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}{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid134807553\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr \brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li2880\jclisttab\tx2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2 \chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li3600\jclisttab\tx3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid134807557 \'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li4320\jclisttab\tx4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext \leveltemplateid134807553\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li5040\jclisttab\tx5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360 \levelindent0{\leveltext\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li5760\jclisttab\tx5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1 \levelspace360\levelindent0{\leveltext\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li6480\jclisttab\tx6480 }{\listname ;}\listid1836072910}{\list\listtemplateid783173618 \listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat0\levelspace0\levelindent0{\leveltext\leveltemplateid-1397957848\'01-;}{\levelnumbers;}\loch\af0\hich\af0\dbch\af23\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid134807553\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid134807553\'01\u-3913 ?;}{\levelnumbers;}\f3\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f14\chbrdr\brdrnone\brdrcf1 \chshdng0\chcfpat1\chcbpat1\fbias0 \fi-360\li6480 }{\listname ;}\listid2126581077}}{\*\listoverridetable{\listoverride\listid1836072910\listoverridecount0\ls1}{\listoverride\listid270209328\listoverridecount0\ls2}{\listoverride\listid587538112 \listoverridecount0\ls3}{\listoverride\listid516234076\listoverridecount0\ls4}{\listoverride\listid2126581077\listoverridecount0\ls5}{\listoverride\listid1313412096\listoverridecount0\ls6}{\listoverride\listid114911737\listoverridecount0\ls7} {\listoverride\listid355540247\listoverridecount0\ls8}}{\info{\title Educational Supervision Meeting \'96 GP Specialist Trainee Preparation Checklist}{\author Paul Johnson}{\operator Chris}{\creatim\yr2010\mo6\dy2\hr19\min13} {\revtim\yr2010\mo6\dy2\hr19\min13}{\printim\yr2010\mo1\dy20\hr8\min55}{\version2}{\edmins1}{\nofpages8}{\nofwords1740}{\nofchars9921}{\*\company NYY PCT}{\nofcharsws12183}{\vern8283}}\paperw11906\paperh16838 \widowctrl\ftnbj\aenddoc\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\formshade\horzdoc\dgmargin\dghspace180\dgvspace180\dghorigin1800\dgvorigin1440\dghshow1\dgvshow1 \jexpand\viewkind1\viewscale100\pgbrdrhead\pgbrdrfoot\splytwnine\ftnlytwnine\htmautsp\nolnhtadjtbl\useltbaln\alntblind\lytcalctblwd\lyttblrtgr\lnbrkrule \fet0{\*\docvar {dgnword-docGUID}{\'7bFE37E1BD-8FAB-47F5-88F5-3E25A505AB5F\'7d}} {\*\docvar {dgnword-eventsink}{77087792}}{\*\ftnsep \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang2057\langfe1041\loch\af0\hich\af0\dbch\af23\cgrid\langnp2057\langfenp1041 {\chftnsep \par }}{\*\ftnsepc \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang2057\langfe1041\loch\af0\hich\af0\dbch\af23\cgrid\langnp2057\langfenp1041 {\chftnsepc \par }}{\*\aftnsep \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang2057\langfe1041\loch\af0\hich\af0\dbch\af23\cgrid\langnp2057\langfenp1041 {\chftnsep \par }}{\*\aftnsepc \pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang2057\langfe1041\loch\af0\hich\af0\dbch\af23\cgrid\langnp2057\langfenp1041 {\chftnsepc \par }}\sectd \linex0\headery708\footery708\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl {\header \pard\plain \s22\qc \li0\ri0\sb240\sa60\widctlpar\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \b\f29\fs32\lang2057\langfe1041\kerning28\cgrid\langnp2057\langfenp1041 {\fs36\cf18 Educational Supervision Meeting \endash GP Specialist Trainee Preparation Checklist \par }\pard\plain \s16\ql \li0\ri0\widctlpar\tqc\tx4513\tqr\tx9026\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang2057\langfe1041\loch\af0\hich\af0\dbch\af23\cgrid\langnp2057\langfenp1041 { \par }}{\footer \pard\plain \s18\qr \li0\ri0\widctlpar\tqc\tx4513\tqr\tx9026\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang2057\langfe1041\loch\af0\hich\af0\dbch\af23\cgrid\langnp2057\langfenp1041 {\i\fs20 \hich\af0\dbch\af23\loch\f0 Dr. Paul Johnson, Yorksh\hich\af0\dbch\af23\loch\f0 ire & the Humber Deanery\hich\af0\dbch\af23\loch\f0 version 20 Jan\hich\af0\dbch\af23\loch\f0 2010 }{\i \par }\pard \s18\ql \li0\ri0\widctlpar\tqc\tx4513\tqr\tx9026\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par }}{\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang{\pntxta )}} {\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl8 \pnlcltr\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}\pard\plain \qj \li-851\ri-908\widctlpar\aspalpha\aspnum\faauto\adjustright\rin-908\lin-851\itap0 \fs24\lang2057\langfe1041\loch\af0\hich\af0\dbch\af23\cgrid\langnp2057\langfenp1041 {\hich\af0\dbch\af23\loch\f0 The ePortfolio can be bewildering, especially at first, because there is a lot in it. This form captures \hich\af0\dbch\af23\loch\f0 most of \hich\af0\dbch\af23\loch\f0 the contents of the ePortfolio, together with some extra Yorkshire and the Humber Deanery requirements, in a checklist. \par }\pard \qj \li-851\ri-908\widctlpar\aspalpha\aspnum\faauto\adjustright\rin-908\lin-851\itap0 { \par }\pard \qj \li-851\ri-908\widctlpar\aspalpha\aspnum\faauto\adjustright\rin-908\lin-851\itap0 {\b\cf1 \hich\af0\dbch\af23\loch\f0 T\hich\af0\dbch\af23\loch\f0 he GPST has ownership\hich\af0\dbch\af23\loch\f0 and responsibility for ensuring that all the evidence is in place in the\hich\af0\dbch\af23\loch\f0 ir\hich\af0\dbch\af23\loch\f0 ePortfolio\hich\af0\dbch\af23\loch\f0 (}{\hich\af0\dbch\af23\loch\f0 a\hich\af0\dbch\af23\loch\f0 s with all aspects of GP workplace based assessment}{\cf1 \hich\af0\dbch\af23\loch\f0 )}{\b\cf1 \hich\af0\dbch\af23\loch\f0 .}{\b\cf6 \hich\af0\dbch\af23\loch\f0 }{\cf6 \hich\af0\dbch\af23\loch\f0 We\hich\f0 \rquote \loch\f0 ve \hich\af0\dbch\af23\loch\f0 had a number of GP Specialist T\hich\af0\dbch\af23\loch\f0 rainees at ARCP panel interviews who have said }{\i\cf6 \loch\af0\dbch\af23\hich\f0 \'93\loch\f0 \hich\f0 but no one told me....