ST3 Progression January 2015 v4

Guideline
New
Surgical Training
ST2 – ST3 Progression
Pathway
January 2015
v4to ST3
Progression
ST2
26th May 2014
Date: To Appear Here
Introduction
A key feature of the new surgical training pathway is the principle that career progression is linked to
trainee performance. Performance, in turn, is measured by a robust and comprehensive assessment
process. A critical point for career progression is the transition from ST2 (i.e. end of Core Surgical
Training) to ST3 (start of Specialty Training). This transition from ST2 to ST3 is a competitive process
which is based on:
a) Performance during Core Surgical Training;
b) Specialty interview.
This document outlines the principles and practice of the ST2 to ST3 transition process.
A prerequisite for transition to ST3 is passing all parts of the MRCS examination. This is an
intercollegiate examination which is based on the Intercollegiate Surgical Curriculum Programme and
tests the knowledge and clinical skills required of trainees at the end of Core Surgical Training.
Trainees must have passed all parts of the MRCS before the date of interview for ST3 selection.
The ST3 selection process is based on a clearly defined marking scheme. A total of 1000 marks are
awarded in the selection process (650 marks for performance in Core Surgical Training and 350 for the
Specialty Interview (table 1)).
The marks for performance in Core Surgical Training are awarded on the basis of assessments which
take place on a regular, recurrent basis during Core Surgical Training. These assessments take place
a) In the workplace;
b) In RCSI.
a) Workplace assessments: there are 4 types of workplace assessments:
i. Supervised Structured Assessment of Operative Performance (SSAOP): this is an
assessment of the operative performance of the trainee undertaken by the consultant
trainer. This assessment is performed on 3 occasions in each 6 month period during Core
Surgical Training. A maximum of 45 marks may be awarded in each six month period for
the SSAOPs (15 marks for each assessment).
ii. The SSAOP and the SCA must be completed by one of your designated Consultant
Trainers. Assessments will not be accepted if completed by an SPR or a Locum Consultant.
You are strongly encouraged to involve different trainers in your various SSAOP and SCA
assessments. You will not be scored for more than 2 SSAOP’s or 2 SCA’s from any 1
trainer – i.e. in order to achieve maximum scores, you must have at least 1 SSAOP
and at least 1 SCA completed by a different member on your team. Furthermore, the
assessments must all be completed on different dates. It is your responsibility to ensure
that you make arrangements to complete your assessments with your Consultant Trainers in
good time and that they are submitted to RCSI before the designated closing date.
Subject to change under ISPTC review criteria. 003/STP/ISPTC/2015/v4
1
iii. Structured Clinical Assessment (SCA): this is an assessment of the surgical trainee’s ability
to assess a clinical situation. The assessment may be performed on the ward, in the
outpatient clinic, in the Emergency Department or Intensive Care Unit.
iv. Three SCAs are performed in each six month period during Core Surgical Training and a
maximum of 30 marks are awarded for each six month period. (10 marks for each
assessment)
v. E-Logbook: a score is generated electronically for the logbook activity in each six month
period and a maximum of 30 marks is awarded for each six month period.
vi. Trainer Reports: a consolidated trainer report is filed at the end of each six month period in
consultation with the Hospital based Programme Director for Core Surgical Training. A total
of 25 marks are awarded for the Trainer Report in each six month period.
For the purpose of selection to ST3 the marks for the first 3 CAPA assessments during CST are
considered (i.e. total 390 marks).
b) RCSI Assessments: There are 3 RCSI assessments:
i.
Case Based Discussions on SCHOOL for Surgeons: a maximum of 20 marks may be
awarded for each six month period (60 in total) based on assignments on SCHOOL for
Surgeons.
ii.
Technical Skills Assessment: a formal assessment of technical and operative skills is
performed towards the end of ST1 (May) and just over mid-way during ST2 (February). A
total of 100 marks are awarded for the two technical skills assessments.
iii.
Human Factors Assessment: a formal assessment of human factors is performed using an
OSCE format towards the end of ST1 (May) and just over mid-way through ST2 (February).
A total of 100 marks are awarded for the combined Human Factors assessments.
For the purpose of selection to ST3 the marks for all RCSI Assessments considered are 260 marks
in total.
A total mark of 650 can be achieved from CAPA 1, 2 & 3.
Specialty ST3 Interview
The specialty interview is an integral part of the selection process for ST3 and counts for 350 marks
in total. The interview will follow a Multiple Mini Interview (MMI) format. The overall purpose of the
interview is to assess the general suitability of each candidate for progression to Specialty Training.
