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Northern Schools of Anaesthesia
Portfolio of Training Progress
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Contents
General information
Membership of Societies
Journals Subscribed
Employment Details
Examination Records
Courses Attended
Research Training
Audit Training
Personal Summary Following Appraisal
Publications
Learning to Teach
Name
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Clinical Experience
Logbook
Communication
Management Training
Personal Details
Name
Address
Postcode
Telephone
Fax
GMC Registration Number
National Training Number
Medical Degree
Name
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Other Degrees
Non-Anaesthetic MembershipsDiplomas etc.
Primary FRCA or FRCAI
Final FRCA
Qualification exempting primary
Provisional CCST Date
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Membership of Societies
Name
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Journals Subscribed
Name
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Employment Details
Summary of Training Posts
UK Pre Registration Posts
Overseas Pre Registration Posts
Non Anaesthetic Experience in UK
Non Anaesthetic Experience Overseas
SHO1
SHO2
SPR1
SPR2
SPR3
SPR4
SPR5
Anaesthetic Experience Overseas
Name
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Fellowship or Research Post in Anaesthesia
Non Medical Experience
Voluntary Work Undertaken in a Medical Capacity
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Summary of Employment
U.K. Non- Anaesthetic Training Posts
Specialty Hospital From Until
Pre-registration
Pre-registration
Pre-registration
Pre-registration
Specialist Training
Specialist Training
Specialist Training
Specialist Training
U.K. Anaesthetic TrainingPosts
Hospital Sub-specialty From Until
SHO
Name
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SHO
SHO
SHO
SHO
SpR 1
SpR 1
SpR 2
SpR 2
SpR 3
SpR 3
SpR 3
SpR 3
SpR 4
SpR 4
SpR 5
SpR 5
Fellowship
Overseas Training
Specialty Hospital From Until
Overseas Training
Overseas Training
Name
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Overseas Training
Overseas Training
Overseas Training
Overseas Training
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UK Pre-Registration Training
Hospital Clinical Specialty From Until
Name
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Summary of pre-registration training
Key responsibilities of these posts
Special skills and knowledge gained
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Name
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Overseas Pre-Registration Training Intern Posts etc.
Hospital Clinical Specialty From Until
Summary of pre-registration training
Name
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Key responsibilities of these posts
Special skills and knowledge gained
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UK Post Registration Training (None Anaesthetic)
Post: Grade:
Hospital Clinical Specialty From Until
Name
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Summary of training
Key responsibilities of this post
Clinical:
Managerial:
Educational:
Special skills and knowledge gained
Clinical:
Managerial:
Name
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Educational:
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Overseas Post Registration Training (Non-Anaesthetic)
Post: Grade:
Hospital Clinical Specialty From Until
Summary of training
Name
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Key responsibilities of this post
Clinical:
Managerial:
Educational:
Special skills and knowledge gained
Clinical:
Managerial:
Educational:
Name
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UK Anaesthetic Training
Year 1 Training
Post: Grade: SHO
Hospital Clinical Sub-specialty From Until
Summary of training
Name
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Key responsibilities of this post
Clinical:
Managerial:
Educational:
Special skills and knowledge gained
Clinical:
Managerial:
Educational:
Name
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UK Anaesthetic Training
Year 2 Training
Post: Grade: SHO
Hospital Clinical Sub-specialty From Until
Summary of training
Name
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Key responsibilities of this post
Clinical:
Managerial:
Educational:
Special skills and knowledge gained
Clinical:
Managerial:
Educational:
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Name
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UK Anaesthetic Training
Year 3 Training
Post: Grade: SpR 1
Hospital Clinical Sub-specialty From Until
Summary of training
Key responsibilities of this post
Clinical:
Managerial:
Name
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Educational:
Special skills and knowledge gained
Clinical:
Managerial:
Educational:
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UK Anaesthetic Training
Year 4 Training
Post: Grade: SpR 2
Hospital Clinical Sub-specialty From Until
Name
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Summary of training
Key responsibilities of this post
Clinical:
Managerial:
Educational:
Special skills and knowledge gained
Name
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Clinical:
Managerial:
Educational:
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UK Anaesthetic Training
Year 5 Training
Post: Grade: SpR 3
Hospital Clinical Sub-specialty From Until
