SET 2 Trainee Assessment Report - Urological Society of Australia ...

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OVERALL ASSESSMENT Has the trainee been rated ‘just below’ or ‘significantly below’ in any areas? Yes No If yes, have these areas been discussed with the trainee? Yes No Please provide further information on the areas rated ‘just below’ or ‘significantly below’ (if insufficient space please attach separate page) Note: Details of ‘just below’, ‘significantly below’ performance must be fully documented and attached to this assessment form, in addition to copies of minutes or notes from discussions, meetings or counselling sessions for performance related issues. Please determine whether the trainee has gained the skills and competencies expected to be acquired during this term and provide a rating of their overall performance: Satisfactory Unsatisfactory Borderline (includes slow to progress) Satisfactory must not be ticked if there is doubt. If there are doubts, consider Borderline. It means that the trainee has not performed to the satisfaction of the unit in some areas. The specific issues will need to be outlined and discussed with the trainee, as well as, at the Section TA&E Committee meeting that follows. Two Borderline assessments can lead to Probation and/or Extension of training, or other remedial measures. Details of overall Unsatisfactory performance must be fully documented and attached to this assessment form, in addition to copies of minutes or notes from discussions, meetings or counselling sessions for performance related issues. Provide any general comments, or recommendations regarding this trainee, and their progress in training. PROBATIONARY STATUS/REMEDIAL TRAINING Is the trainee currently on Probation? Is the trainee currently on Extension? Was a remedial training plan required following the last assessment report? If yes, attach copy of plan Has there been significant improvement as a result of remediation? Yes No Yes No Yes No Yes No N/A BOARD OF UROLOGY Page 14 Royal Australasian College of Surgeons & Urological Society of Australia and New Zealand
SET2 TRAINEE CONFIDENTIAL FEEDBACK FORM Please complete this form and return with your in‐training assessment. THIS FORM DOES NOT NEED TO BE SHOWN TO YOUR SUPERVISORS. Hospital Name: Name of Unit: Assessment Period: Q1 Q2 Q3 Q4 Calendar Year: Was your access to your Urological Supervisor during the term adequate for your needs? Describe access and interaction you had with your designated supervising Consultants. Describe who provided the majority of your clinical teaching and supervision in ward and procedural work. Comment on the industrial conditions of employment for the duration of your term (leave, rostering, hours of work, on‐call commitments, etc.) BOARD OF UROLOGY Page 15 Royal Australasian College of Surgeons & Urological Society of Australia and New Zealand
Page 1 and 2: BOARD OF UROLOGY IN‐TRAINING ASSE
Page 3 and 4: TEACHING RESPONSIBILITIES AND OPPOR
Page 5 and 6: KNOWLEDGE, SKILLS AND APPLICATION (
Page 7 and 8: SUMMARY OF PROCEDURES AND EXPECTED
Page 9 and 10: COLLABORATION A team structure is n
Page 11 and 12: HEALTH ADVOCACY A doctor must be aw
Page 13: SCHOLAR AND TEACHER A surgeon is ex

SET 2 Trainee Assessment Report - Urological Society of Australia ...

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