The interview process is designed to capture elements of suitability which have not previously been
assessed in Performance during Core Surgical Training or in the MRCS examination. The MMI
format will be used to give a comprehensive assessment of a wider range of general suitability
characteristics.
Subject to change under ISPTC review criteria. 003/STP/ISPTC/2015/v4
2
The specialty interview will take place in the third or fourth week in March of each year (i.e. after the
results of the MRCS examination are announced). The MMI interviews for all of the Surgical
Specialties will be conducted over a 2/3 day period and will be held in conjunction with the
interviews for existing gap-year trainees.
At the start of the interview process, a briefing session will be given by the Chairman of ISPTC
along with the Director of Human Resources at RCSI. The purpose of this session is to give
interviewers guidelines on the legal and good-practice aspects of the interview process.
A total of 350 marks are available for the interview. There are five stations in the interview centre,
each focussing on a different theme. Prior to the commencement of the interviews, the interview
panel for each station will spend 10-15 minutes deciding on questions to be asked, and engaging in
a standard-setting exercise.
Multiple Mini Interview Topics
1. Quality and safety in surgical healthcare
Purpose: The purpose of this station is to assess the candidate’s awareness and commitment
to quality and safety issues in the provision of surgical care.
Indicative Content: Audit. Incident reporting systems. Risk registers / risk management
systems. Medical and surgical error. Clinical governance. Continuous Quality Improvement.
MDT meetings. Surgical “handovers”.
2. Commitment to academic advancement and lifelong learning
Purpose: The purpose of this station is to assess the candidate’s commitment to maintaining up
to date knowledge and professional competence.
Indicative Content: Review of surgical portfolio. Attendance at relevant meetings and courses.
Presentations and publications. Teaching activities. Involvement in clinical research.
3. Knowledge of current issues relevant to surgical practice
Purpose: The purpose of this station is to assess the candidate’s knowledge and awareness of
issues (other than surgical knowledge and technical skill) which may impact on delivery of good
surgical care.
Indicative Content: The Clinical Programmes (Acute Surgery Programme / Elective Surgery
Programme). Hospital networks. Universal Health Insurance. European Working Time
Directive / shift working.
4. Decision making in surgery
Purpose: The purpose of this station is to assess the candidate’s ability to utilise knowledge
and skills in making sound clinical judgements for patient management relevant to the specialty
in question.
Indicative Content: 2 Clinical Scenarios, 3-4 minutes each.
Please note this is subject to change under the ISPTC review criteria.
3
5. Professionalism and probity in surgical practice
Purpose: The purpose of this station is to assess the candidate’s awareness and commitment
to professional and ethical behaviour in surgical practice.
Indicative Content: Regulation of the medical profession (Medical Council / Fitness to Practice
process). Ethical behaviour for doctors. Patient advocacy. Disclosure of error. Clinical
research ethics. Introduction of new technology to surgical practice. Data protection.
Each station will be manned by a minimum of two interviewers, at least one of whom is from the
specialty concerned. Each hospital which is recognised for Higher Surgical Training will be asked
to nominate one interviewer for the selection panel. Each interview lasts for twelve minutes and
there is then two minutes for marking. Each interviewer will mark independently without
discussion. There will be topics and questions decided in advance by the interviewers and each
trainee should cover 2-3 topics during the twelve minute interview.
The Chairman of each interview panel is nominated by the President of RCSI. The role of the
Chairman is to protect the interests of the College and to ensure that all interviews are conducted
in accordance with the regulations defined by ISPTC and the Department of Human Resources.
The Chairman should rotate around the 5 different interview stations and ideally should follow one
candidate through all five stations. The Chairman should not mark individual candidates but will
have a “casting vote” in the event of a tie between two candidates.
The extern assessor is selected by the specialty. The role of the extern assessor is to ensure
impartiality and objectivity in the selection process. The extern assessor should participate in one
of the five interview stations but may rotate around the stations during the day.
A total of 70 marks are awarded for each of the five stations (i.e. 350 marks total for specialty
interview). At the beginning of the interview process the interviewers at each station should spend
some time defining which questions to ask and also defining the standards required for answers.
There should be a standard setting exercise prior to the commencement of the interviews.
At the end of the specialty interview, the total marks for each candidate should be collated (i.e.
Performance during Core Surgical Training and Specialty Interview) and the interview panel should
then sign off on the candidates selected.