Name
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Summary of training
Key responsibilities of this post
Clinical:
Managerial:
Educational:
Special skills and knowledge gained
Clinical:
Managerial:
Name
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Educational:
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UK Anaesthetic Training
Year 6 Training
Post: Grade: SpR 4
Hospital Clinical Sub-specialty From Until
Summary of training
Key responsibilities of this post
Name
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Clinical:
Managerial:
Educational:
Special skills and knowledge gained
Clinical:
Managerial:
Educational:
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Name
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UK Anaesthetic Training
Year 7 Training
Post: Grade: SpR 5
Hospital Clinical Sub-specialty From Until
Summary of training
Key responsibilities of this post
Clinical:
Managerial:
Name
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Educational:
Special skills and knowledge gained
Clinical:
Managerial:
Educational:
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Overseas Anaesthetic Training
Post: Grade:
Hospital Clinical Sub-specialty From Until
Name
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Summary of training
Key responsibilities of this post
Clinical:
Managerial:
Educational:
Name
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Special skills and knowledge gained
Clinical:
Managerial:
Educational:
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UK Anaesthetic Training
Fellowship or Research Post
Post: Grade:
Hospital Clinical Sub-specialty From Until
Name
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Summary of training
Key responsibilities of this post
Clinical:
Managerial:
Educational:
Special skills and knowledge gained
Clinical:
Managerial:
Name
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Educational:
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Non Medical Employment
Post: From Until
Summary of training
Name
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Key responsibilities of this post
Clinical:
Managerial:
Educational:
Special skills and knowledge gained
Clinical:
Managerial:
Educational:
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Voluntary Work
Grade:
Name
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Post: From Until
Summary of training
Key responsibilities of this post
Clinical:
Managerial:
Educational:
Name
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Special skills and knowledge gained
Clinical:
Managerial:
Educational:
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Anaesthetic Fellowship Examination Record
Summary of Entries to the Primary FRCA
Evaluation of Unsuccesful Attempts at the Primary FRCA
Summary of Entries to the Final FRCA
Evaluation of Unsuccesful Attempts at the Final FRCA
Details of Examinations exempting from the Primary FRCA
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Name
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Primary Fellowship of the Royal College of Anaesthetists (FRCA orFRCAI)
Summary
London Feed-back
Date Pass orFail
or Dublin MCQ OSCE VIVA 1 VIVA 2
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Primary Fellowship of the Royal College of Anaesthetists (FRCA orFRCAI)
Evaluation of unsuccessful attempts at the primary
London Feed-back
Date or Dublin MCQ OSCE VIVA 1 VIVA 2
Preparation:
Name
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Courses attended
"Crammer" course attended
Practice Vivas
Essay Practice
Personal evaluation of the examination:
Do you believe you were adequately prepared for this exam?
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Name
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Final Fellowship of the Royal College of Anaesthetists (FRCA orFRCAI)
Summary
Date Pass or Fail or Dublin MCQ Essays VIVA 1 VIVA 2
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Final Fellowship of the Royal College of Anaesthetists (FRCA orFRCAI)
Evaluation of unsuccessful attempts at the Final
London Feed-back
Date or Dublin MCQ essays VIVA 1 VIVA 2
Preparation:
Courses attended
Name
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"Crammer" course attended
Practice Vivas
Essay Practice
Personal evaluation of the examination:
Do you believe you were adequately prepared for this exam?
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Name
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Examination Exempting from Primary FRCA
Summary
Date Pass or Fail Exam Taken
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Courses and Educational Meetings Attended
Summary of Courses and Meetings Attended
Evaluation of a Course or Meeting Attended
Summary of Personal Contributions to Courses and Meetings
Evaluation of a Lecture Given
Evaluation of a Presentation Made
Evaluation of a Tutorial Given
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Name
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Summary of Courses and Educational Meetings
Attended
Date Course Location
Name
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Course or Meeting Evaluation
Date:
Course Title:
Duration:
My educational objective in attending this course:
Name
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Summary of course content: (Where available insert program in portfolio)
What was good about this course?
