Annual Review of Competence Progression
Checklist for Work Place Based Assessments in
ACCS CT/ST2
Trainee Name: DRN/NTN:
Initial Anaesthetic Competences – if in 3 month post
Formative assessment of 5 Anaesthetic-CEX: |
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Formative assessment of 8 Specific Anaesthetic CbDs: |
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Formative assessment of 6 further anaesthetic DOPS: |
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PLUS - the Basis of Anaesthetic Practice - if in 6 month post |
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Optional modules if in 9 month block |
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Intensive Care Medicine
Formative assessments in 2 missing Major Presentations: |
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Formative assessment of any Acute Presentations not yet covered |
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Formative assessment of 13 practical procedures as DOPS (may be assessed as Mini CEX or CbD if indicated), including: |
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Overview by end of CT/ST2
All 6 Major Presentations completed |
Date |
All 38 Acute Presentations completed |
Date |
All 45 Practical procedures completed |
Date |
Structured Training Report x2 (one for each placement) |
YES / NO (please circle) |
MSF – minimum of 12 responses (annual) with spread of participants as agreed with Educational Supervisor |
YES / NO (please circle) |
ACCS AM trainees only - Multi Consultant Review x 4 |
YES / NO (please circle) |
Evidence of Audit or Quality Improvement Project (one every 12 months) |
YES / NO (please circle) |
Progress in relevant post graduate examinations: |
Exams achieved |
Resuscitation courses relevant to specialty (ALS, ATLS, APLS or equiv.) |
Date |
Safeguarding Children Level 2 (upload certificate to ePortfolio) |
Date |
Progress toward achieving level 2 common competences confirmed by supervisor and trainee (red and blue man symbols) |
YES / NO (please circle) |
Number of core training days attended (upload certificates to ePortfolio) |
Number |
Survey monkey feedback completed for each placement (if a requirement in region) |
YES / NO (please circle) |
To be completed by trainee and countersigned by Educational Supervisor
Trainee signature: |
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Date: |
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Education Supervisor signature: |
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Date: |
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Education Supervisor name PLEASE PRINT |
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