The Central London School of Anaesthesia
Specialist Registrar Assessment Document
School of Anaesthesia: Royal Free/UCLH
This assessment should be carried out with the College Tutor when
a trainee completes a rotation and leaves a hospital.
A separate form should be used to record the individual
subspecialty competencies that have been achieved.
Name of Trainee:
Period of Rotation:
Hospital/Attachment:
Overall Assessment:
Satisfactory
Satisfactory with Reservations
Unsatisfactory
Record of Training to Date:
Present Year or Grade
Expected CCST Date (if known)
Record of Satisfactory Progress.
Trainees are expected to achieve satisfactory progress in each of these areas.
Examination results/plans
Is the Logbook satisfactory?
Research and Audit
(undertaken or involved with)
Courses and Meetings attended
(both internal and externally)
Presentations at Academic Meetings
(record topics and details of meeting)
Personal Assessment
Clinical Abilities
Judgement and decision-making
Organisation/punctuality/reliability
Future plans/recommendations
Additional details and comments:
Signed by Trainee
Date
Signed by College Tutor
Date