\'94}{\cf6 \hich\af0\dbch\af23\loch\f0 : th\hich\af0\dbch\af23\loch\f0 is holds no justification and it\hich\f0 \rquote \loch\f0 s therefore important you understand it is }{\b\ul\cf6 \hich\af0\dbch\af23\loch\f0 your}{\cf6 \hich\af0\dbch\af23\loch\f0 responsibility to find out and satisfy what is necessary for \hich\af0\dbch\af23\loch\f0 satisfactory\hich\af0\dbch\af23\loch\f0 training\hich\af0\dbch\af23\loch\f0 progression}{\hich\af0\dbch\af23\loch\f0 .}{\b \hich\af0\dbch\af23\loch\f0 }{ \hich\af0\dbch\af23\loch\f0 This is especially important for the educational supervision meeting that prece\hich\af0\dbch\af23\loch\f0 des the annual review of compet\hich\af0\dbch\af23\loch\f0 ency progression (ARCP) panels.}{\b \par }{ \par \hich\af0\dbch\af23\loch\f0 Getting the most out of your educational supervision meetings involves prior preparation on your part and on your \hich\af0\dbch\af23\loch\f0 educational supervisor\hich\f0 \rquote \loch\f0 s \hich\af0\dbch\af23\loch\f0 part. This checklist is an aid to your preparation.\hich\af0\dbch\af23\loch\f0 I\hich\af0\dbch\af23\loch\f0 t i\hich\af0\dbch\af23\loch\f0 s hoped that if you complete\hich\af0\dbch\af23\loch\f0 the form in advance, your educational supervision meeting will not be dominated by checking the ePortfolio \hich\af0\dbch\af23\loch\f0 and you will get more out of the meeting as a result\hich\af0\dbch\af23\loch\f0 . \par }\pard \qj \li-851\ri-908\widctlpar\aspalpha\aspnum\faauto\adjustright\rin-908\lin-851\itap0 { \par }\pard \qj \li-851\ri-908\widctlpar\aspalpha\aspnum\faauto\adjustright\rin-908\lin-851\itap0 {\hich\af0\dbch\af23\loch\f0 The\hich\af0\dbch\af23\loch\f0 checklist is designed to help you ensure that your eviden\hich\af0\dbch\af23\loch\f0 ce is complete. \hich\af0\dbch\af23\loch\f0 It\hich\af0\dbch\af23\loch\f0 \hich\af0\dbch\af23\loch\f0 may help\hich\af0\dbch\af23\loch\f0 \hich\f0 reduce the incidence of GPSTs coming to ARCP panels with incomplete evidence and thus earning an unsatisfactory outcome, so we offer it \'93\loch\f0 \hich\f0 in your best interests\'94\loch\f0 . \par }\pard \qj \li-851\ri-908\widctlpar\aspalpha\aspnum\faauto\adjustright\rin-908\lin-851\itap0 { \par }\pard \qj \li-851\ri-908\widctlpar\aspalpha\aspnum\faauto\adjustright\rin-908\lin-851\itap0 {\hich\af0\dbch\af23\loch\f0 It\hich\f0 \rquote \loch\f0 s a long form out of necessity; there\hich\f0 \rquote \loch\f0 s a lot you need to \hich\af0\dbch\af23\loch\f0 do \hich\af0\dbch\af23\loch\f0 as a GP Specialist T\hich\af0\dbch\af23\loch\f0 rainee. We suggest you save the form on your computer and \hich\af0\dbch\af23\loch\f0 plan \hich\af0\dbch\af23\loch\f0 how you\hich\f0 \rquote \loch\f0 ll cover all aspects at the beginning of each of your posts. Then, i\hich\af0\dbch\af23\loch\f0 f\hich\af0\dbch\af23\loch\f0 you complete it \hich\af0\dbch\af23\loch\f0 electronically \hich\af0\dbch\af23\loch\f0 and attach it \hich\af0\dbch\af23\loch\f0 as\hich\af0\dbch\af23\loch\f0 a professional conversation in your \hich\af0\dbch\af23\loch\f0 shared \hich\af0\dbch\af23\loch\f0 lear\hich\af0\dbch\af23\loch\f0 ning log\hich\af0\dbch\af23\loch\f0 prior to your educational supervision meeting\hich\af0\dbch\af23\loch\f0 , it should assist the educational supervision meeting. \par }\pard \qj \li-851\ri-908\widctlpar\aspalpha\aspnum\faauto\adjustright\rin-908\lin-851\itap0 { \par }\pard \qj \li-851\ri-908\widctlpar\aspalpha\aspnum\faauto\adjustright\rin-908\lin-851\itap0 {\hich\af0\dbch\af23\loch\f0 This form is not an assessment; you do not pass or fail anything by completing this form. In particular, some of the questions refer to things th\hich\af0\dbch\af23\loch\f0 at may be beyond your control so if, for example, your log entries have not been read, then this does not necessarily reflect on you, but it might be something that you\hich\f0 \rquote \loch\f0 d like to discuss further with your educational supervisor. \par }\pard \qj \li-851\ri-908\widctlpar\aspalpha\aspnum\faauto\adjustright\rin-908\lin-851\itap0 { \par }\pard \qj \li-851\ri-908\widctlpar\aspalpha\aspnum\faauto\adjustright\rin-908\lin-851\itap0 {\hich\af0\dbch\af23\loch\f0 An educational supervision\hich\af0\dbch\af23\loch\f0 meeting could not possibly cover all the areas in this checklist in great \hich\af0\dbch\af23\loch\f0 depth;\hich\af0\dbch\af23\loch\f0 therefore you can use the form to indicate to your educational supervisor which are areas of priority for review. \par }\pard \qj \li-851\ri-908\widctlpar\aspalpha\aspnum\faauto\adjustright\rin-908\lin-851\itap0 {\page \par }\trowd \trgaph108\trrh391\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clshdng10000\cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\cf8 \hich\af0\dbch\af23\loch\f0 BACKGROUND INFORMATION\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh391\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clshdng10000\cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trleft-900\trbrdrt \brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Your N\hich\af0\dbch\af23\loch\f0 ame\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text1} {\field{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 000000001400000005546578743100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text1}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text1}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl \brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\hich\af0\dbch\af23\loch\f0 Stage of training }{\i \hich\af0\dbch\af23\loch\f0 (ST1, ST2 etc)}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text2}{\field{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 000000001400000005546578743200000000000000000000000000} {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text2}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text2}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\hich\af0\dbch\af23\loch\f0 Review period }{\i \hich\af0\dbch\af23\loch\f0 (dates)}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text3}{\field{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 000000001400000005546578743300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text3}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text3}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl \brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\hich\af0\dbch\af23\loch\f0 Purpose of review }{\i \hich\af0\dbch\af23\loch\f0 (eg ST1 interim review, or ST1 to ST2 progression review etc)}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text4}{\field{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 