Annual Review of Competence Progression Checklist for Work Place Based Assessments in ACCS CT/ST1 Trainee Name:_________________________DRN/NTN:___________________ Emergency Medicine Summative assessments by a consultant in at least 2 Major Date of Assessor’s Presentations assessment name CMP1 Anaphylaxis date name name CMP2 Cardio-respiratory arrest (or current certification) date name CMP3 Major Trauma date name CMP4 Septic patient date name CMP5 Shocked patient date name CMP6 Unconscious patient date assessments in each of the following 5 Acute Presentations: Summative by a consultant name CAP1 Abdominal Pain date name CAP6 Breathlessness date name CAP7 Chest Pain date name CAP18 Head Injury date name CAP30 Mental Health date Formative assessments in at least 5 further Acute Presentations using a variety of assessment tools including ACAT(EM) which can cover up to 5 acute presentations date date date date date name name name name name 10 other Acute Presentations covered by: Teaching delivered / Audit / E-learning modules / Reflective practice / Additional WPBAs Teaching / Audit / E-learning / Reflective / WPBA (Please circle) date name Teaching / Audit / E-learning / Reflective / WPBA (Please circle) date name Teaching / Audit / E-learning / Reflective / WPBA (Please circle) date name Teaching / Audit / E-learning / Reflective / WPBA (Please circle) date name Teaching / Audit / E-learning / Reflective / WPBA (Please circle) date name Teaching / Audit / E-learning / Reflective / WPBA (Please circle) date name Teaching / Audit / E-learning / Reflective / WPBA (Please circle) date name Teaching / Audit / E-learning / Reflective / WPBA (Please circle) date name Teaching / Audit / E-learning / Reflective / WPBA (Please circle) date name / Audit / E-learning / Reflective / WPBA (Please circle) date name Practical procedures as DOPS in each of the following 5 domains: Airway Maintenance date name Primary Survey date name
Annual Review of Competence Progression Checklist for Work Place Based Assessments in ACCS CT/ST1 Trainee Name:_________________________DRN/NTN:___________________ Emergency Medicine Summative assessments by a consultant in at least 2 Major Presentations Date of assessment Assessor’s name CMP1 Anaphylaxis date name CMP2 Cardio-respiratory arrest (or current certification) date name CMP3 Major Trauma date name CMP4 Septic patient date name CMP5 Shocked patient date name CMP6 Unconscious patient date name Summative assessments by a consultant in each of the following 5 Acute Presentations: CAP1 Abdominal Pain date name CAP6 Breathlessness date name CAP7 Chest Pain date name CAP18 Head Injury date name CAP30 Mental Health date name Formative assessments in at least 5 further Acute Presentations using a variety of assessment tools including ACAT(EM) which can cover up to 5 acute presentations date date date date date name name name name name 10 other Acute Presentations covered by: Teaching delivered / Audit / E-learning modules / Reflective practice / Additional WPBAs Teaching / Audit / E-learning / Reflective / WPBA (Please circle) date name Teaching / Audit / E-learning / Reflective / WPBA (Please circle) date name Teaching / Audit / E-learning / Reflective / WPBA (Please circle) date name Teaching / Audit / E-learning / Reflective / WPBA (Please circle) date name Teaching / Audit / E-learning / Reflective / WPBA (Please circle) date name Teaching / Audit / E-learning / Reflective / WPBA (Please circle) date name Teaching / Audit / E-learning / Reflective / WPBA (Please circle) date name Teaching / Audit / E-learning / Reflective / WPBA (Please circle) date name Teaching / Audit / E-learning / Reflective / WPBA (Please circle) date name / Audit / E-learning / Reflective / WPBA (Please circle) date name Practical procedures as DOPS in each of the following 5 domains: Airway Maintenance date name Primary Survey date name
ARCP%20checklist%20CT-ST1%20Aug%202014.docx