the overall performance of the trainee in this six …€¦ · web viewthe overall performance of...

29
CU TAR (Training Assessment Record) Page1 of 20 CU1 - 03 Certification in Urogynaecology Training Assessment Record CU – TAR Full Name Mobile Email Training Supervisor Training Unit/s Year Training Commenced Year of Training 1 2 3 Semester 1 2 Six -month Period _______________________ to ______________________ Full time □ Part time □ FTE ______ Hours per week _____ Trainee Checklist Six-monthly Summative Assessment Report - signed by the Training Supervisor and Trainee Training Supervisor has sighted the Trainee Online Logbook Two Clinical Training Summaries (one for the period covered by this TAR and one cumulative from commencement of training) – download from MyRANZCOG and attach to the back of the TAR Directly Observed Procedural Skills (DOPS) Summary Sheets – signed by the Training Supervisor Weekly Timetable - signed by the Training Supervisor and Trainee Approval of Research Project Proposal and Timeline (first six months ONLY) - download form from the website Or Research Progress Report - signed by the Training Supervisor and Trainee Attached Trainee Questionnaire to be completed __________________________________________ __ The Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY following review of CU Subspecialty Committee

Upload: others

Post on 07-Apr-2020

0 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: The Overall Performance of the Trainee in this six …€¦ · Web viewThe Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY

CU TAR (Training Assessment Record) Page1 of 20 CU1 - 03

Certification inUrogynaecology

Training Assessment Record

CU – TAR

Full Name

Mobile

Email

Training Supervisor

Training Unit/s

Year Training Commenced

Year of Training 1 □ 2 □ 3 □ Semester 1 □ 2 □

Six -month Period_______________________ to ______________________

Full time □ Part time □ FTE ______ Hours per week _____

Trainee Checklist□ Six-monthly Summative Assessment Report - signed by the Training Supervisor and Trainee□ Training Supervisor has sighted the Trainee Online Logbook□ Two Clinical Training Summaries (one for the period covered by this TAR and one cumulative from

commencement of training) – download from MyRANZCOG and attach to the back of the TAR □ Directly Observed Procedural Skills (DOPS) Summary Sheets – signed by the Training Supervisor□ Weekly Timetable - signed by the Training Supervisor and Trainee□ Approval of Research Project Proposal and Timeline (first six months ONLY) - download form from the website Or Research Progress Report - signed by the Training Supervisor and Trainee□ Attached Trainee Questionnaire to be completed

____________________________________________The Overall Performance of the Trainee in this six-month training period has been

□ SATISFACTORY

□ NOT SATISFACTORY following review of CU Subspecialty Committee

Chair, CU Subspecialty Committee ………………………………………………………… Date ……………………………………… Comments

Page 2: The Overall Performance of the Trainee in this six …€¦ · Web viewThe Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY

CU TAR (Training Assessment Record) Page2 of 20 CU1 - 03

Six-monthly Summative Assessment Report

Training Time to be Credited FTE 0.5 - 1.0 (as per training unit contract)

Training / Leave A

Training time available this period B 26

Leave - Sick(days)

-

Leave - Annual / Recreational(days)

-

Leave - Maternity / Parental (days)

-

Total Leave Days(days)

C -

Maximum 26 weeks in any one six month block, and 46 weeks in any one training year

Professional Development Leave (PDL)Detail of activity Dates Days

Approved PDL in accordance with relevant RANZCOG regulations is regarded as credited training time, provided evidence of PDL (e.g. certificate of attendance) is attached.

Office Use Only

Leave - Total in weeks (divide ‘C’ by five (5 days = 1 week)) D

Total weeks worked (‘B’ minus ‘D’) E

Total training time to be creditedBefore rounding (‘E’ times ‘A’) F

After rounding (‘F’ rounded up/down to the nearest whole week)

Page 3: The Overall Performance of the Trainee in this six …€¦ · Web viewThe Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY

Summative Assessment of Trainee’s Progress and Performance

As collated from Consultant Assessment of Trainee ReportsPlease add the relevant number of ratings given by the consultants and your own rating to the appropriate column for each item. NB: In deciding ratings, Consultants and the Training Supervisor may also take into consideration feedback from relevant health professionals (e.g. other medical, nursing and allied health staff).Number of consultants who have contributed to this assessment

Number who have less than 10 contact hours per four-week period, with the Trainee.

