring role is not about assessing whether the intending trainer is fit to train. It is about evidencing that key areas of their development have been explored, supported, and β where needed β improved. This distinction matters enormously. The moment a mentee feels assessed, the relationship changes.
Defining Mentoring β What the Experts Say
Several definitions of mentoring have shaped how we think about the role. Here are four worth knowing β not because you need to memorise them, but because each one illuminates a slightly different facet of what good mentoring actually does.
What Mentoring Really Involves
Mentoring is often misunderstood as simply "offering suggestions" or "passing on your own experience." It is much more than that. Here is the fuller picture:
β What Mentoring IS
- Semi-structured guidance from someone more experienced
- Sharing knowledge, skills, and honest experience
- Motivating and empowering the mentee to find their own goals
- Helping them slow down and truly explore their journey
- Supporting them to identify challenges and discover solutions
- Respecting the varied and wonderful routes to the same destination
- A two-way learning process β the mentor learns too
β What Mentoring is NOT
- Pouring your knowledge into the mentee
- Expecting them to "do it the way I did it"
- Telling them what to do at every step
- Counselling or therapy (though you may signpost to these)
- Formally assessing whether they meet a standard
- A purely one-directional transfer of wisdom
- Something to rush through when you are very busy
π Mentor vs Coach β What's the Difference?
People often use "mentoring" and "coaching" interchangeably, but there are real and useful differences. Understanding them helps you use the right approach at the right moment.
| Dimension | π± Mentoring | π― Coaching |
|---|---|---|
| Primary focus | Longer-term personal and career development | Specific performance goals, often here-and-now |
| Direction | Mentor shares experience and wisdom | Coach draws out the learner's own solutions |
| Relationship | Usually more informal, ongoing | More structured, time-limited |
| Who drives it | Shared β mentor and mentee together | Primarily the coachee |
| In GP training | Supporting a new trainer over 4β6 months | Improving a specific skill, e.g. giving feedback |
| Analogy | Older sibling or wise colleague | Sports coach with a clear training plan |
π‘ In Practice: Blend Both
The most effective mentors for new GP trainers tend to blend both approaches β using coaching techniques (powerful questions, silence, reflection) within the broader mentoring relationship. You do not need to choose one exclusively. The skill is knowing when to share your wisdom and when to get out of the way and let the mentee think.
β Qualities of a Good Mentor
Not everyone who has been a GP trainer for years automatically makes a good mentor for new trainers. These qualities make the real difference:
Even when those people may eventually surpass you in achievement. That is the goal β not the threat.
Trustworthiness is non-negotiable. What is shared in the mentoring space, stays there.
Not interrupting. Picking up cues. Reflecting back accurately. Minimising assumptions and prejudices.
Can convey genuine understanding of the mentee's experience β without immediately saying "yes me too" and launching into their own stories.
Asks questions that sensitively but powerfully help the mentee explore their own thoughts and issues.
Able to pass on expertise in a way that is encouraging, clear, and never condescending.
β¨ Why Mentors Become Mentors
Most often, it is because at some point in their own career, they were mentored β and it made a significant difference. Good mentoring creates a chain: the mentee of today becomes the mentor of tomorrow. If you do this well, you are not just developing one trainer. You are planting the seeds of a whole tradition.
Pros and Cons: Being Honest About Both Sides
π’ As the Mentor
- Voluntary β but deeply rewarding when it goes well
- Develops your own skills in teaching and leadership
- Refreshes your own thinking about GP training
- Earns you respect and professional recognition
- Usually funded by your local GP School (ask your TPD)
π΅ As the Mentee
- Reach your goals faster and more effectively
- Build a trusted network of expertise
- Gain confidence in a low-stakes environment
- Receive personalised support, not generic training
- Learn from someone's experience without having to repeat their mistakes
π― Mentor Functions & Skills
The MENTOR Acronym β Clutterbuck, 2004
In 2004, David Clutterbuck coined a memorable framework for what mentors actually do. Each letter describes a function that shapes the mentoring relationship.
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MManage the Relationship Take responsibility for the structure, pace, and progress of the mentoring sessions. Do not let it drift.
