RANZCOG - Home€¦ · Web viewTrainee Checklist Six-monthly Summative Assessment Report - signed by the Training Supervisor and TraineeTraining Supervisor has sighted the Trainee

Certification inReproductive Endocrinology and Infertility

Training Assessment Record

CREI – TAR

Full Name

Address

MobileEmail

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 or complete pages 6-8 paper-based CTS□ Assessment of Procedural Skills (APS) Summary including Assessment forms– signed by Training Supervisor□ Weekly Timetable - signed by the Training Supervisor and Trainee□ Research Project Proposal and Timeline Application - (first six months ONLY) download from the website □ 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, including Research Progress Report

□ NOT SATISFACTORY following review of CREI Subspecialty Committee

Chair, CREI Subspecialty Committee _________________________________ Date: ____________Comments:

Six-monthly Summative Assessment Report

CREI TAR (Training Assessment Record) Page 1 of 24 CREI 4-032020

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)) DTotal weeks worked (‘B’ minus ‘D’) E

Total training time to be creditedBefore rounding (‘E’ times ‘A’) FAfter rounding (‘F’ rounded up/down to the nearest whole week)

Date received □ submitted by due date □ overdue submission

Under RANZCOG Regulation D1.7.1.3 the maximum training credit permitted in a training year is 46 weeks. As you have trained for more than 46 weeks in your training time has been reduced to 46 weeks to comply with the regulation.

Semester 1 …….. Semester 2 ........ = …….. Total weeks credited this training year ………………..


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

expectationof year level

Atexpectationof year level

AboveExpectation of year level

Unableto assess

Demonstrates responsibility, reliability and initiative in undertaking clinical and other duties and follow upManages clinical load effectively in consultation with multidisciplinary teamDemonstrates appropriate procedural, laboratory and surgical skills in assisted conception, andrology/urology and relative to the treatiseDemonstrates appropriate general and endoscopic female reproductive surgical skillsDemonstrates appropriate documentation and organisational skills

Demonstrates continued improvement in medical expertise, clinical reasoning and judgment

Domain - Academic AbilitiesCompetencies Below




Unableto assess

Demonstrates appropriate theoretical knowledge of principles of evidence-based medicineDemonstrates appropriate theoretical knowledge of general endocrinology (including neuroendocrinology) and female reproductive endocrinologyDemonstrates appropriate theoretical knowledge of medical andrologyDemonstrates appropriate theoretical knowledge of assisted conceptionDemonstrates appropriate skills in all aspects of clinical research

Demonstrates effective teaching at both undergraduate postgraduate levelDemonstrates attendance and participation at continuing education meetingsDemonstrates commitment to learning


Domain - Professional QualitiesCompetencies Below




Unableto 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.

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

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.

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________


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 CREI 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

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 period)

□ Satisfactoryor□ Referred for Review to CREI Committee If referred to CREI 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.au

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 Subspecialties Services

Fax +61 3 9412 2956 or email [email protected]


http://www.ranzcog.edu.au/

Clinical Training Summary

For commencement of training prior to 1 December 2018 only. To be completed if not using the online logbook

Procedure

No.

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d requirement at end of REI

Training

Female reproductive medicine

Ovulation induction with clomipheneOvulation induction with FSHOvulation induction with pulsatile GnRHOvarian suppression with oral contraceptives or other steroid combinationsOvarian suppression with GnRH agonists or antagonistsHormone replacement therapyAnti androgen therapyGeneral endocrinology casesPuberty/adolescent gynaecologyFamily Planning (contraceptive cases)Neuro-endocrinology casesFemale reproductive surgery

DiagnosticLaparoscopy +/- dye studies IHysteroscopy under GA I‘Office’ hysteroscopy (no GA) I

Adnexal surgeryLaparoscopic salpingostomy for ectopic ILaparoscopic salpingectomy ILaparoscopic salpingo-oophorectomy ILaparoscopic surgery for adnexal torsion ILaparoscopic salpingolysis ILaparoscopic neosalpingostomy SLaparoscopic ovarian cystectomy for endometrioma

a) <5cmb) 5-10cmc) >10cm

IIS

Laparoscopic ovarian cystectomy for cysta) <5cmb) 5-10cmc) >10cm

IIS

Laparoscopic tubal reanastomosis AOpen tubal reanastomosis SLaparoscopic ovarian drilling I

A = Assisted S = Performed Supervised I = Performed Independently


Procedure

No.

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isted

th

is 6

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ths

Cum

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ed

No.

per

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Training

Uterine surgeryHysteroscopic polypectomy IHysteroscopic adhesiolysis IHysteroscopic division of uterine septum IHysteroscopic myomectomy ILaparoscopic myomectomy SOpen myomectomy I

Endometriosis surgery

Laparoscopic resection of endometriosis:a) Peritoneal onlyb) Ureterolysisc) Ureteric catheterisationd) Rectal shavinge) Rectovaginal excisionf) Rectal excision with

reanastomosisg) Resection endometriomah) Proceed to open surgery

ISSSSS

II

Vaginal surgeryResection of vaginal septum SNeovaginoplasty (specify) AAndrologyMale factor (male infertility) casesDiagnostic andrology cases (non-infertility)


Diagnostic urology casesMale hormone replacement therapyMale Reproductive SurgeryPESA ITESA IOpen testicular biopsy IReversal of vasectomy AElectroejaculation AMicrosurgical sperm recovery AARTTransvaginal oocyte collection ITransabdominal oocyte collection ATranscervical embryo transfer ILaparoscopic zygote tubal transfer AImagingFalloposcopy / salpingoscopy AHysterosalpingogram IUltrasound follicle tracking IDiagnostic ultrasound ICT scan (interpretation with radiologist) SMRI scan (interpretation with radiologist) S



Procedure

No.

ass

isted

this

6 m

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s

Cum

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No.