Candidates who have not been selected for ST3 will be provided with feedback from the specialty
Programme Director. Candidates who have reached a predefined standard in Performance during
Core Surgical Training may be offered an opportunity to re-apply for ST3 the following year. In
order to be eligible to re-apply the following year, a candidate must have achieved a score in
Performance during Core Surgical Training which is at least equal to the mean score achieved in
this section by the candidate to be appointed successfully in the selection process. Candidates
who are eligible to re-apply will be determined by the Specialty Programme Director in consultation
with the Specialty Training Committee. These decisions must be approved by the ISPTC in order
to ensure consistency across all specialties. A candidate who is eligible to re-apply the following
year will carry the same score for Performance during Core Surgical Training. A Trainee will only
be given one opportunity to re-apply for ST3.
Please note this is subject to change under the ISPTC review criteria.
4
Table 1
SELECTION PROCESS FOR ST3
A. Performance during Core Surgical Training:
1. Workplace Assessments:
650 marks
130 marks x 3 = 390 marks
The following assessments are performed in each of the first 3 rotations
during Core Surgical Training:
SSAOP x3 (15 marks each):
SCA x 3 (10 marks each):
E logbook:
Trainer reports:
45 marks
30 marks
30 marks
25 marks
Total: 130 marks (x 3 rotations)
2. RCSI Assessments:
260 marks
Case Based Discussions (SCHOOL for Surgeons):
Technical Skills Assessments (ST1/ ST2):
Human Factors OSCEs (ST1/ ST2:
60 marks
100 marks
100 marks
Must have passed all parts of MRCS examination in order to participate in Interview.
B. Specialty Interview:
1.
2.
3.
4.
5.
(5 x 70 marks)
350 marks
Quality and Safety in Surgical Healthcare
Commitment to Academic Advancement and Lifelong Learning
Knowledge of Current Issues Relevant to Surgical Practice
Decision Making in Surgery
Professionalism and Probity in Surgical Practice
Grand Total:
1000 marks
Please note: Minimum appointable standard required for appointment is 600 marks.
Please note this is subject to change under the ISPTC review criteria.
5
NATIONAL SURGICAL TRAINING CENTRE
Structured Clinical Assessment (SCA)
Trainee Name:
Trainer Name:
Hospital:
Specialty:
Programme Year:
Rotation:
Start Date:
End Date:
Clinical Problem: ______________________________________________________________________________________
New Patient
Follow – Up Patient
Case Complexity: Low
Medium
High
Please mark all sections by checking the box in the appropriate category.
A maximum of 10 points is awarded per assessment. The form is scored out of 100 for ease of calculation.
Very poor.
Unacceptable for
level of training
1.History taking
(20)
Misses important
information,
inefficient,
disorganised; fails
to check findings.
4
Very poor.
Unacceptable for
level of training.
2.Physical
Examination (20)
3.Clinical
Judgement (30)
Below
expectations
for level of
training
8
Below
expectations
for level of
training.
Poor technique,
inefficient, omits
many key elements
& signs.
4
8
Very poor.
Unacceptable for
level of training.
Below
expectations
for level of
training.
Fails to recognise
obvious clinical
conditions, or
misjudges severity.
Information
gathering to make/
confirm diagnosis is
inefficient.
6
12
Meets
expectations for
level of training
Misses some
minor facts but
relatively precise,
logical, purposeful
& efficient.
12
Meets
expectations for
level of training.
Good technique,
reasonably
efficient; omits
some key
elements & signs.
12
Meets
expectations for
level of training.
Recognises
obvious symptom
patterns.
Reasonably
efficient in
gathering
information to
make / confirm a
diagnosis.
18
Above
expectations
for level of
training
Exceptional.
Capable of
performing
independently
Precise, logical,
purposeful &
efficient; skilful at
checking findings.
16
20
Above
expectations
for level of
training.
Exceptional.
Capable of
performing
independently.
Excellent technique,
thorough, efficient;
picks up key
elements & signs.
16
20
Above
expectations
for level of
training.
Exceptional.
Capable of
performing
independently.
Recognises
symptom patterns,
effectively gathers
information & takes
appropriate steps to
make confirm
diagnosis.
24
30
SCA /052014/V1
Very poor.
Unacceptable for
level of training.
4.Organisation/
Efficiency/
Communication
Skills (30)
Overall Clinical
Care
Explanation of
diagnosis &
management often
incorrect or
incomprehensible.
Poor rapport with
patients.
Unprofessional at
times, answers to
patient questions
often confusing or
incorrect.
6
Very poor.
Unacceptable for
level of training.
Below
expectations
for level of
training.