000000001400000005546578743400000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text4}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{ {\*\bkmkend Text4}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\hich\af0\dbch\af23\loch\f0 Hours worked }{\i \hich\af0\dbch\af23\loch\f0 (eg FT, 50%\hich\af0\dbch\af23\loch\f0 etc\hich\af0\dbch\af23\loch\f0 )}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text5}{\field{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 000000001400000005546578743500000000000000000000000000} {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text5}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text5}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc \clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\hich\af0\dbch\af23\loch\f0 Posts undertaken during review period\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text6}{\field{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 000000001400000005546578743600000000000000000000000000} {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text6}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text6}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trrh1435\trleft-900\trbrdrt \brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Declarations \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \qj \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls4\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 Have you signed the declarations (probity, health, educational contract) for all posts covered during this review period?}{\b \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 000000001400000005546578743600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text6}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh1435\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par \par }\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat1\cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 SHARED LEARNING LOG\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\hich\af0\dbch\af23\loch\f0 Comments (you can\hich\af0\dbch\af23\loch\f0 put dates of entries you\hich\f0 \rquote \loch\f0 d like to highlight to your educational supervisor)\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat1\cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trleft-900\trbrdrt \brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\hich\af0\dbch\af23\loch\f0 Have you shared all the log entries you want your clinical and/or educational supervisor to see? (If you don\hich\f0 \rquote \loch\f0 t share log entries then your supervisor doesn\hich\f0 \rquote \loch\f0 t know they exist, so\hich\af0\dbch\af23\loch\f0 can\hich\f0 \rquote \loch\f0 t read them).\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 000000001400000005546578743900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text9}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb \brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180 \row }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Quantitative \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \qj \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls4\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 Is there an adequate number of entries that reflect the learning activities undertaken in the review period? }{\i \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text9}{\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 000000001400000005546578743900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text9}}}}}{\fldrslt { \lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text9}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt \brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc \clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Qualitative \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \qj \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls4\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 Do your learning log entries show evidence of reflection and identification of learning need\hich\af0\dbch\af23\loch\f0 s? (Not merely descriptive).}{\i \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text10}{\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874313000000000000000000000000000} {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text10}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text10}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\page \par }\trowd \trgaph108\trrh662\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \clcbpat1\cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\page }{\b \hich\af0\dbch\af23\loch\f0 NATURALLY OCCURING EVIDENCE (NOE)\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh662\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \clcbpat1\cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trrh1140\trleft-900\trbrdrt \brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\hich\af0\dbch\af23\loch\f0 There are Yorkshire and Humber Deanery requirements for NOE and the details are on the deanery website. Have you done;-\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh1140\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb \brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl \brdrs\brdrw10 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trrh1410\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr \brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180{\listtext \pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720 {\i\fs22 \hich\af0\dbch\af23\loch\f0 Significant event analyses (3 per 6 months)?\hich\af0\dbch\af23\loch\f0 In addition to events that occur in practice, any complaints, or lack of success in the AKT or CSA are significant events.\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 000000001400000005546578743600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20 {\*\ffname Text6}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh1410\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr \brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trrh337\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr \brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180{\listtext \pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720 {\i\fs22 \hich\af0\dbch\af23\loch\f0 Reflection on learning from each post?