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:
ACE page 2 of 2