RCOPHTH

SUMMARY OF TRAINEE P ROGRESS & E DUCATIONAL SUPERVISOR REPORT

A DAPTED FROM B EST P RACTICE IN REGIONALLY DESIGNED ESRS

THE ROYAL COLLEGE OF OPHTHALMOLOGISTS

Ophthalmic Specialist Training
SUMMARY OF TRAINING PROGRESS &EDUCATIONAL SUPERVISOR REPORT
GUIDANCE forTrainees and Supervisors.Please read this information
carefully.
This Summary of Training Progress is an annual living document verified by
usually your two educational supervisors over a year.
The first ESR after any ARCP is a summary of the first 6 months. The
second ESR should be a summary of the full year.Achievements in the
first6 months are verified by the first Educational Supervisor. This summary is
in turn witnessed by the second Educational Supervisor who then verifies
further achievements in the second half of the year (this may be the same
person if you retain the same ES for 12 months).
Educational Supervisors, please canvass the opinion of Clinical Supervisors
(those consultants that the trainee has worked for in this placement), review
clinical supervisor reportsand review the trainees e-portfolio to verify
independently the evidence listed by the trainee. Check appropriate
departmental resources to ensure all incidents and complaints are reported.
This information is essential for revalidation and is cross referenced by the
medical director of the Trust.
It is now MANDATORY to comment on trainee curriculum coverage,
skills and clinical progress, with feedback to help the trainee formulate
their next Personal Development Plan.
Please answer ALL THE QUESTIONS in Section B. You are expected to
comment on any omissions or problems declared by the trainee. Positive
comments are always appreciated, especially if supported with evidence. All
adverse comments MUST be supported by evidence. Failure to do this is
highly likely to lead to an outcome 5.
If you have been the trainees ES for two 6 month placements, please state
this in the timetable section. It is still essential for the trainee to complete two
ESRsper year to ensureappropriate progress and reflection at the 6 month
stage. It also means less to verify at the final stage!
In signing this form the trainee does not have to agree with the ES
comments made but is instead confirming that this is an accurate
summary of the evidence presented and discussed.
Section A
To be completed by trainee before meeting with educational supervisor
Section B1
To be completed by educational supervisor 1 at end of the first 6 month
placement
Section B2
To be completed by educational supervisor 2 before ARCP
December 2013

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SUMMARY OF TRAINEE P ROGRESS & E DUCATIONAL SUPERVISOR REPORT

A DAPTED FROM B EST P RACTICE IN REGIONALLY DESIGNED ESRS

How to save and upload your Educational Supervisor Report

It is mandatory that all reportsareuploaded on to your e-Portfolio in the
following manner:
All forms should be completed electronically. Delete Section B1 or B2 as
appropriate. Then print off the document to be signed by both parties.
Scan each ESR (with section A & B1 or B2 as appropriate) as a single
PDF file. Do not scan each page as a separate PDF file.
The file must be labelled as an ES report, with the date it was completed
using the following format: e.g. an ES report completed on 26 March 2012
should be labelled ESreport120326. (This format makes it easier to find them,
in date order, in your portfolio later.)
Go to the personal resource section on the e-portfolio. On the resource tab
upload the document as a personal resource.
Assign the document to your next ARCP. (Items in the personal resource
section cannot be seen externally unless they have been assigned to an
ARCP).
Reports that do not conform to this labelling or are incorrectly placed in
a different section of the portfolio are likely not to be considered by the
ARCP Panel who will then have the right to issue an Outcome 5.

December 2013

RCOPHTH

SUMMARY OF TRAINEE P ROGRESS & E DUCATIONAL SUPERVISOR REPORT

A DAPTED FROM B EST P RACTICE IN REGIONALLY DESIGNED ESRS

SUMMARY OF TRAINING PROGRESS & EDUCATIONAL SUPERVISOR REPORT

Section A (to be completed by trainee)

Name

Rupal Morjaria

Training number

WMD/025/102/C

GMC number

6122403

Training
Year e.g:
09/10
ST Year
e.g: ST1

06/2015
5

TRAINING PLACEMENT DETAILS most recent first

Unit
Educational
Supervisor
Sandwell & West Birmingham Hospitals Mr A Aralikatti

06/2015-

Glaucoma

08/2015

Oxford University NHS Trust (OOPE)

Prof Downes

Medical Retina
Birmingham Childrens Hospital

Mr Ainsworth
Prof Downes
Mr Bowyer

02/201108/2011

Mr Agarwal

Cornea/Glaucoma
Sandwell & West Birmingham Hospitals

08/201102/2014

Plastics/Medical Retina
Sandwell & West Birmingham Hospitals

02/201406/2014

Medical Retina
North Staffordshire NHS Trust

06/201406/2015

Paediatrics
Oxford University NHS Trust (OOPE)