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EEncourage Affirm the mentee's efforts, progress, and potential β especially when they cannot see it themselves.
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NNurture Create the conditions in which the mentee can grow β not just the content, but the atmosphere and the relationship.
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TTeach Share knowledge, skills, and expertise clearly, enthusiastically, and without condescension.
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OOffer Mutual Respect Treat the mentee as a competent professional who simply has less experience β not as a student to be instructed.
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RRespond to the Learner's Needs Stay attuned. The agenda belongs to the mentee. Adjust your approach as their needs evolve.
Core Skills of an Effective Mentor
These skills are worth reflecting on and actively developing throughout your mentoring career:
Picking up cues in what is said β and what is not said. Reflecting back accurately. Resisting the urge to fill silences.
Monitoring the mentee's emotional response to feedback and suggestions. Adjusting your approach in real time.
"Dance" with the mentee β not "fight" with them. Roll with resistance rather than confronting it directly.
Stay with a difficult area until the mentee is genuinely ready to move on. Do not rush to resolution.
Genuine care for the mentee as a person β not just for their training progress. Their wellbeing matters.
π Learning Needs of New & Intending GP Trainers
Understanding the typical learning needs of a new or intending trainer helps you plan the mentoring journey with purpose. These fall into two broad areas:
π Practical Clinical Education Skills
- Identifying a trainee's learning needs
- Conducting effective Case Based Discussions (CBDs)
- Conducting Consultation Observation Tool (COT) assessments
- Teaching on the consultation
- Topic-based tutorials
- Random Case Analysis & Problem Case Analysis
- Debriefs and post-surgery reflection
- Significant Event Analysis (SEA / SEL)
- Quality Improvement Activity (QIA)
- Prescribing analysis
- Giving effective feedback
- Helping trainees with SCA preparation
π’ Organisational & Administrative Skills
- Making GP trainees available for the trainer's planned teaching
- Managing change in the practice to support learning
- Building a positive training culture in the surgery
- Setting up a training library and IT resources
- Understanding paperwork and documentation for training
- Attendance at Half Day Release (HDR) and Trainer Workshops
- Navigating the 14Fish ePortfolio as a supervisor
- Protecting time for educational activities (not just clinical)
π‘ Insider Tip
Most new trainers feel confident about the clinical medicine side β they have been doing that for years. The real learning curve tends to be in the process skills: how to give feedback that lands well, how to use video for reflection, how to hold back and not just tell the trainee what to do. Watch for this pattern and address it early.
π§ Ram's Method for Mentoring New GP Trainers
Five Key Principles Before You Begin
These are not rigid rules β they are hard-won insights from years of mentoring new trainers. Read them once and come back to them if sessions start to feel flat.
π Trainer Insight: Why Video Is So Powerful
Video recordings of CBDs, COTs, and Random Case Analysis are transformative. The mentee sees themselves as they actually are β not as they imagine themselves to be. Things that would take three verbal discussions to address become obvious in 90 seconds of footage. Normalise it from the start. Say: "I use video with my own trainee. It's not about perfection. It's the fastest route to growth."
π The Six-Session Programme
Overview: What the Journey Looks Like
Ram's mentoring framework for new and intending GP trainers is structured around six sessions, typically spread over 4β6 months. Each session has a defined focus, homework for the mentee to complete beforehand, and a practical element (usually video review and rehearsal). The sixth session is flexible and used to fill individual gaps.
Session Detail β Click to Expand Each Session
Before your first meeting, send a warm introductory email. This sets a tone of openness, genuine interest, and shared purpose. Here is an example you can adapt:
Dear [Name],
My name is [your name] and I am a GP Trainer on the [scheme name] GP Training Scheme. I have been a trainer for [X] years and I am genuinely delighted to hear that I will be your mentor. Being a new GP trainer is an exciting journey β and I am honoured to be part of it.
Could you write back with a few possible dates for our first meeting? Somewhere relaxed would be ideal β good coffee always helps.
In the meantime, I would be grateful if you could look at three things before we meet:
- Ram's Top Ten Educational Pearls β a refresher on core educational theory. Read one pearl a day if you like. Highlight anything you find confusing or particularly interesting.