\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 000000001400000005546578743600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text6}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh337\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr \brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trrh630\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr \brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180{\listtext \pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720 {\i\fs22 \hich\af0\dbch\af23\loch\f0 An audit or QOF reflection (should be completed dur\hich\af0\dbch\af23\loch\f0 ing first GP post)?\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst { \hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 000000001400000005546578743600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text6}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194 \'20\u8194\'20\u8194\'20\u8194\'20}}}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh630\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb \brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trrh495\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr \brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180 {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 Case study or presentation in each 6 month post?\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 000000001400000005546578743600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text6}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh495\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr \brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10\brdrcf1 \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrs\brdrw10\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat1\cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 OUT OF HOURS (OOH)\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat1\cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trleft-900\trbrdrt \brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\i \hich\af0\dbch\af23\loch\f0 Have you logged the required number of OOH completed during GP posts? \par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 { \par }{\i\fs22 \hich\af0\dbch\af23\loch\f0 (please state how many \hich\af0\dbch\af23\loch\f0 hours/\hich\af0\dbch\af23\loch\f0 sessions required and h\hich\af0\dbch\af23\loch\f0 ow many logged, including number of hours achieved).}{\i \cell {\*\bkmkstart Text16}}{\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874313600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text16}}}}}{\fldrslt { \lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text16}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt \brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par \par }\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat1\cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 PERSONAL DEVELOPMENT PLAN (PDP)\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\hich\af0\dbch\af23\loch\f0 Comments (include which entries you\hich\f0 \rquote \loch\f0 d like to highlight to your educational supervisor)\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc \clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat1\cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180{\listtext\pard\plain\intbl \fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720 {\i\fs22 \hich\af0\dbch\af23\loch\f0 Have you updated your PDP? \par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\i\fs22 \cell {\*\bkmkstart Text17}}{\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874313700000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text17}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{ {\*\bkmkend Text17}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row {\listtext\pard\plain\intbl \fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720 {\i\fs22 \hich\af0\dbch\af23\loch\f0 Have you \hich\af0\dbch\af23\loch\f0 transferred identified learning needs from your learning log to your PDP?\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text18} {\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874313800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text18}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text18}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl \brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180{\listtext\pard\plain\intbl \fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720 {\i\fs22 \hich\af0\dbch\af23\loch\f0 Are your PDP entries SMART? (Specific, Measurable, Achievable, Realistic, Time-bound).\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text19}{\field\flddirty{\*\fldinst { \hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874313900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text19}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20 \u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text19}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\page \par }\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat1\cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1980 \cellx5940\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3240 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 THE EVIDENCE\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\hich\af0\dbch\af23\loch\f0 What are the minimum requirements for\hich\af0\dbch\af23\loch\f0 your stage of training?\hich\af0\dbch\af23\loch\f0 *\hich\af0\dbch\af23\loch\f0 (see RCGP website)\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\hich\af0\dbch\af23\loch\f0 How many have you done? \par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\hich\af0\dbch\af23\loch\f0 (include the dates of any entries you\hich\f0 \rquote \loch\f0 d like to highlight to your educational supervisor) \par \hich\af0\dbch\af23\loch\f0 Please comment on your competency progression as appropriate.\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat1\cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1980 \cellx5940\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3240 \cellx9180\row }\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc \clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1980 \cellx5940\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3240 \cellx9180\pard \qj \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Multi-Source F\hich\af0\dbch\af23\loch\f0 eedback (MSF) \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 If re\hich\af0\dbch\af23\loch\f0 quire\hich\af0\dbch\af23\loch\f0 d, have you done a cycle of muti\hich\af0\dbch\af23\loch\f0 -source feedback and discussed the results?