Dates

08/201002/2011

Miss Palmer

/ Selly Oak hospital

02/201208/2010

Neurophthalmology/Vitreoretina/Medical
Retina
Heart of England NHS Trust

Mr Negi

Paediatrics/Medical

08/200902/2010

Retina/Uveitis/Cornea
Sandwell & West Birmingham Hospitals

Ms Rauz

/ Selly Oak hospital

02/200908/2009

Inflammatory Eye disease Cornea &

Uveitis
Sandwell & West Birmingham Hospitals

Ms Tsaloumas

08/2008December 2013

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SUMMARY OF TRAINEE P ROGRESS & E DUCATIONAL SUPERVISOR REPORT

A DAPTED FROM B EST P RACTICE IN REGIONALLY DESIGNED ESRS

/ Selly Oak hospital

02/2009

General Glaucoma, Medical Retina

Royal Shrewsbury Hospital

Mr Rao

08/2007-

Medical Retina/Paeds/Plastics/Cornea

08/2008

Most Recent Timetables

Name of Educational Supervisor 2: Mr Aralikatti
Name Post 2: ST5 Glaucoma
Name
session
List trainers
AM

Mon
Glaucoma

Trainer

Theatre

Subspecialties: Glaucoma
Tues

RSTA

Wed

Thurs

Fri

Masood

Eye

Sung

OPD

Casualty

OPD/RSTA
alt week

PM

Nessim

Nessim

Post Grad

Sung OPD

Trainer

OPD

OPD

teaching

alt

Sung OPD

week/RSTA

December 2013

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SUMMARY OF TRAINEE P ROGRESS & E DUCATIONAL SUPERVISOR REPORT

A DAPTED FROM B EST P RACTICE IN REGIONALLY DESIGNED ESRS

Summary of Core Curriculum Progress to date

Post Name(s)
ST level at that time

Subspecialt
yComplete
Yes or No

Shrewsbury ST1

yes

Subspecialties

GeneralOphth.
For posts that do
not have
identified
subspecialist
clinics or theatre
sessions

Sandwell ST4

Quinlan/Agarwal/Mc

Cornea,
External Disease

Comments
e.g., what may be still
outstanding, what
areas do you still feel
need improvement,
what do you find most
difficult and still feel
you need support to
develop, etc
General competencies
completed

yes

Grafts assisted and

Donnell- Cornea

sutured&Basic corneal

ST4

competencies all

Agarwal general

completed

ST4
Rauz-inflammatory
Cornea ST2

Sandwell ST4
Cataract,
Anterior segment

yes

Anterior segment

BMEC- ST2

competencies

Selly Oak ST2

completed.

December 2013

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SUMMARY OF TRAINEE P ROGRESS & E DUCATIONAL SUPERVISOR REPORT

A DAPTED FROM B EST P RACTICE IN REGIONALLY DESIGNED ESRS

Negi ST2, Agarwal

yes

Yag PI and Cyclodiode

ST4, Nessim ST4&

performed. Assisted in

ST5, Oneill ST2

trabeculectomy and

Glaucoma

Tube surgery.
Glaucoma
competencies
completed
Sellyoak ST2,

yes

Plus 2.5 years med ret

NorthStaffs ST4

fellowship.

OOPR- Medical

Continued cataract

Retina fellowship

surgery, glaucoma and

retinal lasers, and

Medical retina
general
ophthalmology.
Enucleations
performed. FRCOphth
passed.
Selly-Rob Scott

yes

ST3,

VR competencies
completed

Vitreoretinal
Shrews- Callear
ST1
North Staffs- J
Bowyer ST4

yes

Plastics competencies
completed

Oculoplastics
Minor ops lists ST1
& ST2

December 2013

RCOPHTH

SUMMARY OF TRAINEE P ROGRESS & E DUCATIONAL SUPERVISOR REPORT

A DAPTED FROM B EST P RACTICE IN REGIONALLY DESIGNED ESRS

Selly-Andrew Jacks
Neuroophthalmology,
motility

yes

ST3

CBDs and neuro

competencies
completed at weekly
teaching.

Paediatric
ophthalmology

Solihull-Kipioti ST2

Continuing

Squints numbers

Parulekar/Abbott/Ai

training

performed and

nsworth BCH ST5

competencies
completed.

