Supervisor’s Report for Trainees in Forensic Pathology
Information for Trainees and Supervisors
 It is the Trainee’s responsibility to ensure that this form is completed and submitted by the due
date. Failure to do so may jeopardise the accreditation of training time or finalisation of
examination results.
 At least one Supervisor’s Report is due annually for all Trainees.
 For Trainees who participate in rotational programs, one report should be completed for each
period of rotation at a different institution.
 For Trainees sitting for Part I or Part II examinations, an additional pre-exam report is due by
15 July. Reports must be available for consideration at the viva examinations.
 For all other Trainees, the Report must be submitted every year or, for rotations within a year,
on completion of each rotation. If the Trainee is not taking an examination, the annual Report
may be submitted with the annual registration for the subsequent year.
 Trainees are advised to keep accurate records of work undertaken for the period of time spent
in each category of activity. A log book is an effective way in which this can be achieved. If
precise figures are unavailable, a best estimate should be given.
 Trainees must keep a copy in their Training Portfolio of each year’s completed report. Please
do not contact the College for the previous year’s report.
Completing the form
 It is desirable that all specialists who supervise Trainees participate in the evaluation process
and completion of the form.
 Supervisors are asked to rank the performance in each area of activity even if the time spent in
it is small. If there has been no exposure to a particular activity please write “Not Applicable”
across the space allocated for ranking.
 Performance for skills in each area of training listed in the form should be assessed on a
sliding scale of 1 to 5 as indicated below.
1 = Performance currently falls far short of expected standards for level of training.
There is a serious problem that may have implications for accreditation of the current training
period. The problem must be stated clearly on the final page.
2 = Performance currently falls short of expected standards for level of training.
There is an area of lower than expected performance. The problem must be stated clearly on
the final page.
3 = Performance is consistent with the expected level of training.
About 80% of trainees will merit this grade.
4 = Performance is better than expected for level of training.
About 10% of trainees will merit this grade.
5 = Performance is exceptional.
Very few trainees will merit this grade.
Please return this form by the due date above, by mail to:
The Royal College of Pathologists of Australasia
207 Albion Street
Surry Hills NSW 2010 AUSTRALIA
Faxed reports will not be accepted.
Document Number: D130550
1
Document Name: Supervisor S Report - Forensic (Feb 2016 - Template).Docx
Document Path: BOC - 2012 - Supervisor's Reports (Pro Formas)
Thank you
THE ROYAL COLLEGE OF PATHOLOGISTS OF AUSTRALASIA
Supervisor’s Report for Trainees in Forensic Pathology
Name of Trainee (Please print): _____________________________________ RCPA ID No _______
Organisation: ________________________________________________________________
Year of Training:
1
2
3
4
5
6
7
Training Period:
______/______/__________ to ______/______/__________
(Please provide full and accurate dates for accreditation of training)
Full Time  or Part Time  ……………… hours per week
Leave (taken or planned within this training period
Annual ……… weeks/days
Other ……… weeks/days (eg. Sick, Study, Parental, Maternity)
Sitting for RCPA examination this year?
No
Yes
(Please tick)
If yes:
AP 1
FP 2
Please see key on Page 1
A.
KNOWLEDGE BASE AND SKILLS
Autopsy Pathology
1.
No. of autopsies done:
During assessment period:
Adult: _______ Paediatric and Neonatal: ________
Cumulative total:
Adult: _______ Paediatric and Neonatal: ________
1
2
3
4
5
Quality of autopsy techniques and
detailed dissection of organs
____
____
____
____
____
Quality of written reports (gross, micro,
final diagnosis)
____
____
____
____
____
4.
Autopsy clinicopathological correlation
____
____
____
____
____
5.
Ability to summarise relevant clinical
information and laboratory data
____
____
____
____
____
6.
Verbal presentation of autopsy findings
____
____
____
____
____
7.
Ability to complete reports within period
specified by Departmental policy
____
____
____
____
____
8.
Knowledge and use of special stains
____
____
____
____
____
2.
3.
Document Number: D130550
2
Document Name: Supervisor S Report - Forensic (Feb 2016 - Template).Docx
Document Path: BOC - 2012 - Supervisor's Reports (Pro Formas)
Scene of Death attendance
1
2
3
4
5
1.