What was bad about this course?
Did the course meet its stated objectives?
Were your objectives met?
Did you speak or ask questions?
Name
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Courses and Educational Meetings
Summary of personal contributions Presentations, lectures, &tutorials.
Date Course Location
Name
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Evaluation of Personal Contribution – Presentation
Date:
Type ofPresentation:
Name
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Duration:
My objective in making this presentation:
Summary of presentation: (Where available insert program in portfolio)
Department, hospital, Deanery orNational?
Estimated size of audience:
Nature of the Audience:
Duration of presentation:
Audiovisual techniques used:
Describe how you prepared for thispresentation:
What went well?
What went less well?
Name
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Did your presentation meet its statedobjectives?
Did you ask for feedback? (Insert afeedback summary if available)
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Evaluation of Personal Contribution – Lecture
Date:
Lecture Title:
Duration:
My objective in making this lecture:
Summary of lecture: (Where available insert program in portfolio)
Department, hospital, Deanery orNational?
Estimated size of audience:
Name
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Nature of the Audience:
Duration of lecture:
Audiovisual techniques used:
Describe how you prepared for thislecture:
What went well?
What went less well?
Did your lecture meet its statedobjectives?
Did you ask for feedback? (Insert afeedback summary if available)
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Evaluation of Personal Contribution - Tutorial or other teachingsession
Date:
Tutorial Title:
Duration:
My objective in giving this tutorial:
Name
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Summary of tutorial: (Where available insert program in portfolio)
Department, hospital, Deanery orNational?
Estimated size of audience:
Nature of the Audience:
Duration:
Audiovisual techniques used:
Describe how you prepared for thistutorial:
What went well?
What went less well?
Name
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Did your tutorial meet its statedobjectives?
Did you ask for feedback? (Insert afeedback summary if available)
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Medical Audit
Summary of Audit Meetings Attended
Evaluation of Audit Meetings Attended
Courses and Meetings Attended relating to Audit Training
Audit Projects Undertaken
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Medical Audit
Attendance at Audit Meetings
Summary
Date Meeting Location
Name
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Name
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Medical Audit
Evaluation of Attendance at Audit Meetings
Date:
Location:
Type of meeting:
Topics presented:
What is your involvement in these areas of practice?
Evaluation of the audits presented:
Name
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How has this audit changed your practice?
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Audit Training
Taught courses on audit methods and statistics
Date Course Location
Literature reviews for audit
Date Subject
Name
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Medical Audit - Audit Project Undertaken
Date:
Title of Audit:
Objective in doing this Audit:
Were you the principal author?
Who else participated?
Describe the accepted standard against which you measured local practice:
Describe the methods used:
Summarise your results:
Name
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What changes were made in response to this audit?
Describe how much work you did to accomplish this audit
Has this audit changed practice?
Did you present the audit yourself?
To what audience?
Size:
Nature:
How long did the presentation last?
What audiovisual methods did you use?
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Research and Development
Details of a Research Project Undertaken
Account of Research Ideas Currently Being Developed
Name
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Summary of Meetings and Courses Attended relating to Research Training
Evaluation of Meetings and Courses on Research Methods
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Research or Development Project
Title of Project:
Source of any funding:
Project leader:
Project supervisor:
Date begun:
Date completed:
What question are you seeking to answer?
What is the importance of this research?
Was this project your own idea?
Name
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How are you involved in this project?
What was your involvement in writing the proposal for funding?
What was your involvement in obtaining ethical approval?
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Describe your research methodology:
Name
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Describe your results:
What statistical analysis have you used?
Name
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Presentation of this Research
Will this research be presented asa publication?
In which journal?
Has any journal rejected it?
Will this research be presented asa poster?
Will this research be presented asan abstract?
Will this research be presented ata scientific meeting?
What has your involvement beenin writing up the research?
Will you be making any personalpresentation of these results?
Evaluate the importance of your results:
Name
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How much time have you personally spent on this project?