12
Below
expectations for
level of training.
Meets
expectations for
level of training.
Generally explains
diagnosis &
management
using vocabulary
appropriate to
patient, Usually
professional.
Establishes good
rapport with
patient & answers
patient's
questions clearly.
18
Meets expectations
for level of training.
Above
expectations
for level of
training.
Exceptional.
Capable of
performing
independently.
Explains diagnosis &
management using
vocabulary
appropriate to
patient. Establishes
excellent rapport
with patient.
Professional at all
times, answers
patient's questions
clearly & accurately.
24
Above
expectations for
level of training.
30
Exceptional.
Capable of
performing
independently.
Please indicate the weaknesses in this trainee’s performance:
Please indicate the strengths in this trainee’s performance:
Assessor’s Signature: ___________________________________
Assessor’s Name _______________________________________
(Print)
Date: _______________
Office Use Only
Score: ______
SCA /052014/V1
NATIONAL SURGICAL TRAINING CENTRE
Supervised Structured Assessment of Operative Performance
(SSAOP)
Trainee Name:
Trainer Name:
Hospital:
Specialty:
Programme Year:
Rotation Start Date:
End Date:
Procedure Performed:
This is an assessment of operative performance of the surgical trainee. Trainees must complete three SSAOPs in
each six month rotation (i.e. 12 in total during CST). Each SSAOP should be for a different surgical procedure.
The assessment can be performed on any surgical procedure which the trainer considers appropriate for the
specialty and the trainee year of training e.g. appendectomy, or repair of inguinal hernia. Minor operations (e.g.
excision of skin lesions) are unacceptable.
NB. The completed form will NOT be considered if “N/A” is entered for three or more of the items numbered 1 -15 (i.e.
20% of the items)
A maximum of 15 points is awarded per SSAOP. Each SSAOP is scored out of 150 for ease of calculation.
N/A = not observed or not done by the trainee
Please mark all sections by checking the box in the appropriate category.
Case Difficulty (Max 15 marks)
Straightforward anatomy, no related
prior operation(s) or treatment (e.g.
radiation)
(5)
☐
Intermediate difficulty
(10)
☐
Obesity, abnormal anatomy,
complex pathology, related prior
operation(s) or treatment
(15)
☐
Degree of Prompting or Direction (Max 15 marks)
Substantial direction by consultant.
Trainee performs all steps but the
consultant provides constant
direction to the trainee and surgical
team.
Some direction by consultant.
Trainee performs all steps but the
consultant provides occasional
direction to the trainee and /or the
surgical team.
(5)
(10)
☐
☐
Minimal direction by consultant.
Trainee performs all steps and
directs the surgical team
independently with little or no
direction from the consultant to
either the trainee or the surgical
team.
(15)
☐
SCA /052014/V1
Pre-Operative
Preparation
(Max 30 marks)
Please indicate
the degree to
which trainee:
N/A
Very poor.
Unacceptable for
level of training
(1)
Below
expectations
for level of
training
(2)
Meets
expectations
for level of
training
(3)
Above
expectations
for level of
training
(4)
Exceptional.
Capable of
performing
independently
(5)
Below
expectations
for level of
training
(4)
Meets
expectations
for level of
training
(6)
Above
expectations
for level of
training
(8)
Exceptional.
Capable of
performing
independently
(10)
1. Demonstrates
knowledge of case &
relevant
investigations.
2. Ensures
availability of
relevant patient data
& x-rays.
3. Ensures patient is
appropriately
positioned with
attention to pressure
areas & diathermy
pad.
4. Initiates “Time
out” in accordance
with WHO guidelines
5.Demonstrates
effective scrubbing
& gowning
technique
6. Demonstrates
appropriate skin
preparation &
draping.
Operative
Procedure (Max
80 marks).
Please indicate
the degree to
which trainee:
N/A
Very poor.
Unacceptable for
level of training
(2)
7. Plans & makes
incision(s) taking
into account
procedure & prior
surgery.
8. Chooses
appropriate surgical
instruments
(including sutures).
9. Uses surgical
instruments
(includes diathermy,
stapler etc.) in a
manner that is safe
(i.e. visualizes tips)
& demonstrates
economy of motion.
10. Handles tissue
carefully,
demonstrates
meticulous
dissection technique
& appropriate use of
tissue planes.
11. Anticipates
needs, thinks ahead
& sets up operative
field by effective use
of retraction &
assistants, with
efficient forward
progression & flow.
12. Demonstrates a
calm demeanor, is
not distracted, slows
down when
appropriate &
accepts feedback.