Number who have greater than 10 contact hours per four-week period, with the Trainee.

Domain – Clinical Expertise please indicate in number of consultants and not ticksCompetencies Below

expectation of year level

At expectation of year level

Aboveexpectation of year level

Unable to assess

Demonstrates responsibility, reliability and initiative in undertaking clinical and other duties and follow up

Manages clinical load effectively in consultation with multidisciplinary team

Demonstrate appropriate skills in urogynaecological procedures (e.g., urodynamic studies, ultrasound, pessary management)

Demonstrates appropriate skills in urogynaecological surgery

Demonstrates appropriate documentation and organisational skills

Demonstrates continued improvement in medical expertise, clinical reasoning and judgment

Domain - Academic AbilitiesCompetencies Below

expectation of year level

At expectation of year level

Aboveexpectation of year level

Unable to assess

Demonstrates appropriate theoretical knowledge and knowledge and principles of evidence-based medicine

Demonstrates appropriate knowledge of the literature in Urogynaecology

Demonstrates appropriate skills in clinical research

Demonstrates effective teaching at both undergraduate and postgraduate level

Demonstrates attendance and participation at continuing education meetings

CU TAR (Training Assessment Record) Page 3 of 18 CU5-03

Page 4: The Overall Performance of the Trainee in this six …€¦ · Web viewThe Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY

Domain - Professional QualitiesCompetencies Below

expectation of year level

At expectation of year level

Aboveexpectation of year level

Unable to assess

Communicates effectively with patients and their families

Communicates effectively with colleagues

Works as a member of a team

Demonstrates appropriate understanding and judgement of ethical issuesAccepts constructive feedback

Reviews and updates professional practice

Leadership and management responsibilities

Professionalism

Health Advocacy

Training Supervisor’s summary comments

Areas of strengthAreas of strength highlighted by the consultants, other assessors and your own observations within the relevant domains.Please give examples of specific competencies.

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________Suggestions for developmentSuggestions for development highlighted by the consultants, other assessors and your own observations within the relevant domains.Please give specific examples of competencies where improvement is needed.

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________CU TAR (Training Assessment Record) Page 4 of 18 CU5-03

Page 5: The Overall Performance of the Trainee in this six …€¦ · Web viewThe Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY

Six-month Performance Summary – please tick boxes where appropriate

Clinical Training Summary

□ Completed

Trainee must meet required assessments for relevant time in training/year level (If required assessments are NOT met, the current period cannot be credited and this form must be referred for review to the CU Committee)

□ Trainee has met required assessment for year levelor□ Trainee has not met required assessment for year level and is referred for review

Formative Appraisal Report (FAR) □ Completed and signed this training period

Multi-Source Feedback (MSF) Report and Trainee Self-Assessment□ Completed and discussion with Trainee Daily Training Record (DTR)□ I have sighted and signed the Trainee’s DTR

Summative Performance (in this six-month training period)

□ Satisfactoryor□ Referred for Review to CU Committee If referred to CU Committee, a Learning Development

Plan (LDP) MUST be submitted with this Summative Assessment Report. The LDP template can be found on the RANZCOG website: www.ranzcog.edu

Signatures

Training Supervisor

□ I have discussed this Summative Assessment Report with the trainee

Training Supervisor ………………………………………….. Date …………………………

Trainee

□ My Training Supervisor has discussed this Summative Assessment with me□ I have completed a Confidential Feedback Questionnaire

Trainee ……………………………………………………………….. Date …………………………

Submit training documentation by deadlines as specified in the RANZCOG regulations for Subspecialty training

to Subspecialtiesvia email: [email protected]