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Research and Development
Ideas for Research
Title of Project:
Possible Source of anyfunding:
Project leader:
Name
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Project supervisor:
Date begun:
Date completed:
What question are you seeking to answer?
What is the importance of this research?
Was this project your own idea?
How do you propose to be involved in this project?
How will you obtain ethical approval?
Name
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Describe your proposed research methodology:
What statistical analysis will be needed?
What is needed to make this research a reality?
Name
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Research Training
Courses and Educational Meetings
Attended
Taught courses on research methods and statistics
Date Course Location
Attendance at and presentations to ARS, SCATA etc.
Date Meeting Personal contribution Location
Name
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Literature reviews
Date Subject
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Research Training
Course or Meeting Evaluation
Date:
Course Title:
Name
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Duration:
My objective in attending this course:
Summary of course content: (Where available insert program in portfolio)
What was good about this course?
What was bad about this course?
Did the course meet its stated objectives?
Name
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Were your objectives met?
Did you speak or ask questions?
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Publications
Summary of Publications
Writings prepared but not Published
Ideas for Publication under development
Evaluation of Recent Articles of Particular Interest
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Publications: (copies should be inserted in the portfolio)
Original Research:
Name
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Review Articles:
Case reports:
Name
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Letters:
Other published work:
Name
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Unpublished Articles
Title:
Current status:
Where have you thought ofpublishing:
When will it be finished:
Has this article been rejected by ajournal?
Summary describing how this article came to be written:
What was your personal involvement:
Name
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Describe how you wrote this article:
What is good about this article?
What is less good about this article?
What did you learn from writing this article?
What do you intend to do to get it published?
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Name
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Ideas for Articles
Date:
Title:
Current status:
Where have you thought ofpublishing:
When will it be started:
Summary describing how this idea came to you:
Describe how you might write this article:
What do you intend to do to get it written and published?
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Journal Articles
Name
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Some Articles I have read this year which has affected my practice
Reference:
Summary:
Why I feel this article is important:
Reference:
Name
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Summary:
Why I feel this article is important:
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Education
Summary of Teaching Activities
Evaluation of Personal Teaching Session
Summary of Attendances at Courses or Meetings About Teaching
Summary of Teaching Received about Teaching
Evaluation of Personal Contribution to Meeting about Teaching
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Education
Name
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Teaching Responsibilities and Training
Summary
List any significant teaching you have undertaken in the last year
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Teaching Responsibilities and Training
Teaching Sessions Undertaken
Hospital
Nature and number ofAudience
Subject of Teaching
Type of presentation
Name
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Date and Time
Include any copies of your talk, slides etc and formal feedback form
Responsibility undertaken:
What training did you receive for this work?
How did you prepare for this teaching?
Describe the teaching presentation or lecture.
What feedback did you get?
Name
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Education
Training and Courses Attended about teaching
Date:
Course Title:
Location
Duration:
My educational objective in attending this course:
Summary of course content:
What was good about this course:
What was bad about this course:
Name
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Were your objectives met?
Did you speak or ask any questions?
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Courses and Meetings about Education.
Summary of personal contributions.
Presentations, lectures and tutorials given.
Summary
Date Contribution made Location
Name
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Education: Meetings about teaching and learning
Evaluation of personal contribution
Include the programme, your notes, slides and feedback where available
Date:
Type of presentation made:
Duration:
Department, hospital,Deanery or national:
My objective in making this presentation:
Summary of presentation:
Name
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Estimated size of audience:
Length of presentation:
Audiovisual techniques used:
Describe how you prepared for this presentation:
What went well?
What went less well?
Back to Main Contents Page
Did your presentation meet your stated objectives?
Name
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Did you ask for written feedback?
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ManagementSummary of Management Training
Evaluation of Management Responsibilities Undertaken
Summary of Attendances at Management Training Courses
Summary of Personal Contributions to Management Courses or Meetings
Evaluation of Personal Contribution to Management Course or Meeting
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Management
Summary
List any significant management work you have undertaken
Date Hospital Nature of Responsibility
Name
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Management Responsibilities and Training
Include any written work you have done in connection with management e.g a sample of timetable, rotaetc.
