Medical Training Initiative (MTI) Six-monthly Report

It is the educational supervisor’s responsibility to submit a report to the RCoA Global Partnerships every six months.

Name of MTI trainee

Email contact for MTI trainee

GMC number for MTI trainee

Name of hospital for MTI trainee

Name of educational supervisor

Email contact for educational supervisor

Name of IMG Lead (if applicable)

Name of College tutor

Please select which report you are submitting

Date of starting job

Planned date of finishing job

Date trainee started contributing to on-call rota

Date of first meeting with educational supervisor

Initial Assessment of Competence (specify date achieved)

Initial Assessment of Competence in Obstetric Anaesthesia (specify date achieved)

Summary of learning objectives (since last review date)

Six-monthly Review

Review date

Educational supervisor comments on Log Book summary (since last review date)

Review of learning objectives (what has been achieved, any changes to be made?)

Summary of Assessments (CBD, A-CEX, ACAT, DOPS, ALMAT etc) (since last review date)

CPD courses list (since last review date)

Date 360/MSF completed

Date ARCP/appraisal completed

Any other comments from educational supervisor or College tutor

Any feedback/comments from MTI trainee

Signature of MTI trainee

Please sign above using your mouse or finger (if using a touchscreen device).

Date (DD/MM/YYYY)

Signature of educational supervisor

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