ES Comments (all below need summarised Record of educational activities: Satisfactory? in WPBA and educational activity attachment 2 ) YES NO Top 30 cases (see guide notes) Top 30 for Dual /single CCT not for joint YES NO Audits (min 1 per stage of training) Summarised in WPB a and educational attachment YES NO M&M meetings (see guide notes) Evidence of attendance at meetings-see guide YES NO Journal club presentations (1/year) Evidence of at least 1 presentation per year YES NO Teaching attendance Evidence of attendance at regional teaching YES NO Teaching delivered Delivered or organised teaching sessions? Feedback YES NO Management meetings Attend 2 in Advance or stage 3 module External meetings as approved in PDP & YES NO Summarised in teaching WPBA (Attachment 2) reflection on each YES N/A Include a summary of experience, skills and Research and publications publications in WPBA Attachment 2 Health Record Any significant health issues? YES NO If so, please give details: No of days How many days off sick in this placement? Has any essential training been missed? YES NO If so, please give details: Other reasons for extended training: e.g. Maternity leave Details of concerns/investigations: Are you aware if this trainee has been involved in any conduct, capability or Serious Untoward YES NO Incidents/Significant Event Investigation or named in any complaint? If so, are you aware if it has/ these have been resolved satisfactorily with no unresolved concerns about YES NO a trainee’s fitness to practice or conduct? Is the trainee in need of professional support? YES NO Details of concerns/investigations: Comments, if any:
Record of educational activities: Satisfactory? ES Comments (all below need summarised in WPBA and educational activity attachment 2 ) Top 30 cases (see guide notes) YES NO Top 30 for Dual /single CCT not for joint Audits (min 1 per stage of training) YES NO Summarised in WPB a and educational attachment M&M meetings (see guide notes) YES NO Evidence of attendance at meetings-see guide Journal club presentations (1/year) YES NO Evidence of at least 1 presentation per year Teaching attendance YES NO Evidence of attendance at regional teaching Teaching delivered YES NO Delivered or organised teaching sessions? Feedback Management meetings YES NO Attend 2 in Advance or stage 3 module External meetings as approved in PDP & reflection on each YES NO Summarised in teaching WPBA (Attachment 2) Research and publications YES N/A Include a summary of experience, skills and publications in WPBA Attachment 2 Health Record Any significant health issues? YES NO If so, please give details: How many days off sick in this placement? No of days Has any essential training been missed? YES NO If so, please give details: Other reasons for extended training: e.g. Maternity leave Details of concerns/investigations: Are you aware if this trainee has been involved in any conduct, capability or Serious Untoward Incidents/Significant Event Investigation or named in any complaint? YES NO If so, are you aware if it has/ these have been resolved satisfactorily with no unresolved concerns about a trainee’s fitness to practice or conduct? YES NO Is the trainee in need of professional support? YES NO Details of concerns/investigations: Comments, if any:
HEWM-ICM-ARCP-Documentation-Pack-SINGLE-DUAL-Trainee.docx