Differential Attainment (DA) Resources for Trainers



Differential Attainment Trainee Stories


These videos and podcasts will introduce you to stories from the trainees' perspective. They discuss issues of identity, inclusion, culture and diversity and feeling lost. 

Identity and Inclusion

Culture Clash Part 1

Culture Clash Part 2

Feeling lost - you are not alone 

Differential Attainment Good Practice

This resource aims to support doctors to effectively and efficiently deliver patient care.  The focus is on ensuring that departmental morale is met whilst maintaining robust working practices. ​

These good practice videos aim to encourage doctors in training  to ask for help if required, to build their self-confidence, and for them to know (as well as their Educational and Clinical Supervisors), that there are support services readily available.

The following videos feature interviews with GP Educational Supervisors who have supervised GPs who have trained abroad as well as UK returners, as part of the Induction and Refresher (I&R) Scheme. However, whilst the focus is on GPs, the educational strategies discussed here could be applied to any trainee. The video contributors include:​

Dr Rupal Shah; Dr Rofique Ali. Bethnal Green Health Centre; Dr Ogechukwu Ilozue, Brunswick Park Medical Centre; Dr Cyril Evbuomwan, Church End Medical Centre and Dr Salma Ahmed, Jubilee Street Practice 


HEE Alice International Doctors case study

Working with I&R doctors

Managing a mismatch 

Establishing relationships 

The B’s – Advice for other practises

Ways to promote Inclusion and Belonging

Challenging ideas about good performance

Uncovering strengths

The benefits of a strength-based approach

Lessons learned

No More Tick Boxes

We all have a responsibility to act when we see or hear racism

Supporting Neurodiversity

The term ‘neurodiversity’ refers to differences in the human brain relating to emotions, learning, mood, attention and development, representing our cognitive variability and the different ways we process the world. While we all have diverse and different brains, neurodiversity also encompasses the expected 15-20 per cent of people with conditions such as an autism spectrum condition, ADHD, attention deficit disorder (ADD), dyslexia, dyscalculia, developmental language disorder, dyspraxia and social anxiety disorders.​

Mandy Ogle 25/3/2022. Article in People Management​

“…One definition of neurodiversity in relation to inclusion is a world where neurological differences are as recognised and as respected as other human variations….neurological differences can bring many strengths, whether that is in terms of being able to think in three dimensions, long-term memory and recall, being able to grasp concepts very quickly and genuinely see “the big picture” in a way that others may not, or conversely, having an eye for detail and the ability to spot patterns and trends. These are all skills and traits which are an asset to any business.”​

Sources: The Chartered Institute of Personnel and Development;





SuppoRTT - Supported Return to Training

Returning to training after a period of absence can be a daunting and difficult time for Postgraduate doctors (PDs).​​

PDs take time out of program for many reasons, such as out-of-program research and experience, parental leave, health issues, career breaks, or short-term suspension while under investigation. Time out of clinical practice can impact on a clinician’s confidence and skills.​​

The London & Kent, Surrey and Sussex SuppoRTT)program aims to support all PDs to safely and confidently return to training after a sustained period of absence. The program applies to all PDs absent for 3 months or more, regardless of the reason. Those absent for a shorter period may also opt in. Existing Return to work online resources can be found here.

SuppoRTT - Supported Return to Training

Differential Attainment Toolkit 1st edition

This toolkit is Designed to address the developmental needs of trainees based on conversations had with deputy deans and other educators.​

The Toolkit covers issues thought to be important in Differential Attainment (DA). ​

  • An understanding of Differential Attainment, research findings, promoting cultural safety, cultural humility and possible ways forward​

  • Facilitating challenging conversations with trainees about their progress, which is frequently cited as a key issue of difficulty;​

  • Revision and Exam preparation, is a very common problem which can then have a knock-on effect on confidence and performance;​

  • Careers Coaching approaches how to optimise and support the career development of trainees and potentially reduce differential attainment in specialty recruitment​

  • Developing skills for the Supervision of Clinicians from diverse cultural linguistic backgrounds.​

The toolkit can be adapted to meet local needs, allowing Educators to dip in-and-out of modules as they see fit, cascading the learning to colleagues in their network.​

The toolkit is available via the Professional Support Unit (PSU) and The Faculty Development website. There is also the opportunity to attend  stand-alone workshops within the suite of PSU workshops. ​

We hope this toolkit will stimulate conversations, and support Educators working across Trusts, as well as build on local best practice to implement changes within local contexts.

Introduction to Differential Attainment

Additional resource: why are we still here?

Chapter one - PowerPoint Presentation

Chapter one - Resource

Chapter 2: Developing skills for the supervision of clinicians from diverse cultural and linguistic backgrounds

Chapter two - PowerPoint Presentation

Chapter 3: Facilitating challenging conversations

Chapter three - PowerPoint Presentation

Chapter three - Resource 1

Chapter three - Resource 2

Chapter three - Resource 3

Chapter three - Resource 4

Chapter three - Resource 5

Chapter three - Resource 6

Chapter 4: Revision and exam preparation

Chapter four - PowerPoint Presentation

Chapter 5: Career coaching approaches to support and develop doctors

Chapter five - PowerPoint Presentation

Acknowledgement Page

Differential Attainment poster

London, Kent, Surrey and Sussex DA Resources 2nd edition

Building on the DA Toolkit,  and with funding from KSS, further resources were produced by experts in their respective fields, to assist educators when supporting the learning needs of postgraduate medical trainees. These resources highlight the importance of recognising the individuality of trainees, that they are not a homogenous group whereby one can predict how they will behave. Therefore, we encourage educators to be mindful of any assumptions, stereotypical views and  unconscious biases they might hold whilst supervising trainees.​​

These modules aim to support the creation of a working environment where trainees from all backgrounds will have a good training experience, and where Trusts and Practices are viewed as the best place to train and work.

Trainers: https://kss.hee.nhs.uk/london-differential-attainment-resources-trainers/

Trainees: https://kss.hee.nhs.uk/london-differential-attainment-resources-trainees/

A guide to Induction Resouces for International Medical Graduates (IMG)

This guidance focusses on the minimum standards that should be offered when supporting International Medical Graduates (IMGs) recruited to the NHS. These resources have been developed with the intention of enhancing the 'settling in' process for all International Medical Graduates (IMGs) coming to England. 

A guide to induction for IMGs

The Language of Connection