- Preparing to Be Mentored (video, 8 mins) β a short introduction to what mentoring involves and how to get the most from it.
- New or Intending Trainers Learning Needs questionnaire β please do not rush this. Take time to genuinely reflect before completing it. This helps me tailor our sessions to you.
Any questions at all, please get in touch. I look forward to meeting you.
π‘ Why This Matters
The pre-session homework is not busywork. It primes the mentee to arrive at Session 1 already thinking about their own needs β which makes the needs analysis far richer and more honest. The 8-minute video is particularly useful for people who have never been formally mentored before.
This is the foundational session. Everything that follows depends on getting this right.
- Time: Agree the overall duration of the mentoring relationship (typically 4β6 months). Agree frequency and length of sessions.
- How you will work together: Agree collaboratively β not top-down. Discuss homework between sessions.
- Reflective notes: Invite the mentee to write and share a brief reflection after each session. Frame it as something that helps you improve the mentoring, not as an assessment.
- Flexibility: Agree whether it is acceptable to make contact between sessions with questions or concerns.
- Confidentiality: Discuss explicitly what is and is not disclosed β and the important caveat about safety concerns.
- Boundaries: You are a guide and supporter, not responsible for formal induction or covering every aspect of GP training.
π Homework to Set Before This Session
- Read the CBD section on BradfordVTS: bradfordvts.co.uk/mrcgp/cbd
- Explore the CBD Question Maker for Trainers
- Conduct several CBDs with a trainee (or a stand-in colleague)
- Video record one CBD and bring it to the session
In the Session: Key Questions to Explore
- What is a CBD? What is it trying to measure? What does it tell us that a COT cannot?
- How did the practice CBDs go? What felt natural? What felt awkward?
- Did the CBD Question Maker help structure the questioning?
- Are there any specific criteria the new trainer finds difficult to assess?
- How did they find using the rating scale?
Video Review
- Watch the video using the ALOBA method, or use stop-start (pausing periodically to discuss both strengths and areas to develop)
- Use the mentee's stated difficulties as the primary agenda β add anything else that the video reveals
- Prioritise rehearsal: get the new trainer to practise specific microskills with you playing the trainee
- Specifically practise giving feedback β most new trainers default to going through the marking crib from top to bottom. Explore more adaptive approaches.
β οΈ Common Trap: Feedback as a Marking Exercise
New trainers often give CBD feedback by simply reading through every criterion in order and commenting on each one. This feels "thorough" but is rarely effective. The trainee gets overwhelmed. Explore alternative approaches: focusing only on the trainee's agenda, or picking the two or three areas with the highest leverage for growth.
π Homework to Set Before This Session
- Read the COT section on BradfordVTS: bradfordvts.co.uk/mrcgp/cot
- Study the COT marking crib β understand what each criterion actually means
- Conduct several COTs with a trainee (or stand-in)
- Video record one COT assessment and bring it to the session
In the Session: Key Questions to Explore
- What is a COT trying to measure? How does this differ from what a CBD measures?
- How did the practice COTs feel? Which criteria feel unclear or subjective?
- How did they find the rating scale β and the borderline "needs some development" judgement?
Video Review
- Watch using ALOBA or stop-start method
- Use the mentee's own list of difficulties as the starting agenda
- Practise microskills β especially the feedback conversation after the COT
- Explore different approaches to giving COT feedback β not always start-to-finish through the crib
π Linking COT to SCA Preparation
One underused technique: do both a COT assessment and a simulated SCA assessment on the same consultation video. Compare the findings. The SCA assesses three domains (Data Gathering, Clinical Management, Interpersonal Skills) on a 0β3 scale. Do the two assessments identify the same strengths and the same weaknesses? This cross-comparison is excellent for helping the trainee understand what the SCA examiners are actually looking for.
π Homework to Set Before This Session
- Read the Random Case Analysis pages on BradfordVTS: bradfordvts.co.uk/teaching-learning/random-case-analysis
- Read the Debriefs pages: bradfordvts.co.uk/teaching-learning/debriefs
- Conduct several Random Case Reviews and Debriefs with a trainee
- Video record one Random Case Review and one Debrief (max 20 mins each) and bring to the session
Part A: Random Cases & Problem Cases
- What is the difference between a Random Case and a Problem Case? (Think: Johari's Window and the blind spot β a Random Case might reveal something neither the trainer nor trainee knew needed work)
- How does the process work? What is the trainer doing while the trainee talks through the case?