13. Is able to
SCA /052014/V1
problem solve,
recognised, avoid &
recover from errors
& unexpected
events (includes
abnormal anatomy &
bleeding).
14. Communicates
effectively with
team, provides
leadership &
appropriately
monitors changes
outside immediate
operative field.
Postoperative
Care (10)
Please indicate
the degree to
which the
trainee:
N/A
Very poor.
Unacceptable for
level of training
(2)
Below
expectations
for level of
training
(4)
Meets
expectations
for level of
training
(6)
Above
expectations
for level of
training
(8)
Exceptional.
Capable of
performing
independently
(10)
15. Completes the
operation note &
writes postoperative orders.
Please indicate the weaknesses in this trainee’s performance:
Please indicate the strengths in this trainee’s performance:
Please rate this trainee’s overall performance in this procedure. Exceptional rating indicates technically
proficient performance (i.e., trainee is ready to perform THIS operation independently assuming he/she
consistently performs at this level).
Unable to perform
basic operative
steps without
direction
☐
Fair performance
but needed
considerable
direction to
complete steps.
☐
Good performance
but needed some
direction
Excellent
performance but
needed some
direction
☐
☐
Exceptional
performance. Could
operate
independently.
☐
Assessor’s Signature: ________________________________________
Assessor’s Name ___________________________________________ (Print)
Date ___________________________
Office Use Only
Score: ______
SCA /052014/V1
NATIONAL SURGICAL TRAINING CENTRE
Trainee Assessment Report
Trainee Name:
Trainer Name:
Hospital:
Specialty:
Programme Year:
Rotation Start Date:
End Date:
Guidelines for Hospital Based Programme Director (HBPD)


Where more than one trainer is involved with the trainee, a consensus opinion should be expressed on the form which
should be signed by all trainers
Complete the main assessment by placing an X in the box below the descriptor
N.B. The completed form will NOT be considered if “N/A” is entered for three or more of the items numbered 1 -15 (i.e.
20% of the items)
A maximum of 25 points is awarded for each trainee assessment form. The form is scored out of 250 for ease of
calculation.
N/A = not observed or not done by the trainee
Please mark all sections by checking the box in the appropriate category.
N/A
A. Clinical
Skills (150)
1.History
Taking
(20)
Very poor.
Unacceptable
for level of
training
Misses important
information,
inefficient,
disorganised; fails
to check findings.
4
2.Physical
Examination
(20)
3.Diagnostic
skills
(25)
4
(30)
5.Operative
Skills
8
Above
expectations for
level of training
12
8
12
16
10
15
16
Lacks decision
making, technical &
forward planning
skills.
18
20
5
Requires constant
oversight to ensure
completion of
operation notes &
24
15
Requires some
direction to
complete operation
notes & post-
30
Demonstrates
exceptional
decision making,
technical & forward
planning skills.
Demonstrates
decision making,
technical, & forward
planning skills.
10
25
Recognises
symptom patterns,
effectively gathers
information & takes
an evidence based
approach to make
or confirm a
diagnosis.
(25)
6.Postoperative
Management
20
Consistently orders
most appropriate
lab & imaging
investigations.
Demonstrates a
logical approach to
diagnosing common
surgical conditions
& complications.
Recognises obvious
symptom patterns &
generally uses an
evidence based
approach to make
or confirm a
diagnosis.
12
20
Excellent technique,
thorough, efficient;
picks up key signs.
Requires some
direction to order
appropriate lab &
imaging
investigations & to
diagnose common
surgical conditions
& complications.
Fails to recognise
obvious clinical
conditions or
misjudges severity.
Does not use an
evidence based
approach to make
or confirm a
diagnosis.
Exceptional.
Capable of
performing
independently
Precise, logical,
purposeful &
efficient; skilful at
checking findings.
Good technique,
reasonably efficient;
omits some key
elements & signs.
Haphazard or
inappropriate
ordering of
diagnostic tests.
Frequently fails to
diagnose common
surgical conditions
& complications.
6
Meets
expectations for
level of training
Misses some minor
facts but relatively
precise, logical,
purposeful &
efficient.
Poor technique,
inefficient, omits
many key elements
& signs.
5
4.Clinical
Judgement
Below
expectations for
level of training
20
25
Efficiently
completes
operation notes &
post-operative
SCA /052014/V1
(20)
post-operative
orders as well as
appropriate postoperative patient
management.
