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Working with your supervisor.

Updated: Apr 9

Key Takeaways from a Recent Training Webinar.

Understanding teamwork dynamics help create a good work environment.
Understanding teamwork dynamics help create a good work environment.

Working successfully with an educational/clinical supervisor is a vital part of any medical training journey. A positive and professional relationship with your trainer can enhance your learning experience, support your career progression, and make a significant difference in how well you adapt to your work environment. This article discussed how to foster conflict-free working relationships, communicate effectively, and navigate common challenges in the supervisory dynamic.


Understanding Expectations and Building Trust

One of the first steps in working well with a supervisor is to understand their expectations, communication style, and concerns. This includes recognising the generational and cultural differences that may influence their perspective. Trainees are encouraged to take time to observe and adapt, especially in the early weeks of a new post. A simple strategy like “LOLA” – Listen, Observe, Learn, Act – is recommended as a practical way to integrate into a new team and show professionalism from the outset.


Adapting to Personalities and Preventing Conflict

Rather than expecting a supervisor to adapt to your style, it’s often more effective for the trainee to take the initiative to understand and align with the trainer’s personality and approach. This helps to reduce friction and fosters mutual respect. Many conflicts stem from mismatched expectations or a lack of trust. By being proactive, respectful, and adaptable, trainees can avoid unnecessary tensions and maintain a productive training relationship.


Communicating Concerns Professionally

Sometimes, disagreements may arise—such as discrepancies in feedback or supervisor notes. In such situations, it is crucial to raise concerns calmly and constructively. Asking permission to summarise key points of a discussion and clarify intentions shows maturity and professionalism. The tone and language used in these conversations matter; keeping things professional and focused on learning outcomes is key.


Managing Discrimination and Escalation

Unfortunately, some trainees may feel discriminated against or unsupported in their training environment. While it is important not to jump to conclusions, it is important to document any issues and seeking advice early. Before escalating matters formally, ensure that there is evidence of ongoing concerns and that reasonable steps to resolve them have been taken. When necessary, changing trainers or escalating the concern through the proper channels may be the right step. However, there is a possibility that there may not be a readily available GP surgery for re-placement and some trainees remain at home for weeks or months before finding a new placement.

Maintaining Professionalism and Boundaries

A consistent theme during your GP training is the importance of professionalism—both in behaviour and in communication. Trainees were advised to maintain boundaries and avoid oversharing personal issues with supervisors, unless there is significant impact on your work and training and there is a need to keep you, your clinical work and the patient safe. Keeping interactions light, respectful, and focused on training goals can help preserve a positive working relationship. Additionally, offering constructive feedback to colleagues and maintaining a solution-orientated mindset contributes to a healthier work environment.


Reflective Practice and Portfolio Development

Trainees are encouraged to actively reflect on their experiences using structured models such as the Gibbs or STARR reflective cycle. This approach not only supports better self-awareness and growth but also helps in producing high-quality reflective entries for one’s portfolio. Being intentional about learning from each experience, whether positive or challenging, is essential for professional development in the UK.

Final Thoughts

Working with an educational or clinical supervisor doesn’t have to be daunting. With clear communication, adaptability, professionalism, and a proactive attitude, trainees can lay the groundwork for a rewarding supervisory relationship. By understanding the dynamics at play—including personality differences, workplace culture, and systemic challenges—trainees can take control of their learning journey and thrive in the NHS.


Next Steps for Trainees:

  • Adopt the LOLA strategy in new placements.

  • Use a structured reflective cycle regular when documenting in your portfolio.

  • Document and seek advice when conflicts arise.

  • Maintain professionalism in all workplace interactions.

  • Focus on observing, learning, and adapting to different trainer styles.

  • Seek support early if concerns about discrimination or fairness arise.

Fostering strong, respectful relationships with supervisors is not only essential for progression but also for building confidence, competence, and leadership potential within the NHS.

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