}{\i \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text20}{\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874323000000000000000000000000000} {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text20}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text20}\cell {\*\bkmkstart Text21}} {\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874323100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text21}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text21}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl \brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1980 \cellx5940\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3240 \cellx9180\row }\pard \qj \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Clinical Evaluation E\hich\af0\dbch\af23\loch\f0 xercises (min\hich\af0\dbch\af23\loch\f0 i\hich\af0\dbch\af23\loch\f0 -CEX) \par {\listtext\pard\plain\intbl\fs22\cf6\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\intbl \jclisttab\tx720\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin720 {\i\fs22\cf6 \hich\af0\dbch\af23\loch\f0 Adequate numbers?\hich\af0\dbch\af23\loch\f0 \hich\af0\dbch\af23\loch\f0 Do not use you peers to assess you! Must be senior level staff.}{ \i\cf6 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text22}{\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874323200000000000000000000000000} {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text22}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text22}\cell {\*\bkmkstart Text23}} {\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874323300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text23}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text23}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl \brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1980 \cellx5940\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3240 \cellx9180\row }\pard \qj \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Directly Observed Procedural Skills (DOPS) \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 Where completed, hav\hich\af0\dbch\af23\loch\f0 e you self rated and included forms giving evidence, completed by an appropriate clinician?}{\i \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text24}{\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874323400000000000000000000000000} {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text24}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text24}\cell {\*\bkmkstart Text25}} {\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874323500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text25}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text25}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl \brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1980 \cellx5940\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3240 \cellx9180\row }\pard \qj \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Case Based D\hich\af0\dbch\af23\loch\f0 iscussion (CbD) \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \qj \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 Is there a range of contexts and settings for your CBDs as required by the RCGP? (the Bradford \hich\af0\dbch\af23\loch\f0 VTS website has a downloadable CBD mapping sheet that is a very useful tool)}{\i \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text26}{\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874323600000000000000000000000000} {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text26}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text26}\cell {\*\bkmkstart Text27}} {\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874323700000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text27}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text27}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl \brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1980 \cellx5940\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3240 \cellx9180\row }\pard \qj \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Consultation Observation Tool (COT) \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 Is there a range of contexts for your CBDs as required by the RCGP? (the Bradford VTS website has a do\hich\af0\dbch\af23\loch\f0 wnloadable COT mapping sheet that is a very useful tool)}{\i \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text28}{\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874323800000000000000000000000000} {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text28}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text28}\cell {\*\bkmkstart Text29}} {\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874323900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text29}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text29}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl \brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt \brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1980 \cellx5940\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3240 \cellx9180\row }\trowd \trgaph108\trrh1705\trleft-900\trbrdrt \brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1980 \cellx5940\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3240 \cellx9180\pard \qj \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Patient Satisfaction Questionnaire (PSQ) \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 If in Primary Care; have you completed the required PSQs? (remember that community and innovative posts that include \hich\af0\dbch\af23\loch\f0 Primary Care require you to complete a PSQ)}{\b \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 000000001400000005546578743600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20 {\*\ffname Text6}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\cell }{\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 000000001400000005546578743600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text6}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh1705\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1980 \cellx5940\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3240 \cellx9180\row }\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv \brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1980 \cellx5940\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3240 \cellx9180\pard \qj \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Clinical Supervisors Report (CSR) \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 Is there a CSR for each post undertaken (if in a community/innovative post you may need a CSR from each supervisor)\hich\af0\dbch\af23\loch\f0 \hich\f0 \endash \loch\f0 Yorkshire and the H\hich\af0\dbch\af23\loch\f0 umber Deanery requires CSRs from GP posts as well as hospital.