- What feels most challenging about facilitating a Random Case Review?
Part B: Debriefs
- What is the purpose of a debrief? What makes it different from a random case review?
- How do you structure a debrief after surgery?
- Debriefs can be done by any qualified GP in the practice β how do you train and encourage other colleagues to do them?
Video Review (for both)
- ALOBA or stop-start method for both videos
- Rehearse facilitation microskills
- Focus on what questions the trainer asks β and what they do not ask
π Homework to Set Before This Session
- Read the Educational Supervision introduction on BradfordVTS: bradfordvts.co.uk/edsupervision
- Read the ES training resources: bradfordvts.co.uk/edsupervision/es-training
- Work through the ES Checklist Bradford β does it make sense? What remains unclear?
- Look at the ES section of a trainee's 14Fish ePortfolio if you have access
In the Session: Core Questions
- What is Educational Supervision β what is it for, and how does it differ from Clinical Supervision?
- Can they walk through the step-by-step process of conducting an Educational Supervision Review (ESR)?
- How does the ePortfolio bring the ESR together?
- What are the trainer and trainee rating scales measuring?
Discussion Points
- Giving feedback in a way that is received rather than resisted
- Defining SMART outcomes for the trainee's PDP and capability development
- Understanding the link between the ESR, the ARCP, and the path to CCT
π Trainer Insight: Focus on the Basics First
There is a lot of material on Educational Supervision. Reassure the new trainer that they do not need to know all of it from day one. The goal for now is to understand: What is ES for? What are its components? What does the trainer actually do? And how does it connect to the ePortfolio? Everything else builds gradually with experience.
π Homework to Set Before This Session
Ask the mentee to reflect on what has been covered so far:
- CBDs, COTs, Random Case Reviews, Debriefs, Educational Supervision, and Feedback skills
Then ask them to make a list of areas they would still like support with. Possible topics from which they might choose:
- Navigating the 14Fish ePortfolio as a supervisor
- Helping trainees with SCA preparation
- Topic-based tutorials
- Teaching QIA and SEA / SEL
- The Practice as a Learning Organisation
- HDR and Trainer Workshops
- Trainees in Difficulty
- Preparation for the Trainer Approval Interview
In the Session
- Build an agenda together using the mentee's list β shared decision making applies here too
- It is better to cover a few areas in depth than many areas superficially
- Specifically worth covering: Trainer Approval Interview preparation (see New & Intending Trainer pages on BVTS)
Protecting the New Trainer Going Forward
- Ensure they get protected time for debriefs β not just absorbed into clinical sessions
- The trainer is entitled to 1.5h per week admin time per trainee β make sure they know this and claim it
- Complete documentation (COTs, CBDs, etc) immediately after or during the assessment β not at home in the evening
- Encourage them to begin an evolving Educational PDP of their own
Feedback on You as a Mentor
- What was most helpful?
- What was least helpful?
- What should you do more of?
- What should you do less of?
- What was not covered that should have been?
β And Finally...
End well. The relationship does not have to end just because the formal sessions do. A hug, a coffee, a proper goodbye β and remind them they can still reach out. Then submit your invoice for mentoring time to your local NHS England GP School. You have earned it.
π A Simple Method for Facilitating Each Session
Whatever the topic of the session, the same underlying facilitation structure works reliably. Think of it as a two-part movement: backwards (reviewing the past) and forwards (building the next step).
Part 1 β Review the Previous Session
- Describe feelings and thoughts: How did it go since we last met?
- Focus on the good things first: What went well? Give specific, positive feedback on things observed.
- Explore the challenges: What do they want help with? Prompt for blind spots (the things they do not know they do not know).
- Build on it: Help with the challenges. Explore different approaches. Ask what their ideas are. Add your own. And then β practise. This is the most important part.
Part 2 β Move to What is Next
- Where do we go next? This should be a shared decision. You have insight the mentee does not yet have β use it wisely, not directively.