CU TAR (Training Assessment Record) Page 5 of 18 CU5-03

Page 6: The Overall Performance of the Trainee in this six …€¦ · Web viewThe Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY

CU Directly Observed Procedural Skills (DOPS) – Summary Sheet - Generic Name of Trainee ______________________________

Procedures being Assessed

Formative AssessmentDate and Signature of Assessor

If more than 3 formative assessments use a new sheet

Date of Summative Assessment

Surname and Signature of Summative Assessor

Summative Assessments Attached

1 2 3

Procedural Skills

1 Perineal and transvaginal ultrasound

__ __ __

___________

__ __ __

___________

__ __ __

___________

2 Dual channel subtracted Cystometry

__ __ __

___________

__ __ __

___________

__ __ __

___________

3 Urethral pressure profilometry

__ __ __

___________

__ __ __

___________

__ __ __

___________

4 Insert and change suprapubic catheter

__ __ __

___________

__ __ __

___________

__ __ __

___________

5 Fit and change ring pessary__ __ __

___________

__ __ __

___________

__ __ __

___________

6 Fit and change shelf pessary

__ __ __

___________

__ __ __

___________

__ __ __

___________

7 Urethral dilation__ __ __

___________

__ __ __

___________

__ __ __

___________

8 Hysterectomy for prolapse__ __ __

___________

__ __ __

___________

__ __ __

___________

Training supervisor’s signature: ____________

Trainee signature: Date:

CU TAR (Training Assessment Record) Page 6 of 18 CU5-03

Page 7: The Overall Performance of the Trainee in this six …€¦ · Web viewThe Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY

CU Directly Observed Procedural Skills (DOPS) – Summary Sheet - Surgical Name of Trainee ______________________________

Procedures being Assessed

Formative AssessmentDate and Signature of Assessor

If more than 3 formative assessments use a new sheet

Date of Summative Assessment

Surname and Signature of Summative Assessor

Summative Assessments Attached

1 2 3Compulsory Surgical Procedural Skills

1 Rigid Cystourethroscopy __ __ _____________

__ __ _____________

__ __ _____________

2 Bladder biopsy __ __ _____________

__ __ _____________

__ __ _____________

3 Urethral bulking agents __ __ _____________

__ __ _____________

__ __ _____________

4 Retropubic sub-urethral sling (synthetic)

__ __ _____________

__ __ _____________

__ __ _____________

5 Botulinum injections to bladder __ __ _____________

__ __ _____________

__ __ _____________

6 Anterior vaginal repair without mesh __ __ _____________

__ __ _____________

__ __ _____________

7 Posterior vaginal repair without mesh __ __ _____________

__ __ _____________

__ __ _____________

8 Vaginal mesh excision __ __ _____________

__ __ _____________

__ __ _____________

9 Uterosacral vault suspension – Intraperitoneal or Extraperitoneal

__ __ _____________

__ __ _____________

__ __ _____________

10 Sacrospinous fixation for level 1 support defect

__ __ _____________

__ __ _____________

__ __ _____________

11 Sacrocolopopexy – open or laparoscopic

__ __ _____________

__ __ _____________

__ __ _____________

Not Compulsory Surgical Procedural DOPS

__ __ _____________

__ __ _____________

__ __ _____________

1 Anterior vaginal repair with mesh__ __ _____________

__ __ _____________

__ __ _____________

2 Posterior vaginal repair with mesh__ __ _____________

__ __ _____________

__ __ _____________

3 Transobturator (synthetic) __ __ _____________

__ __ _____________

__ __ _____________

Training Supervisor’s signature: _____________

Trainee signature: Date:

CU TAR (Training Assessment Record) Page 7 of 18 CU5-03

Page 8: The Overall Performance of the Trainee in this six …€¦ · Web viewThe Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY

Weekly Timetable

Trainee Name ………………………………………………………. Year of Training 1 / 2 / 3

For the six-month period ……………………………………………………… to …………………………………………………………..