}{\i \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 000000001400000005546578743600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text6}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\cell } {\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 000000001400000005546578743600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text6}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb \brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1980 \cellx5940 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3240 \cellx9180\row }\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10080 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\hich\af0\dbch\af23\loch\f0 *Please remember that you are required to have the minimum evidence documented in your ePortfolio prior to your ARCP panel. This effectively means you h\hich\af0\dbch\af23\loch\f0 ave approximately 10 months to satisfy the requirements in each ST year. Yorkshire and the Humber Deanery guidance is that it is good practice to exceed the minimum requirements.\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10080 \cellx9180\row }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\page \par }\trowd \trgaph108\trrh541\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat1\cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 OTHER AREAS\hich\af0\dbch\af23\loch\f0 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh541\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat1\cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat8\cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trleft-900\trbrdrt \brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Curriculum C\hich\af0\dbch\af23\loch\f0 overage \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 Have you mapped your\hich\af0\dbch\af23\loch\f0 \hich\af0\dbch\af23\loch\f0 shared \hich\af0\dbch\af23\loch\f0 log\hich\af0\dbch\af23\loch\f0 entries\hich\af0\dbch\af23\loch\f0 to appropriate curriculum statement headings? \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\hich\af0\dbch\af23\loch\f0 You can map more than one heading to a log entry, providing it is evident from the log entry why you have mapped it that way. \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 Some curriculum statements are frequently inappropriately mapped eg 3.2, 3.7 & 4.1\hich\af0\dbch\af23\loch\f0 . Don\hich\f0 \rquote \loch\f0 t map to these statements unless you understand what they mean. }{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text36}{\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874333600000000000000000000000000} {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text36}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text36}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Competency Self R\hich\af0\dbch\af23\loch\f0 ating \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 Have you updated your self rating for the 12 competency areas and, in your comments, referred to what evidence there is relating to that in \hich\af0\dbch\af23\loch\f0 your ePortfolio?}{\i \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text37}{\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874333700000000000000000000000000} {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text37}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text37}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trrh240\trleft-900\trbrdrt \brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \qj \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Sick L\hich\af0\dbch\af23\loch\f0 eave etc}{\i \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh240\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trrh1020\trleft-900\trbrdrt \brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180{\listtext\pard\plain\intbl \lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720 {\i \hich\af0\dbch\af23\loch\f0 How many days of sick\hich\af0\dbch\af23\loch\f0 leave or other non-scheduled absence have you had since your last review? (Do not include annual leave or authorised study leave).}{\b \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text39}{\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874333900000000000000000000000000} {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text39}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text39}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh1020\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trrh960\trleft-900 \trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180{\listtext\pard\plain\intbl \lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720 {\i \hich\af0\dbch\af23\loch\f0 Has the deanery been inform\hich\af0\dbch\af23\loch\f0 ed of all such leave (this is very important, as it can affect your completion date\hich\af0\dbch\af23\loch\f0 ; there is a leave spreadsheet on the deanery website\hich\af0\dbch\af23\loch\f0 which must be completed and uploaded before \hich\af0\dbch\af23\loch\f0 each ARCP panel\hich\af0\dbch\af23\loch\f0 )\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst { \hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874333900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text39}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20 \u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh960\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr \brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf8 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\page \par }\trowd \trgaph108\trrh441\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw5 \clcbpat1\cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 PROGRESS TO CERTIFICATION}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh441\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw5 \clcbpat1\cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trleft-900\trbrdrt \brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 AKT }{\i\fs22 \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 p\hich\af0\dbch\af23\loch\f0 lease include your results here, if taken}{ \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}{\i\fs22 \hich\af0\dbch\af23\loch\f0 if you have taken but been unsuccessful, have you reflected on this and developed clear plans for the future, including \hich\af0\dbch\af23\loch\f0 an SEA log entry\hich\af0\dbch\af23\loch\f0 ?