- What is their level of competence in this new area? What are they already good at? Where do they struggle?
- Explore solutions together: Their ideas first, yours as additions β not replacements.
- Practise the suggested approaches. Again β practice is everything.
- Set homework for the next session.
π¬ The ABCDE Feedback Model
Good feedback is an art form. The ABCDE model provides a reliable framework for giving feedback that is received positively, acted upon, and actually leads to growth. It works in mentoring sessions and in direct trainer-to-trainee teaching alike.
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AApproach β Sensitive to the person and their learning agenda Start by understanding where the mentee is coming from. What is their agenda? What do they think happened? Asking before telling is nearly always more effective than telling before asking.
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BBalance β Positives and developmental points in proportion Think of the Emotional Bank Balance: there must be credits (genuine positive feedback) before withdrawals (constructive critique). Too much negative feedback without recognition of strengths creates an emotional overdraft β and the mentee shuts down.
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CChange β Focus on what can actually be changed Feedback on things that cannot be changed is not feedback β it is frustration. Always focus on the how: how could this be done differently? What would a better approach look and sound like? Then rehearse it.
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DDescription β Base feedback on facts, not opinions Describe what you observed: "When the patient started crying, I noticed you moved on to the clinical question quite quickly." This is different from: "You don't show enough empathy." One opens a conversation. The other closes it.
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EExact β Focus on specific areas throughout Vague feedback is well-intentioned but unhelpful. "You did well" or "that could have been better" does not give the mentee anything to work with. Be specific. Name the skill. Name the moment. Describe what you saw and what impact it had.
π Trainer Insight: Feedback and the Emotional Bank Balance
Before you give any constructive feedback, ask yourself: have I made enough deposits recently? If a mentee only ever hears what they did wrong, they stop bringing things to show you. The goal is a relationship where failure is safe β where making mistakes is welcomed as the best learning material available.
π Insider Pearls β Real-World Wisdom
What Nobody Tells You (At First)
These insights come from experienced mentors and new trainers who have been through the process. They are the things that tend to come up in honest conversations after the formal sessions have ended.
π‘ On Feedback
- Most new trainers give feedback the way they received it β not necessarily the way that works best for their trainee. One of the biggest shifts is learning to adapt feedback style to the individual.
- New trainers often feel they need to have all the answers. The best mentors help them get comfortable with "I'm not sure β let's think about this together."
- Silence during a debrief is not emptiness. It is the trainee thinking. Do not rush to fill it.
π‘ On Video & Practice
- The resistance to video recording is almost universal β and almost always evaporates after the first session where it is used. Name the discomfort early and normalise it.
- Rehearsal is the single most underused tool in educational mentoring. Talking about a skill and practising it are completely different experiences.
- A 10-minute video watched together is worth more than an hour of discussion about the same consultation.
π‘ On the Relationship
- The relationship matters more than the content. A session with a not-quite-perfect agenda but a strong relationship will achieve far more than a perfectly planned session in a cold atmosphere.
- Show genuine interest in the mentee as a person, not just as a trainee-in-development. Ask how their holiday went. Remember the things they have told you.
- The best mentors leave their mentees feeling more capable β not more dependent.
π‘ On Protected Time
- New trainers are often surprised by how much administrative time training genuinely requires. Help them set boundaries early β with practice partners, with admin, with their own expectations of themselves.
- Doing documentation during or immediately after assessments (not in the evening at home) is not a luxury. It is how experienced trainers protect their own wellbeing.
- Attending trainer workshops is not optional CPD. It is where training culture is built and sustained.
π Real-World Wisdom β What Experienced Trainers Actually Say
The sections above give you the official framework. This section gives you the real talk β the patterns and insights that emerge when experienced UK GP trainers and educators reflect on what actually works, what surprises new trainers, and what they wish they had known at the start. These themes come from deanery guidance, educational research, GP trainer development programmes, and the collective wisdom of UK GP training communities across the country. All are consistent with RCGP and GMC guidance.
π‘ The Three Most Common Surprises for New GP Trainers
When new trainers across UK schemes reflect on their first year, three surprises come up again and again. Naming them with your mentee early makes them far less of a shock when they arrive.