Training Unit ………………………………………………………

The Weekly Timetable is for recording your weekly timetable of activities. Please include the activity, site and supervisor for each individual session undertaken. If there was a significant change in the Training Program during the training period, please notify college staff and submit a revised weekly timetable for the period.

For each activity you MUST indicate whether the site is Public or Private

Day of Week Morning Afternoon

MONDAY

A A

U/S U/S

S S

TUESDAY

A A

U/S U/S

S S

WEDNESDAY

A A

U/S U/S

S S

THURSDAY

A A

U/S U/S

S S

FRIDAY

A A

U/S U/S

S S

A = Activity U/S= Unit/Site S = Supervisor

During these six months, there has been no change to the prospectively approved training program at this site, including supervisors or sessions.

Training Supervisor’s signature ………………………………………………….. Date ……………………………………..

Trainee Signature …………………………………………………………………… Date ……………………………………..

CU TAR (Training Assessment Record) Page 8 of 18 CU5-03

Page 9: The Overall Performance of the Trainee in this six …€¦ · Web viewThe Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY

Research Progress Report

To be completed by Trainee only when Research Project Proposal and Timeline has been approved

Trainee Name ………………………………………………………. Year of Training 1 / 2 / 3

For the six-month period ……………………………………………………… to …………………………………………………………..

Training Supervisor ………………………………………………………

Title of Research Project …………………………………………………………………………………………………………………………….

Select the option below that applies to the research in which you are involved

□ I am completing a Research Project as part of my assessment

OR

□ I have completed a formal higher research degree qualification in an area relevant to my subspecialty that has been approved by the CU Subspecialty Committee, and I am involved in ongoing research.

Trainee Research Progress Report

Describe the progress made during this training period against the goals set and the timeline. OR

Describe the progress made in the ongoing research in which you are involved.

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

_________

Institutional ethics committee approval obtained YES NO

Trainee Signature ___________________________________ Date ________________

CU TAR (Training Assessment Record) Page 9 of 18 CU5-03

Page 10: The Overall Performance of the Trainee in this six …€¦ · Web viewThe Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY

Research Progress ReportTo be completed by Training Supervisor

If the trainee is completing a Research Project as part of their assessment, please describe the progress made during this period against their set goals and timeline.

Role of the Trainee Yes NoHas the trainee been actively involved in their research? □ □Has the research project changed from the original proposal? □ □ If Yes, how has the project changed and is this suitable to be considered for the subspecialty training? □ □

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Aims Yes NoHas the trainee made satisfactory progress in this area during the past six months? □ □If No, please comment.

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Literature Review Yes NoHas a literature review or a critical appraisal of the literature been undertaken? □ □If No, please comment._______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Methods Has the trainee provided adequate information on the progress of - Yes NoData collection □ □Data analysis □ □If no, please comment_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Research Content Yes No

Has the trainee shown clear progress and learning in research techniques? □ □Has the research progress as proposed in the timeline been followed in this six months? □ □Results Yes No N/AHas the trainee been able to clearly describe any results established in the past six months? □ □ □If No, please comment._______________________________________________________________________________________

______________________________________________________________________________________________Conclusions Yes No N/AHas the trainee been able to clearly outline any conclusions established in the past six months? □ □ □If No, please comment.

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Overall opinion of the Research Project Progress

Progress in the trainee’s Research Project at this stage of training is -

CU TAR (Training Assessment Record) Page 10 of 18 CU5-03

Page 11: The Overall Performance of the Trainee in this six …€¦ · Web viewThe Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY

Satisfactory □ Unsatisfactory □Comments_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

If the trainee has completed an approved formal higher research qualification, please describe the progress made in the ongoing research in which the trainee is involved

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

Training Supervisor’s signature ………………………………………………….. Date ……………………………………..