}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text40}{\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874343000000000000000000000000000} {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text40}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text40}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 CSA \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li765\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin765 {\i\fs22 \hich\af0\dbch\af23\loch\f0 please include your results here, if taken}{ \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li765\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin765 {\i\fs22 \hich\af0\dbch\af23\loch\f0 if you h\hich\af0\dbch\af23\loch\f0 ave taken but been unsuccessful, have you reflected on this and developed clear plans for the future\hich\af0\dbch\af23\loch\f0 , including an SEA log entry\hich\af0\dbch\af23\loch\f0 ?}{ \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text41}{\field\fldedit{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874343100000000000000000000000000} {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text41}}}}}{\fldrslt \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{{\*\bkmkend Text41}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trrh270\trleft-900\trbrdrt \brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 CPR/AED certificate\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh270\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trrh1110\trleft-900\trbrdrt \brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10\brdrcf8 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf8 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180{\listtext\pard\plain\intbl \fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720 {\i\fs22 \hich\af0\dbch\af23\loch\f0 Please highlight which log entry (date) confirms that you hold a valid CPR/AED cert\hich\af0\dbch\af23\loch\f0 ificate; you must attach the certificate.\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text43}{\field\fldedit{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874343300000000000000000000000000} {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text43}}}}}{\fldrslt \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}{{\*\bkmkend Text43}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh1110\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10\brdrcf8 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf8 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10\brdrcf8 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trrh1680\trleft-900 \trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10\brdrcf8 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf8 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180{\listtext\pard\plain\intbl \fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720 {\i\fs22 \hich\af0\dbch\af23\loch\f0 Will your CPR/AED be valid when you progress to certification? These are usually valid for one year; if you have a more advanced qualification (eg ALS) the attached certificate must make it cle\hich\af0\dbch\af23\loch\f0 ar how long it is valid for.\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 000000001400000005546578743600000000000000000000000000} {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text6}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh1680\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10\brdrcf8 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf8 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 { \par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs22 \hich\af0\dbch\af23\loch\f0 Most of the ePortfolio and the WPBA (all of the above) are under your control and only you are responsible for their completion. \par \par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs22 \page \hich\af0\dbch\af23\loch\f0 We have attached below a checklist of the areas that you need your ES or y\hich\af0\dbch\af23\loch\f0 our CS to have done to support your WPBA. \par \par }\trowd \trgaph108\trrh441\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw5 \clcbpat1\cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 THINGS TO CHECK WITH YOUR ES/CS}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh441\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw5 \clcbpat1\cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trleft-900\trbrdrt \brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li72\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin72 {\b \hich\af0\dbch\af23\loch\f0 Declarations \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 Has your educational supervisor countersigned the educational contract? (This may happen before, during or after the review).\hich\af0\dbch\af23\loch\f0 Signing the declarations is important be \hich\af0\dbch\af23\loch\f0 cause it satisfies one of the PMETB requirements for you to participate in appraisal.}{\b \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst { \hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874343000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text40}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20 \u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Reading Log E\hich\af0\dbch\af23\loch\f0 ntries \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 Has your clinical supervisor (or educational supervisor) read }{\i\fs22\cf6 \hich\af0\dbch\af23\loch\f0 most of}{\i\fs22 \hich\af0\dbch\af23\loch\f0 your log entries and commented where appropriate?}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEX\hich\af0\dbch\af23\loch\f0 T }{{\*\datafield 00000000140000000654657874343000000000000000000000000000} {\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text40}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\pard \qj \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Multi-Source F\hich\af0\dbch\af23\loch\f0 eedback (MSF) \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 Has your \hich\af0\dbch\af23\loch\f0 ES\hich\af0\dbch\af23\loch\f0 released the scores and commented?