Relationship with scene investigators
____
____
____
____
____
2.
Adequacy of preliminary examination of body ____
____
____
____
____
3.
Synthesis of apparent circumstances with
preliminary findings
____
____
____
____
4
5
____
____
____
____
4.
____
Number of scenes attended
________
Special Procedures
1.
Knowledge of skeletal examination
1
2
____
____
No. of cases
2.
Investigation of unexplained death
3
____
________
____
No. of cases
____
____
________
3.
Interpretation of Forensic radiology
____
____
____
____
____
4.
Reporting of Autopsy histopathology
____
____
____
____
____
5.
Appropriate use of further investigations
(medical and forensic science)
____
____
____
____
____
Others – please specify
____
____
____
____
____
COURT
1
2
3
4
5
1.
____
____
____
____
____
6.
Presentation of evidence
Number of appearances
________
Research (where applicable)
1
2
3
4
5
1.
Knowledge of basic and clinical research
____
____
____
____
____
2.
Capacity to analyse published research
Including statistical analysis
____
____
____
____
____
3.
Knowledge of special research techniques ____
____
____
____
____
4.
Ability to prepare manuscript
____
____
____
____
____
Document Number: D130550
3
Document Name: Supervisor S Report - Forensic (Feb 2016 - Template).Docx
Document Path: BOC - 2012 - Supervisor's Reports (Pro Formas)
GENERAL REMARKS
1
2
3
4
5
1.
Organisational skills
____
____
____
____
____
2.
Presentation at clinical meetings
(eg., grand rounds)
____
____
____
____
____
3.
Knowledge of current literature
____
____
____
____
____
4.
Knowledge of laboratory management
and safety, and quality assurance
____
____
____
____
____
5.
Attention to professional confidentiality
____
____
____
____
____
B.
PROFESSIONAL ATTITUDES
1
2
3
4
5
1.
Interactive skills with:
1.1
Peers
____
____
____
____
____
1.2
Supervisors
____
____
____
____
____
1.3
Clerical and laboratory staff
____
____
____
____
____
1.4
Clinicians
____
____
____
____
____
2.
Confidence and initiative
____
____
____
____
____
3.
Reliability
____
____
____
____
____
4.
Ability to follow supervisor instructions
____
____
____
____
____
5.
Does the trainee consult appropriately
when he or she needs help?
____
____
____
____
____
Is the trainee receptive to new ideas?
____
____
____
____
____
6.
Completion of professional qualities e-Learning modules ((please specify whether RCPA
online module or workplace training)
•
Cultural competence
date completed ………….………………………………..
•
Ethics
date completed ………….………………………………..
•
Management
date completed ………….………………………………..
•
Quality
date completed ………….………………………………..
Document Number: D130550
4
Document Name: Supervisor S Report - Forensic (Feb 2016 - Template).Docx
Document Path: BOC - 2012 - Supervisor's Reports (Pro Formas)
C.
OVERALL EVALUATION
Areas of strength in professional practice
(Please summarise)
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Areas for development in professional practice
(Please summarise)
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Is specific further professional development required? Yes
No
If yes, please outline process:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
If a score of 1 or 2 is given please identify any specific issue that needs to be addressed
with respect to the trainee’s progress and/or the training environment. In this case the
form must be signed by the supervisor plus at least one senior colleague and a plan
for remediation attached.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
OTHER COMMENTS
(if insufficient space, please attach sheet)
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Document Number: D130550
5
Document Name: Supervisor S Report - Forensic (Feb 2016 - Template).Docx
Document Path: BOC - 2012 - Supervisor's Reports (Pro Formas)
COMMENTS BY TRAINEE
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Signatures
Trainee
(please PRINT name and sign)
RCPA designated supervisor
(please PRINT name and sign)
Other senior staff member/second Supervisor (if applicable)
(please PRINT name and sign)
Head of Department
(please PRINT name and sign)
Registrar/ Deputy Registrar Board of Censors
Document Number: D130550
6
Document Name: Supervisor S Report - Forensic (Feb 2016 - Template).Docx
Document Path: BOC - 2012 - Supervisor's Reports (Pro Formas)
Date
Date
Date
Date
Date