4
7.Follow-Up
Planning
(10)
B. Professional
Development
(40)
8. Teaching
Activities
operative orders &
to manage postoperative patients.
Generally
anticipates
complications.
8
12
10.
Presentations
(10)
Consistently
anticipates patient
discharge needs &
communicates
these in a timely
manner.
4
6
8
10
Very poor.
Unacceptable
for level of
training
Below
expectations for
level of training
Meets
expectations for
level of training
Above
expectations for
level of training
Exceptional.
Capable of
performing
independently
N/A
4
6
Very little
participation in
clinical audit.
2
Excellent,
enthusiastic
teacher. Seldom
misses an
opportunity to teach
students or interns.
Seldom volunteers
to teach but will
complete teaching
assignments in an
effective manner.
Avoids teaching, &
contributes little to
the education of
students & interns.
8
4
6
8
6
Does not perform
research.
8
Performs research
under direction.
4
6
10
Independently
performs research
using the literature.
Appropriate
statistical &
research methods.
(10)
2
10
Presentations are
thoroughly
researched &
presented in an
organized & clear
manner.
Presentations are
adequately
researched & well
presented.
4
10
Participates actively
in collection &
evaluation of clinical
audit data.
Participates
occasionally in
clinical audit.
Presentations are
inadequately
researched &
presented in a
haphazard manner.
2
11. Research
20
2
2
(10)
16
Usually anticipates
patient discharge
needs &
communicates
these needs in a
timely manner
Seldom anticipates
or communicates
patient discharge
needs without
prompting.
(10)
9. Clinical Audit
orders. Manages
post-operative
patients in a
conscientious
manner &
anticipates
complications,
without prompting.
8
10
N/A
C. Personal
Skills (60)
12.
Communication
(15)
Very poor.
Unacceptable for
level of training
Below
expectations for
level of training
Explanations to
patients are often
incorrect & confusing.
Often treats nurses &
colleagues with
disdain & has
generated a number
of complaints
3
Meets
expectations for
level of training
Above
expectations for
level of training
Excellent patient
rapport, answers
patient's questions
clearly &
accurately.
Treats nursing staff
& colleagues with
respect & is
respected in turn
Good rapport with
most patients &
usually answers
questions clearly.
Communicates &
works well with
nursing staff &
colleagues.
6
9
Exceptional.
Capable of
performing
independently
12
15
SCA /052014/V1
13. Teamwork &
Leadership
(15)
Poor team player;
works alone, does
not support or assist
colleagues.
Very limited
leadership ability.
3
14. SelfAwareness &
Self –
Management
(15)
15.Management
& Organization
(15)
Good team player,
but average leader.
Demonstrates
excellence in some
leadership skills
but not others.
6
6
Constantly
disorganised, does
not identify priorities,
always behind in
tasks. Tends to
panic in a crisis & is
unable to deal with
emergencies.
Unreliable, frequently
forgets significant
patient duties / tasks
3
9
12
Demonstrates
some insight into
strengths &
weaknesses &
generally responds
well to feedback.
Does not seek
opportunities to
learn but accepts
these when
offered.
Generally presents
himself/ herself in a
professional
manner
Little or no
understanding of own
limitations or
deficiencies & does
not respond to
feedback.
No inclination to
organize work, needs
to be pushed
constantly,
Sloppy in appearance
& work manner.
3
Works well with
team members;
offers support,
coaching and/or
feedback & resolves
conflict.
Exceptional ability to
direct / team
activities. Assesses
needs, allocates
tasks, motivates,
organises, &
maintains a positive
team environment.
9
Recognises own
deficiencies &
makes appropriate
changes.
Responds well to
feedback
Actively seeks
opportunities to
advance. Presents
himself/ herself in a
professional
manner at all times
12
9
15
Exceptionally wellorganized.
Identifies priorities
& remains calm in
a crisis. Is able to
deal with
emergencies.
Reliable & seldom
forgets significant
patient duties /
tasks
Generally
prioritises
appropriately & is
efficient. Usually
calm at time of
crises.
Occasionally needs
to be reminded of
duties but generally
dependable
6
15
12
15
Please indicate the weaknesses in this trainee’s performance:
Please indicate the strengths in this trainee’s performance:
Please rate this trainee’s overall performance in this post:
Very poor.
Unacceptable for
level of training
Below expectations
for level of training
Meets expectations
for level of training
Above expectations
for level of training
Exceptional trainee.
Assessor’s Signature: __________________________________________
Assessor’s Name _____________________ (Print)
Date _______________________
Office Use Only
Score: ______
SCA /052014/V1
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