\hich\af0\dbch\af23\loch\f0 (If not, this may be because you haven\hich\f0 \rquote \loch\f0 t had enough responses, so have you contacted your ES to check?)}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874343000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text40}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Patient Satisfaction Questionnaire (PSQ) \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 Has\hich\af0\dbch\af23\loch\f0 your educational supervisor released the scores and commented?}{\b \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst { \hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874343000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text40}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20 \u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Educational S\hich\af0\dbch\af23\loch\f0 upervisor \hich\af0\dbch\af23\loch\f0 Competency R\hich\af0\dbch\af23\loch\f0 ating \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 Has your educational supervisor updated their rating for the 12 competency areas and, in their comments, referred to what evidence\hich\af0\dbch\af23\loch\f0 there is relating to that in your ePortfolio? (This may happen before, during or after your review).}{\i\fs22\cf6 \hich\af0\dbch\af23\loch\f0 As a minimum, this needs to happen before every ARCP panel.}{\i\fs22\cf1 \hich\af0\dbch\af23\loch\f0 \hich\f0 If there is no change and no new evidence, then it is acceptable to write \'93\loch\f0 see previous comment\hich\af0\dbch\af23\loch\f0 \hich\f0 s\'94\loch\f0 when updating the ratin\hich\af0\dbch\af23\loch\f0 g (eg this would be expected for Primary Care IM&T if you have only done hospital posts since last rated).}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874343000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text40}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20\u8194\'20\u8194\'20\u8194\'20 \u8194\'20}}}{\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv \brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\row }\trowd \trgaph108\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc \clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b \hich\af0\dbch\af23\loch\f0 Validating evidence against competences \par {\listtext\pard\plain\intbl\fs22\lang2057\langfe1041\loch\af3\hich\af3\dbch\af23\langnp2057\langfenp1041 \loch\af3\dbch\af23\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\intbl\jclisttab\tx720\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720 { \i\fs22 \hich\af0\dbch\af23\loch\f0 Has your clinical supervisor validated any evidence to compete\hich\af0\dbch\af23\loch\f0 nces? 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Please use this space to make any other comments not covered elsewhere.}{\b \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\*\bkmkstart Text44}{\field\flddirty{\*\fldinst { \hich\af0\dbch\af23\loch\f0 FORMTEXT }{{\*\datafield 00000000140000000654657874343400000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text44}}}}}{\fldrslt {\lang1024\langfe1024\noproof \loch\af0\dbch\af23\hich\f0 \u8194\'20 \u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}{{\*\bkmkend Text44}\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\trowd \trgaph108\trrh870\trleft-900\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb \brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10080\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl \brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4860 \cellx3960\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220 \cellx9180 \row }\pard \ql \li-851\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin-851\itap0 {\b\i \par }\pard \ql \li-851\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin-851\itap0 {\b\i \hich\af0\dbch\af23\loch\f0 References: \par {\listtext\pard\plain\fs22\lang2057\langfe1041\dbch\af23\langnp2057\langfenp1041 \hich\af0\dbch\af23\loch\f0 1.\tab}}\pard \ql \fi-360\li-131\ri0\widctlpar\jclisttab\tx-131\aspalpha\aspnum\faauto\ls7\adjustright\rin0\lin-131\itap0 {\fs22 \hich\af0\dbch\af23\loch\f0 Bradford VTS website can be accessed via }{\field\flddirty{\*\fldinst {\fs22 \hich\af0\dbch\af23\loch\f0 HYPERLINK "http://www.bradfordvts.co.uk" }}{\fldrslt {\cs24\fs22\ul\cf2 \hich\af0\dbch\af23\loch\f0 www.bradfordvts.co.uk }}}{\fs22 \hich\af0\dbch\af23\loch\f0 \par {\listtext\pard\plain\fs22\lang2057\langfe1041\dbch\af23\langnp2057\langfenp1041 \hich\af0\dbch\af23\loch\f0 2.\tab}}\pard \ql \fi-360\li-131\ri0\widctlpar\jclisttab\tx-131\aspalpha\aspnum\faauto\ls7\adjustright\rin0\lin-131\itap0 {\fs22 \hich\af0\dbch\af23\loch\f0 R\hich\af0\dbch\af23\loch\f0 CGP WPBA m\hich\af0\dbch\af23\loch\f0 inimum evidence is here }{\field{\*\fldinst {\fs22 \hich\af0\dbch\af23\loch\f0 HYPERLINK "\hich\af0\dbch\af23\loch\f0 http://www.rcgp-curriculum.org.uk/nmrcgp/wpba/minimum_evidence.aspx\hich\af0\dbch\af23\loch\f0 " }{\fs22 {\*\datafield 00d0c9ea79f9bace118c8200aa004ba90b02000000170000004400000068007400740070003a002f002f007700770077002e0072006300670070002d0063007500720072006900630075006c0075006d002e006f00720067002e0075006b002f006e006d0072006300670070002f0077007000620061002f006d0069006e00 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"\hich\af0\dbch\af23\loch\f0 http://ww\hich\af0\dbch\af23\loch\f0 w.yorksandhumberdeanery.nhs.uk/general_practice/trainees/NaturallyOccurringEvidenceinePortfolio.aspx\hich\af0\dbch\af23\loch\f0 " }{\fs22 {\*\datafield 00d0c9ea79f9bace118c8200aa004ba90b02000000170000006e00000068007400740070003a002f002f007700770077002e0079006f0072006b00730061006e006400680075006d006200650072006400650061006e006500720079002e006e00680073002e0075006b002f00670065006e006500720061006c005f007000 72006100630074006900630065002f0074007200610069006e006500650073002f004e00610074007500720061006c006c0079004f006300630075007200720069006e006700450076006900640065006e006300650069006e00650050006f007200740066006f006c0069006f002e0061007300700078000000e0c9ea79f9 bace118c8200aa004ba90bf400000068007400740070003a002f002f007700770077002e0079006f0072006b00730061006e006400680075006d006200650072006400650061006e006500720079002e006e00680073002e0075006b002f00670065006e006500720061006c005f0070007200610063007400690063006500 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