π The Three-Hats Problem β A Closer Look
Every GP trainer wears three hats at once: educator, assessor, and trusted colleague. These roles are not always comfortable together. Problems arise when they are confused β or when the trainee does not know which hat is on at any given moment.
π‘ How to Navigate This Well
- Be transparent from the start. Tell the registrar directly: "My job is to support you, teach you, and also assess your progress honestly. I will always tell you where you stand β no surprises."
- Whatever goes into an ESR must never be new news. If it is there in writing, it must have been said out loud in a tutorial first. This is the golden rule of honest supervision β and it protects both of you.
- When in doubt, default to the educator hat in day-to-day work. Reserve the assessor hat for clearly signposted, formal assessment moments.
- Name the tension when it arises. "I want to be supportive here, but I also need to be honest with you about what I am observing" β this kind of transparency builds trust rather than destroying it.
β οΈ Common Pitfalls for New GP Trainers β A Visual Guide
These patterns appear repeatedly when experienced UK GP trainers and educational supervisors reflect on their early years. They are entirely normal β but knowing them in advance helps your mentee navigate them faster.
π The Feedback Cycle β A Step-by-Step Guide
Giving good feedback is one of the most important skills a new trainer develops. The sequence that experienced UK GP educators recommend is built around one core principle: the learner speaks first, always.
π‘ The Pendleton Principle β Still Worth Knowing
Many UK GP trainers know about Pendleton's rules: the learner says what went well before anyone else does, then identifies their own areas for development before the trainer adds theirs. The steps above should not be followed robotically β but the spirit is sound. The learner speaks first, always. This builds self-awareness, preserves confidence, and makes feedback land far better than starting with your own observations.
π§© What Experienced UK GP Educators Highlight
Across deanery guidance, educational journals, trainer development programmes, and the accumulated wisdom of trainer communities throughout the UK, a handful of themes appear again and again. Here is how they translate into practical advice for mentors.
β What Works Well
- Spreading teaching across the whole practice. The best training practices involve other GPs, nurses, and even the practice manager in the trainee's experience. This prevents the trainer from burning out and gives the trainee a richer, more realistic picture of the team.
- Attending trainer workshops regularly. Not just when required β but because the community of trainers is where motivation is renewed. Experienced trainers consistently say that workshops are where they remember why they do this.
- Using Half Day Release (HDR) actively. Sitting in, co-facilitating, or attending HDR teaches facilitation skills faster than almost anything else. Encourage this strongly from the beginning.
- Staying genuinely curious about the trainee's world. Trainees today trained differently, read differently, and use technology differently. The trainers who remain excited about teaching tend to be the ones who stay genuinely curious about how the next generation thinks.
β What Tends to Go Wrong
- Training becoming a low priority. When the practice is under financial pressure, protected teaching time is the first thing to shrink. This needs active and early resistance β with support from practice leadership, not just goodwill.
- Labelling trainees in permanent terms. Calling someone a "failing trainee" in a workshop sticks β even if they improve significantly. Use specific, situational language: "she is finding consultation structure difficult at the moment" is very different from "she is weak."
- Unaddressed role conflict. When the friendship side of the trainer-registrar relationship becomes too strong, honest assessment feedback becomes difficult and sometimes avoided entirely. Name the tension consciously; manage it from the start.
- Insufficient engagement with IMGs. Research on differential attainment in UK GP training highlights that some trainees from overseas receive less specific or nuanced feedback. Mentors can help by ensuring their mentee practises giving equally detailed, constructive feedback to every trainee, regardless of background.
π What Does Good Mentoring Actually Achieve?
Mentoring for new and intending GP trainers is not just a nice extra. Deanery experience and educational research consistently show it makes a real and measurable difference β to the trainer, to their trainees, and to the profession as a whole.
New trainers reach competence in WPBAs and Educational Supervision significantly faster with one-to-one mentoring than without it.
Supported new trainers are more likely to stay as trainers long term. Unsupported ones quietly step back after the first year.
The quality of the trainer is one of the strongest predictors of the trainee's learning experience. Better trainers produce more capable, reflective doctors.
Mentored trainers are more likely to mentor others. The chain of quality teaching in UK general practice depends on this being passed forward.
