Name

NTN or LAT

Year of training      

completed

1

2

3

4

5

6

Training Centre

Placement details:

Consultants

From:

Type of clinics

To:

Consultants

From:

Type of clinics

To:

Assessment based on

(please tick)

General contact with trainee

Observation in clinics

direct/indirect

(videos etc)

Review of

case notes

Case reports

Oral presentations

Departmental meetings

Assessment date:

…………………………….

Completed by:

……………………………………………………

Guidance for use of form - This form is aimed to assess the various skills needed by a clinical geneticist.  For each item there are three columns of competencies.  The aim is that by the time of the PYA the trainee will consistently achieve the levels of competency in the middle and right hand columns.  The comments section is only to be completed if the trainee is experiencing problems, particularly when they disagree with the assessment.  IT MUST BE STRESSED THAT THIS FORM HAS BEEN THE MOST DIFFICULT TO DEVELOP AND REACH CONSENSUS ON.  FEEDBACK AND SUGGESTIONS FOR IMPROVEMENT IS ESSENTIAL.