CU TAR (Training Assessment Record) Page 11 of 18 CU5-03

Page 12: The Overall Performance of the Trainee in this six …€¦ · Web viewThe Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY

Six-monthly Summative Assessment Report Instructions

Trainee and Training Supervisor Instructions

The Six-monthly Summative Assessment is an important record of the Trainee’s progress and assessment experiences.

The Trainee and the Training Supervisor MUST meet within the last 2-4 weeks of the six month training period so that the assessment is done BEFORE the Trainee commences the next training period.

It is the responsibility of the Trainee to ensure that the Training Supervisor is available to meet with him/her to discuss the Summative Assessment prior to submission to Subspecialties Services, College House.

The Training Supervisor, or their nominee, is responsible for distributing and collecting the Consultant Assessment forms which are the basis for the Summative Assessment Six-monthly Report, NOT the Trainee.

The Trainee should complete the training time calculation section in consultation with the Training Supervisor. The Training Supervisor is responsible for the initial checking that assessment requirements for the relevant stage in

training/year level have been met by the time of this Summative Assessment. Both the Trainee and Training Supervisor must sign the Summative Assessment. Please ensure that all details are completed on each page of the Summative Assessment. It is the Trainee’s responsibility to submit the completed Summative Assessment Report to Subspecialties Services, College

House, for review and signing by the CU Committee Chair. This must be done not more than six weeks from the end of the six-month training period.

If the Training Supervisor ticks the box “Referred for Review to the CU Committee” on this Summative Assessment Six-monthly Report, a Learning Development Plan (LDP) MUST be submitted with this report. The LDP template can be found on the RANZCOG website, www.ranzcog.edu.au

If a Trainee receives three (3) “Not Satisfactory” assessments in the course of their training, this may result in removal from the Training Program.

Submission of training documents by due date

If the Summative Assessment Six-monthly Report is not submitted within six weeks of the end of the relevant training period, the entire six-month training period will NOT be credited and will result in a “Not Satisfactory” assessment. If this occurs a second time, the Trainee will face removal from the program.

Trainees, who believe they have valid grounds for NOT submitting their training or assessment documents by the due date, should apply via the Exceptional Circumstances for Special Consideration Application Form and submit documentary evidence along with the administrative fee. This form can be accessed on the College website, www.ranzcog.edu.au.

The Exceptional Circumstances for Special Consideration Application Form must be received within 72 hours of the due date for submission of the relevant Six-monthly Summative Assessment Report.

The specified clinical and assessment requirements must be met for the relevant stage in training/year level or the six months of that training period will not be credited.

Notes to Training Supervisors

Distribute Consultant Assessment Reports to between 2 and 6 consultants who work closely with the Trainee and are best able to assess the Trainee’s performance.

After collating the Consultant Assessment reports, the Training Supervisor must recommend whether the assessment report is assessed as “Satisfactory” or “Referred for Review to the CU Committee”, noting that the report must be referred if two (2) or more consultants rate a trainee as “BELOW expectation for year level of training” for two or more competencies, regardless of the domain(s) in which the competencies are located.

If the box “Referred for Review to CU Committee” is ticked by the Training Supervisor, a Learning Development Plan (LDP) MUST be developed with the Trainee and submitted with the Training Assessment Record.

The LDP template is located at: www.ranzcog.edu.au

CU TAR (Training Assessment Record) Page 12 of 18 CU5-03

Page 13: The Overall Performance of the Trainee in this six …€¦ · Web viewThe Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY

Function of the Training Assessment Record (TAR)

The Training Assessment Record (TAR) has been designed to enable trainees to record a summary of all necessary training and assessment experiences required for the CU Training Program specifically for assessment purposes.

The TAR is a facility for trainees to record consecutively the many aspects that comprise the training program being undertaken so that Training Supervisors and the CU Subspecialty Committee will be able to assess a trainee’s progress relevant to the requirements of the Clinical Training Program and the training experiences recorded at the end of each six-month training period.

The TAR must be forwarded to the Training Supervisor and CU Subspecialty Committee at the end of each six-month training period for assessment. Training Assessment Records must be kept by the trainee for the duration of the Clinical Training Program being completed. The TAR is available on the College website, and additional pages may be selectively printed as is necessary.