π° There Is Funding Available β Make Sure Your Mentee Knows
The NHS England Supporting Mentors Scheme provides financial reimbursement of Β£289 per mentoring session, alongside up to Β£1,156 to cover time spent attending funded mentoring training. This scheme is delivered through Integrated Care Boards (ICBs) and is designed to link with the GP Fellowship Programme, Return to Practice, and International Induction Programme. Your mentee's local ICB or Training Hub can provide details. This is not charity β it is a funded professional service and should be claimed accordingly.
π§ The Things You Cannot Learn From a Textbook
These insights come from educational research, deanery handbooks, and the lived experience of UK GP trainers. They are hard-won, widely shared, and entirely consistent with official guidance β but you will not find them spelled out in a Gold Guide.
π‘ On Understanding the Trainee's Perspective
- Trainees who struggle most often say the same thing: they needed someone to engage with them genuinely in the first few weeks β not assessments, not paperwork, just real interest in how they were finding things. The first month shapes the whole placement.
- Trainees who feel their trainer does not know how much or how little they actually know tend to disengage. Good trainers ask, listen, and recalibrate their expectations constantly β not just at the formal review points.
- When a trainee receives critical feedback in a formal ESR for the first time β having heard nothing but warm encouragement in tutorials β trust collapses quickly and rarely recovers. This is one of the most consistent findings in research on trainees who struggle in UK GP training. Prevent it by being honest early, always.
π‘ On Handling Difficult Situations
- Most "difficult trainee" situations are actually "mismatched expectations" situations. Before framing a trainee as problematic, ask: have I been clear enough about what I expect? Have I checked what they expect from me? Very often, the mismatch has a simple solution.
- When discussing a trainee's difficulties with fellow trainers β whether at a workshop or informally β use specific, situational language rather than global labels. "She is finding it hard to structure her consultations at the moment" is very different from "she is a weak trainee." Labels travel, and they stick far longer than the situation that created them.
- If you do need to involve others (your TPD, the deanery), always speak to the trainee first. The moment they feel they have been discussed without warning is often the moment any chance of repair ends.
π‘ On Looking After Yourself as a Mentor
- Mentoring takes emotional energy as well as time. If you are going through a difficult period yourself, be honest with your mentee: "I want to give this the attention it deserves β can we reschedule?" That is modelling good self-care and professional boundaries, not weakness.
- Build brief reflective practice around your own mentoring. After each session, write two lines: what went well, and what I would do differently. This is exactly what you are asking your mentee to do β it should feel natural to do it yourself too.
- Ask for feedback from your mentee about your mentoring. "What has been most useful?" and "What would help you more?" are powerful questions. Asking them models the reflective educator behaviour you want to develop in your mentee β and it genuinely makes the sessions better.
π Final Take-Home Points
The Bits to Remember Tomorrow
- Good mentoring is about empowering β not directing. Your route is not the only route.
- Build the relationship before you build the curriculum. Trust is the foundation.
- Every session should involve rehearsal, not just reflection. Practice builds skill. Discussion builds awareness. You need both.
- Use the MENTOR acronym: Manage, Encourage, Nurture, Teach, Offer respect, Respond to needs.
- Use the ABCDE model for feedback: base it on facts, balance it emotionally, and always focus on the changeable.
- Video is your most powerful tool. Normalise it from day one.
- Document as you go β email summaries after every session.
- Your role ends at a specific point, but the relationship does not have to. The best mentors become ongoing colleagues and friends.
- Invoice your local NHS England GP School for your mentoring time. You are providing a funded professional service.
- The best test of good mentoring? Your mentee eventually mentors someone else. That is the chain β and it matters.
For educational use only. Always verify clinical information against current guidance.
β New & Intending Trainer Pages (BVTS)
Other videos useful for mentoring (and training the new trainer)
Some of these videos give useful tips especially when teaching in small groups.Β Β However, many of these techniques can be mildly modified for the 1-1 setting as with the mentor and mentee.
Recipe for engaging learners
Managing fear to increase learning
The power of active listening
Questions that drive learning
Using comparisons in learning – metaphor & analogy
Using role play
Effective demonstrations
Crafting your story
How to tell great stories
Giving feedback