Underperformance is a significant challenge for surgical educators. This paper outlines some educational strategies to manage the very complex demands presented by underperformance during training in the workplace. Preventative approaches include: setting expectations with early conversations; conscious attention to the workplace curriculum; and building trainee evaluative judgement through assessment and feedback. Once underperformance has been identified, other approaches including: developing a joint action plan; reducing or increasing feedback opportunities; and ensuring the trainee remains motivated. While these strategies cannot prevent failure, they offer the trainee opportunities to succeed.

表现不佳是外科教育工作者面临的重大挑战。本文概述了一些教育策略，以管理在工作场所培训期间表现不佳所提出的非常复杂的需求。预防方法包括： 通过早期对话设定期望；有意识地关注工作场所的课程；通过评估和反馈建立学员评价判断。一旦发现表现不佳，其他方法包括： 制定联合行动计划；减少或增加反馈机会；并确保受训者保持积极性。虽然这些策略不能防止失败，但它们为受训者提供了成功的机会。