Strengths of trainee Weaknesses of trainee Suggestions for development Issues not covered elsewhere Does the Ed Supervisor recommend to the ARCP panel that the trainee progress to the next stage of training YES NO If NO please state reasons and specific areas that need to be addressed Supervisor Signed……………………………………………….. PRINT…………………………………………….. Date………….. Trainee Signature………………………………………………… PRINT…………………………………………….. Date…………… IF the trainee disagrees with the comments above, please state the reasons for this: Trainee signature……………………………………………… PRINT….................................................. Date…………… The Supervisor should sign below to acknowledge they have read the trainee’s comments Supervisor signed……………………………………………...PRINT…………………………………………………. Date…………….
Strengths of trainee Weaknesses of trainee Suggestions for development Issues not covered elsewhere Does the Ed Supervisor recommend to the ARCP panel that the trainee progress to the next stage of training YES NO If NO please state reasons and specific areas that need to be addressed Supervisor Signed……………………………………………….. PRINT…………………………………………….. Date………….. Trainee Signature………………………………………………… PRINT…………………………………………….. Date…………… IF the trainee disagrees with the comments above, please state the reasons for this: Trainee signature……………………………………………… PRINT….................................................. Date…………… The Supervisor should sign below to acknowledge they have read the trainee’s comments Supervisor signed……………………………………………...PRINT…………………………………………………. Date…………….
Structured%20Training%20Report%20%20Medicine.docx