You must maintain an updated copy of your TAR at all times – it is an essential record of your training and assessment experiencesfor the three years of training. Training Supervisors or the Chair of the CU Subspecialty Committee may ask to seeyour TAR at any time. An updated copy should always be available.

The purpose of the confidential trainee questionnaire is to assess training units, rather than individuals within units, so that future training opportunities and experiences can be improved. This confidential report is to be submitted at the end of each six-month training period with the TAR.

The Master Sheet is a record of all completed assessment requirements during CU subspecialty training. A copy of the Master Sheet must be submitted at the end of each six-month training period with the TAR

For further information regarding any of the necessary training documentation, trainees are advised to consult the CU Training Handbook and the RANZCOG Regulations, Section D, Subspecialties, both of which may be accessed on the College website, www.ranzcog.edu.au

Contact

If your contact details change, please notify the College as soon as possibleFor all training documentation enquiries, please contact Subspecialties Services at College House

Contact Jennifer Keating, Coordinator – CU Subspecialty Training ProgramTel +61 3 9412 2997Email [email protected]

CU TAR (Training Assessment Record) Page 13 of 18 CU5-03

Page 14: The Overall Performance of the Trainee in this six …€¦ · Web viewThe Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY

Abbreviations used in the CU Training Program

Trainees must make a note of Abbreviations they use in their Training Documentation here

Basic Evaluation TechniquesUDS Urodynamic studyUPP Urethral pressure profileUSS Ultrasound study

Surgical Procedures - ContinenceIVS Intravaginal slingplastyTOT Transobturator tapeTVT Tension free vaginal tapeTVT-O Tension free vaginal tape- obturator

Surgical Procedures - ReconstructiveLAVH Laparoscopic assisted vaginal hysterectomySSF Sacrospinous fixationTAH Total abdominal hysterectomyTLH Total laparoscopic hysterectomyVH Vaginal hysterectomy

Additional Abbreviations:Trainees must make a note of additional abbreviations they use in the DTR here.

CU TAR (Training Assessment Record) Page 14 of 18 CU5-03

Page 15: The Overall Performance of the Trainee in this six …€¦ · Web viewThe Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY

Index

Page

Six-monthly Summative Assessment Report .................................................................................. 2-5

Training Assessment Records ......................................................................................................... 6-7

Weekly Timetables ......................................................................................................................... 8

Research Project ............................................................................................................................. 9-11

Information ..................................................................................................................................... 12-15

CU TAR (Training Assessment Record) Page 15 of 18 CU5-03

Page 16: The Overall Performance of the Trainee in this six …€¦ · Web viewThe Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY

The purpose of this questionnaire is to obtain vital feedback from subspecialty trainees about their training experiences over the past six months in their respective training units/sites, for the purpose of continuous improvement to the Subspecialty Training Program.

Subspecialties Services is responsible for the conduct, processing and analysis of the surveys. As part of this process, trainees are asked to provide their name and/or other identifying details. This is so that the Chair of your respective Subspecialty can contact you, if the College becomes aware of any issue that poses a concern to your training experience. In this regard, the College has a responsibility to ensure that appropriate follow-through is undertaken. Otherwise, the reporting of aggregated results in future reports prepared by Subspecialties Services will ensure that individuals are de-identified.

It is important that If your training unit comprises and you train in more than one site, you are requested to provide a separate questionnaire

for each site as it is important for the Chair of the relevant Committee to understand your experience in each site. Training Supervisor refers to your overall Training Supervisor; Consultants may be those who supervise your work or you

work closely with for particular sessions.1. Trainee Name

2. Location of training

3. Name of Training Unit / Site Unit …………………………………………………………………………..

Site 1 …………………………………………………………………………..

Site 2 …………………………………………………………………………..