What did you do?
What training did you receive for this work?
How did you prepare for this task?
How did it go?
What feedback did you get?
Name
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Management
Training and Courses Attended about management
Date Course Location
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Management
Training and Courses Attended about management
Date:
Course Title:
Location
Name
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Duration:
My educational objective in attending this course:
Summary of course content:
What was good about this course:
What was bad about this course:
Were your objectives met?
Name
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Did you speak or ask any questions?
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Courses and Meetings about Management
Summary of personal contributions.
Presentations, lectures and tutorials given.
Summary
Date Contribution made Location
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Management: Meetings about Management
Evaluation of personal contribution
Include the programme, your notes, slides and feedback where available
Name
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Date:
Type of presentationmade:
Duration:
Department, hospital,Deanery or national:
My objective in making this presentation:
Summary of presentation:
Estimated size of audience:
Length of presentation:
Audiovisual techniques used:
Describe how you prepared for this presentation:
Name
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What went well?
What went less well?
Did your presentation meet your stated objectives?
Did you ask for written feedback?
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Name
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Communication and Behaviour
Introduction
The following skills are difficult to define and assess, but are crucial to your role as an effective consultant. Youmay find it useful to complete this section at some time during your training, and discuss the issues raised withone of the consultants. If you are going on a management course, it may be helpful to complete this chapter ofthe portfolio before you go. Only work on this part of the portfolio if you wish, to evaluate your present level ofskill in these areas
Evaluations of Teamwork Experiences
Personal Evaluation of Time Management Skills
Personal Evaluation of Communication Skills
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Teamwork & Leadership
Anaesthetists must be able to work in, and lead teams. Examples from your work might be the management ofa seriously injured patient, managing the emergency work for a day, or a team conducting an audit project. Theteam leader needs a sense of purpose and the skills to work with others.
Describe an event in which you were part of a team who worked well together.
What was your role in the team?
Name
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Why was the team successful?
What did the team leader do well?
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What would you do differently?
Would you describe the team leader as a " good leader"? If so, why?
Name
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If not, what qualities do you think a "good leader" should have?
What methods did the leader use to get the team to function well together?
What other approaches could have been effective?
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Describe an event in which you were part of a team who did not work well together.
Name
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What was your role in the team?
Why was the team dysfunctional?
If you felt poor leadership contributed to this, can you identify the effects of thispoor leadership ?
What could the leader have done differently?
Name
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What could others have done differently?
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Is there anything you would do differently next time?
What have you learned from this experience?
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Describe a situation in which you were leader
Name
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What did you find easy?
What was more difficult?
If possible ask someone else "in the team", or a consultant who knows you well, to help you identify yourstrengths and weaknesses as a leader; it may be useful to ask them to observe you "in action" on a particularoccasion, and then give you feedback.
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Time management
Good time management involves a number of skills
Keep a time log for one day
What did you do and when?
Were you working alone?
Did you delegate anything?
Name
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If so who did you use and why?
Did delegating save you time?
If not, why?
How could you have used your time more effectively that day?
Tasks can be urgent or not urgent, important or unimportant, active (nothing will happen unless you do it) orreactive (someone else wants you to do something).
Fit the tasks from the day into these six categories.
What did you aim to achieve, but failed?
What factors contributed to failure?
Time is spent planning, doing and interacting with people. Are you already good at planning? If not, try makinga plan of what you want to achieve next week. At the end of the week, look at the plan. What did you achieve?What did you not achieve and why?
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Communication
Much of our work involves communicating with others. This involves many skills including, negotiating,explaining, listening, challenging, supporting, motivating and managing conflict.
What aspects of communication do you feel you are good at?
Name
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What methods of communication do you find easy to use? Is there anything you find harder?
If possible, ask a colleague/consultant/senior nurse to "sit in" during a discussion with a patient. Ask theobserver to tell you what you did well, and where they think you could have done better. Do you agree with theirassessment? If not, why not?
Describe a discussion with a patient which you think went well. What were the aims of your discussion? Whatinformation did you need to convey? What information did you glean from the patient? Are you confident thatthe patient understood what you described? How did you assess the patient's satisfaction with yourconversation?
