Medical Training Initiative (MTI) Checklist for MTI Hosts This checklist should be completed and submitted to the Global Partnerships team within three months of an MTI doctor having commenced their placement. Before completing this form, please ensure you have read the Training Guide for MTI Hosts document. Name of MTI doctor Specialty For example, anaesthesia, intensive care medicine or pain medicine Hospital Start date (DD/MM/YYYY) Name of Educational Superviser Trust induction completed Yes No Date (DD/MM/YYYY) Comments (if necessary) If in progress or not completed, please provide details above Department's induction completed Yes No Date (DD/MM/YYYY) Comments (if necessary) If in progress or not completed, please provide details above AoMRC’s Starter’s Report completed and submitted to AoMRC and RCoA Yes No You can view the AoMRC starter report here Date (DD/MM/YYYY) Comments (if necessary) If in progress or not completed, please provide details above Met Educational Superviser Yes No Date (DD/MM/YYYY) Comments (if necessary) If in progress or not completed, please provide details above 'Buddy' allocated Yes No Date (DD/MM/YYYY) Comments (if necessary) If in progress or not completed, please provide details above Study leave confirmed Yes No Date (DD/MM/YYYY) Comments (if necessary) If in progress or not completed, please provide details above Accessed Lifelong Learning Platform/FICM e-Portfolio Yes No Date (DD/MM/YYYY) Comments (if necessary) If in progress or not completed, please provide details above Six-monthly reports scheduled Yes No Date (DD/MM/YYYY) Comments (if necessary) If in progress or not completed, please provide details above Signature Please sign above using your mouse or finger (if using a touchscreen device). Date (DD/MM/YYYY) Confirmation Data Protection Statement The Royal College of Anaesthetists (RCoA) is fully committed to the principles of data protection, as set out in the Data Protection Act 2018 (C.12). The RCoA relies on legitimate interests as the lawful basis for processing of personal data. We process and maintain personal data about you so that we can manage your membership, provide you with appropriate products and services and share information with you about RCoA activities. We will only use your information for the purposes as described and will not pass on your details to other third parties unless you have given us consent to do so. We use appropriate organisational and technical measures to ensure that your data are secure and protected from loss, misuse and unauthorised access or alteration. You have the right to ask for a copy of the information we hold about you and to have any inaccuracies in your information corrected. If you have any questions about data protection or require further information, please email dpo@rcoa.ac.uk I have read and understand the College's data protection statement CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