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Training

Laboratory SkillsSessions in an immuno-assay laboratory ASemen analysis ASperm preparation procedures AIVF procedures AIVF fertilisation checks AICSI procedures AEmbryo freezing procedures APolymerase chain reaction procedures AFluorescent in-situ hybridisation procedures A

Transmission electron microscopy examinations A

Scanning electron microscopy examinations A

MicrosurgeryMicrosurgical cases performed by a CREI training centre approved microsurgeon (minimum of 10 over 3 year training period)Anaastomosis/performance alternate anastomosis to count as one case when supervised by a CREI accredited training centre approved microsurgeon (one over the 3 year training period)Microsurgical cases overall (minimum of 10 over 3 year training period)Involvement in a CREI Committee approved laboratory/animal research project supervised by a CREI training centre approved microsurgeon(counts for a maximum of 5 cases overall)Documented microsurgical cases supervised by a CREI training centre approved microsurgeon during FRANZCOG training (to count up to a maximum of 5 cases)


I certify the above information is a true and accurate record of my training experience.

Trainee signature ______________________________________________ Date ___________

I certify I have reviewed this trainee’s Daily Training Record (DTR) and this Clinical Training Summary is a true and accurate record. I have provided feedback to this trainee about their strengths and areas for improvement.


Training Supervisor’s signature __________________________________ Date ____________


CREI Assessment of Procedural Skills (APS) Name of Trainee ______________________________Summary Sheet

Procedure being Assessed

Formative AssessmentDate and Signature of Assessor

If more than 3 formative assessmentsuse a new sheet

Dateof Summative Assessment

Surname and Signatureof

Summative Assessor

Summative Assessments

Attached

1 2 3

1. Hysteroscopic adhesiolysis__ __ __

___________

__ __ __

___________

__ __ __

___________

□

2. Hysteroscopic division of uterine septum

__ __ __

___________

__ __ __

___________

__ __ __

___________

□

3. Hysteroscopic myomectomy__ __ __

___________

__ __ __

___________

__ __ __

___________

□

4. Laparoscopic ovarian drilling__ __ __

___________

__ __ __

___________

__ __ __

___________

□

5. Laparoscopic removal of endometrioma greater than 5cm

__ __ __

___________

__ __ __

___________

__ __ __

___________

□

6. Laparoscopic resection of peritoneal endometriosis

__ __ __

___________

__ __ __

___________

__ __ __

___________

□

7. Laparoscopic salpingolysis__ __ __

___________

__ __ __

___________

__ __ __

___________

□

8. Needle retrieval of sperm__ __ __

___________

__ __ __

___________

__ __ __

___________

□

9. Open myomectomy__ __ __

___________

__ __ __

___________

__ __ __

___________

□

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

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


Trainee Participation in Other Professional ActivitiesFor commencement of training prior to 1 December 2018 only. To be completed if not using the online logbook

Trainee Name _______________________________ Year of Training 1 / 2 / 3

For the six-month period ___________________________ to _________________________

Meetings attended outside the Training Institution

Date Venue Topic

Meetings attended related to Reproductive Endocrinology and Infertility

Date Venue Topic

Scientific Presentations made

Date Venue Topic


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

S S

TS TS

TUESDAY

A A

S S

TS TS

WEDNESDAY

A A

S S

TS TS

THURSDAY

A A

S S

TS TS

FRIDAY

A A

S S

TS TS

A = Activity S = Site TS = 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 ________________


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 CGO 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 ________________


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 -

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 ……………………………………..


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 CREI 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 CREI 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 CREI 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 CREI 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





CREI Clinical Training Summary

Information

The Clinical Training Summary lists those cases and procedures a CREI trainee is expected to manage and/or perform during their three year training period.

Trainees must record whether they assisted, performed supervised or independently performed each. Performed independently assumes that the trainee can confidently manage and/or perform that procedure as the primary operator.

For those procedures trainees are expected to be able to independently perform by the end of their three year training period, trainees must be assessed and signed off by a certified RANZCOG CREI Subspecialist – either the Training Supervisor or an appropriate consultant who works with the trainee.

The CREI Procedural Skills Assessment Summary lists these procedures and can be found on the website. Trainees are encouraged to spread the assessment of these procedures throughout their three years. The completed assessment must be submitted with the final six-month TAR of Year 3 of training.

For each six-month TAR, trainees are expected to transfer information from their Daily Training Log (DTR) which must be signed by the Training Supervisor.


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 CREI 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 Program Directors, Training Supervisors, the CREI 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, Program Director, and CREI 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. Program Directors, Training Supervisors or the Chair of the CREI Subspecialty Committee may ask tosee your 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 CREI 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 CREI 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 Kate Gilliam, Training Coordinator - SubspecialtiesTel +61 3 9412 2959Fax +61 3 9412 2956Email [email protected]


mailto:[email protected]


Index

Page

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

Training Assessment Records ......................................................................................................... 6-10

Weekly Timetables ......................................................................................................................... 11

Research Project ............................................................................................................................. 12-14

Information ..................................................................................................................................... 15-18


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 2Complete 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/siteNever 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/siteNever Rarely Some


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


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:


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. GeneralThe 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:


RANZCOG - Home€¦ · Web viewTrainee Checklist Six-monthly Summative Assessment Report - signed by the Training Supervisor and TraineeTraining Supervisor has sighted the Trainee

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