What aspects of your involvement were good, and what could you have handled better?
Describe a discussion with a patient which you think did not go well. What happened?
What would you do differently next time? How did you assess the patient's views after your discussion?
Describe a meeting or discussion with colleagues which you thought went well. What part did you play? Whatmakes you think it went well?
Describe a meeting or discussion with colleagues which you thought went badly. What happened? How couldthe situation have been handled differently? What effect did this have on you?
Is there any individual or group you work with where you feel there is a problem with communication ?
What characteristics does the other party show that you find difficult?
What characteristics of your own contribute to the communication problems? How could you approach thesituation differently to make communication easier?
Include your work in your portfolio
Further training
If you have identified any areas where you feel your skills could be improved, the following resources may beuseful :
management training course
review of your performance with a senior colleague, experienced in management.
Logbook
Include a summary of your logbook in your portfolio at this point
Name
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Royal College of Anaesthetists Training Summary September 00
Northern Schools of Anaesthesia
Northern Deanery
Period ofReport
From
(MMM-YY)
To
(MMM YY)
Name
Grade (Pleasetick appropriatebox)
SHO1 SHO2 SHO3 SpR1 SpR2 SpR3 SpR4 SpR5 FTTA LAT
Other (specify)
NTN
(ifappropriate)
College
Reference
Number
Rotation or
Hospital (s)
From Until Hospital
(MMM-YY) (MMM-YY)
(MMM-YY) (MMM-YY)
(MMM-YY) (MMM-YY)
(MMM-YY) (MMM-YY)
Summary for period
Total number of anaesthetics given in this period
Total sessions in acute and chronic pain
Total sessions in ITU
Name
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Urgency and level of supervison
Supervision In theatre In suite In hospital At home None
Routine
Urgent
Emergency
Total
ASA Grade
ASA I II III IV V
Supervised
Unsupervised
Total Cases
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Time of day
Time 08:00 – 17:00 17:00 – 00:00 00:00 – 08:00
No. Cases
(Totals for period)
Supervising /Teaching
Grade Nurse Med student SHO1 SHO2/3 SpR
No. Cases
Name
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Specialty / Age
Age <6m 6m – 2yr 3 – 7 yr 8 – 16 yr 17 –79 yr >80yr Total by
Specialty
General Surgery
Orthopaedics
ENT/Max.facial
Eyes
Urology
Gynae
Day Surgery
Obstetrics
Neuro
Renal
Cardiac
Vascular
Thoracic
Plastics
Acute &Chronicpain
Name
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ITU
Other (specify)
Total by Age:
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Procedures (Theatre,ITU,Pain Clinic etc.)
Description
Number of Cases
Spinal
Epidural
Combined spinal & epidural
Arterial line
Name
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PA catheter
Vascath
Percutaneous tracheostomy
Double lumen endobronchial tube
Chest drain
Regional blocks (specify )
Other procedures (specify)
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Name
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Clinical Experience
Critical Incidents Listing
Evaluation of Critical Incident
Report of an Interesting Clinical Case
Review of a Clinical Topic
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Critical Incidents
Critical incidents are reported anonymously. If you are willing, you should include acopy of any critical incident in which you are involved and write an account of thecircumstances.
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Critical Incident Evaluation
Circumstances:
Name
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Outcome:
What could have prevented this mishap?
How has this experience affected your practice?
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Name
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Interesting Case
Patient:
Hospital:
Unit Number:
N.B. You must not record that information in your computer.
Your report should include a literature review and discussion.
Report:
Name
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Topic Review:
Use this section to record details of a clinical topic that you have reviewed. Include full details of your literaturesearch and provide references.
Explain why you chose to review this topic.
Name
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Name
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Personal Development Plan
After your annual appraisal you should think about the discussionsand develop a personal development plan for discussion at yourRITA appraisal. All these plans should be kept in your portfolio.
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Year of Training
SpR ………
Please describe your progress for this year of training
List the objectives for training that you identified last year and describewhat you have done to meet them.
What are your professional goals for this year and how do you intend toset about attaining them?
Name
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