4. Period of training: from to

5. Year of training: 1 2 3 Semester: 1 2

Complete this section only if this is your first semester of training at this unit; otherwise indicate N/A for all questions and proceed to Section 76. Considering your initial experience at this unit, please rate your level of agreement with the following statements:

Strongly Disagree

Disagree Agree Strongly Agree

N/A

An orientation session was provided for me at this unitThe training unit has a documented in-hospital credentialing processMy training was well organised and I had clearly defined responsibilitiesI had an appropriate timetableI was made aware of the unit’s policy on bullying and harassmentI was made aware of the unit’s policy on dispute resolutionComments:

7. During the past semester at this unit/site Never Rarely Some

timesConsistently N/A

I had the opportunity to develop surgical/procedural skillsI had the opportunity to develop clinical skillsI was given time to practise and develop new skillsI was exposed to a broad range of relevant subspecialty experiencesI was given opportunities for independent decision makingI had an adequate workload that provided appropriate clinical experienceI was given opportunity and encouragement to undertake researchI was given adequate research support and feedbackComments:

8. My training supervisor at this unit/site

CU TAR (Training Assessment Record) Page 16 of 18 CU5-03

Page 17: The Overall Performance of the Trainee in this six …€¦ · Web viewThe Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY

Never Rarely Some times

Consistently N/A

Discussed my training needs with meEncouraged me to bring up problems or concernsListened attentively and was respectful towards meWas easily approachable for consultationStated learning goals clearly and prioritised these goalsGave regular informal feedback on performance and progress in between three monthly appraisal and six monthly assessmentGave constructive feedback on performance and progress at the formal three and six month assessment periodsComments:

9. In general, Consultants I worked with:Never Rarely Some

timesConsistently N/A

Were supportive of my training experienceWere positive role models as subspecialty practitionersDelegated responsibilities appropriatelyCommunicated effectivelyEvaluated trainees’ subspecialty skills and knowledge regularlyEnsured I tried to have adequate primary operator experiencegave me meaningful feedback on my performance and progressOffered suggestions for improvement, as appropriateComments:

Strongly disagree

Disagree Agree Strongly agree

N/A

10. SupervisionMy unit ensures there are adequate senior medical staff to provide effective training, support and supervision of trainees, essential to ensuring safety and quality of clinical servicesExamples/Comments:

11. Clinical ExperienceMy unit offers experience in a range of clinical aspects of the training programMy timetable achieves a balance between service delivery and trainingExamples/Comments:

12. Educational Programs and ActivitiesThe unit provides suitable interactive teaching, including discussion of current literatureMy timetable allows me to attend clinical management, multidisciplinary and/or scientific meetingsExamples/Comments:

CU TAR (Training Assessment Record) Page 17 of 18 CU5-03

Page 18: The Overall Performance of the Trainee in this six …€¦ · Web viewThe Overall Performance of the Trainee in this six-month training period has been SATISFACTORY NOT SATISFACTORY

Strongly disagree

Disagree Agree Strongly agree

N/A

13. FacilitiesThe unit offers the range of facilities relevant to the subspecialty, such as laboratory, diagnostic services, or other (please specify)Examples/Comments:

14. ResearchMy timetable allows protected time and opportunity for research

The unit offers appropriate support and feedback for research

Examples/Comments:

15. Quality AssuranceThe training program provides the opportunity to develop my awareness of legal and/or ethical issues that arise in the practice settingExamples/Comments:

16. Publications and PresentationsThe training program provides the opportunity to publish and/or present my research findingsExamples/Comments:

17. General The unit offers opportunities for insight into running a subspecialist practiceExamples/Comments:

The training program provides me with the opportunity to develop my leadership skills and managing of others in the practice settingExamples/Comments:

College systems and administrative processes ensure a well-organised training experienceExamples/Comments:

I receive appropriate information and guidance from the College with respect to the training programExamples/Comments:

18. Are there aspects of your training that you consider are not being covered in your current program?

Yes No

Examples/Comments:

CU TAR (Training Assessment Record) Page 18 of 18 CU5-03