/ Assessment of Clinical Expertise (ACE) (adapted from CEX for specialist training in psychiatry)
for Specialist Training in Psychiatry
ST2/3 level

Explanation

This assessment is designed to provide evidence and feedback by observing a real clinical encounter in its entirety.

Trainee’s Surname and

Forename

Trainee’s GMC

Number

Clinical setting A&E OPD In-patient Acute Community Community

admission crisis CMHT/AOT

ÿ ÿ ÿ ÿ ÿ ÿ

Clinical problem – please circle appropriate ICD 10 category:

F00+ (organic) f10+ (substance misuse) f20+(schizophrenia)

F30+ (affective) F40+(neurotic) F50+ (behavioural adult onset)

F60+ (personality) F70+(retardation) F80+ (developmental)

F90+ (behavioural C&A onset) F99 (unspecified)

New ÿ or follow-up ÿ

If follow-up, number of times patient seen before by Trainee

0 ÿ 1-4 ÿ 5-9 ÿ >9 ÿ

Complexity of case in relation to stage of training (ST2/3)

low ÿ moderate ÿ high ÿ

Assessor’s position Consultant SpR SASG Psychologist Senior Nurse Other………..…

ÿ ÿ ÿ ÿ ÿ

Number of previous ACEs observed by Assessor with ANY Trainee

0 ÿ 1 ÿ 2 ÿ 3 ÿ 4 ÿ 5-9 ÿ >9 ÿ

Assessor’s signature……

Please print Assessor’s name……

Assessor’s GMC number ÿÿÿÿÿÿ Date……….


Please rate the following aspects of the clinical encounter against standards for end of ST3 :

Below standard Meets standard Above ST3

for end of ST3 for ST3 completion standard

1 2 3 4 5 6 u/c

1. History taking ÿ ÿ ÿ ÿ ÿ ÿ ÿ

2. Mental State ÿ ÿ ÿ ÿ ÿ ÿ ÿ

examination

3. Communication ÿ ÿ ÿ ÿ ÿ ÿ ÿ

skills

4. Clinical judgement ÿ ÿ ÿ ÿ ÿ ÿ ÿ

5. Professionalism ÿ ÿ ÿ ÿ ÿ ÿ ÿ

6. Organization/ ÿ ÿ ÿ ÿ ÿ ÿ ÿ

efficiency

7. Overall clinical care ÿ ÿ ÿ ÿ ÿ ÿ ÿ

8. Based on this assessment, how would you rate the Trainee’s performance

at this stage of training?

Below expectations satisfactory better than u/c

expected

ÿ ÿ ÿ ÿ ÿ ÿ ÿ

Anything especially good?
/
Suggestions for development
Agreed action:
Approximately how long did it take to complete this assessment?…..…minutes

Not at all reasonably very

satisfied satisfied satisfied

1 2 3 4 5 6

Trainee’s satisfaction ÿ ÿ ÿ ÿ ÿ ÿ

Assessor’s satisfaction ÿ ÿ ÿ ÿ ÿ ÿ

Comments:

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