Leave Details for current post/year

Please list ALL leave, with dates for each category and specify other type of
leave e.g. compassionate, maternity, paternity, etc
Number of days
Number of days
in current year
in current year
Total: 2
Total:
Annual leave
Sick Leave0
Dates:
Dates: 0
Total: 0
Total:
Study leave
Other Leave nil
Dates:
Dates: 0

December 2013

RCOPHTH

SUMMARY OF TRAINEE P ROGRESS & E DUCATIONAL SUPERVISOR REPORT

A DAPTED FROM B EST P RACTICE IN REGIONALLY DESIGNED ESRS

PAST ANNUAL ASSESSMENTS IN OPHTHALMOLOGY

ARCP Outcomes
Please delete the sample entries in the table below. List the dates and results
of ALL previous RITA or ARCP. You MUST insert the formal result or
outcome of EVERY part of your training to avoid an Outcome 5.
Stage

Dates

2014
&2015
26/5/12OOPE
17/5/13
25/6/11OOPE
25/5/12
17/6/10ST4
24/6/11
5/09ST3
15/6/10
05/09ST2
05/08
08/07ST1
05/08
ST5

Outcome Comment
8

No comment

No comment

No comment

No comment

No comment

No comment

More cataracts

TRAINEE ACHIEVEMENTS in this 6 month/year training period

Previous Qualifications including Primary Degree and
awarding body
Certificates/ College letter should be on e-portfolio

Date
2008

Refraction Certificate
FRCOphth Part 1

2007

MBCHB

2005

Exams sat & examining body

Certificates/ College letter should be on eportfolio

Date
3/2013

Result
Pass

FRCOphth Part 2

December 2013

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SUMMARY OF TRAINEE P ROGRESS & E DUCATIONAL SUPERVISOR REPORT

A DAPTED FROM B EST P RACTICE IN REGIONALLY DESIGNED ESRS

Prizes awarded this year

title, awarding body

Cumulative total =
whole medical
career

Date

Place/grade

STUDY LEAVE & ATTENDANCE AT REGIONAL TEACHING

Has the trainee regularly attended regional teaching? If not, why not?
Attendance at Regional Postgraduate Teaching
Use comment section to justify how this time has been spent or reasons for
poor attendance
Number of Sessions
Total Regional
% Attendance
Attended
Teaching Sessions
No teaching in July
MOS,
N/A
Rheumatology iJoint
meeting,
Comments
Session missed: 3/6/15- Medical staffing/HR/Induction
10/6/15 clinic finished 2.45. Emergency patient to be arranged for theatre,
Chris Chew in Walsall missed as insufficient time left for travel

Study leave& Courses attended

Include the title and venue of all courses
attended whether taken on study leave or not.
Total
Total days Study leave:
MOS Birmingham, Uhb.
1st Impact of Ocular disease meeting, Oxford
ANUK (Aniridia), Bristol
Royal College of Ophthalmologists, Birmingham
ARVO, Florida
MOS; Medical Ophthalmology society London

Dates

Educational
Value
Trainee opinion
1=poor, 2=fair
3=good, 4=
very good

26/6/15
26/1/15
7/6/14
20/5/14
10/5/14
13/3/14
2/2/14

4
4
4
4
4
4
2

e-Induction Mandatory training, Birmingham

1-3/6/13

Oxford Ophthalmological Congress, Oxford

Royal College Congress, Liverpool

5/13

MOS Birmingham
Current treatments of VMT

12/12
6/5/12

3
4
December 2013

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SUMMARY OF TRAINEE P ROGRESS & E DUCATIONAL SUPERVISOR REPORT

A DAPTED FROM B EST P RACTICE IN REGIONALLY DESIGNED ESRS

ARVO, Seattle
Oxford Congress
Royal College Congress, Birmingham
ARVO, Fort Lauderdale

5/13
5/12
5/12
5/12
12/1/12

4
4
4
4
4

5/12/11

27/8/11

Good Clinical Practice (CTIMP)

Oxford Eye hospital Christmas meeting
Circadian rhythms

WORK PLACE BASED ASSESSMENTS

Please add the number of WpBAsto be completed and done for this level
stage of your training. Use the comment section to provide feedback on the
WpBAcompleted, e.g. what did you learn from completing the assessments,
did you receive appropriate feedback from trainers, reflection on any
comments raised in MSF, extenuating circumstances why WpBAs not
complete etc.
Total to be
Number
Comments
completed Completed
OSATS1
Stage
SS1 - 1
Specific
ST 6
OSATS1;
All ST5 complete.
WBAs
SS4 1
ST6 (2016-2017) pending
CBD -1
MSF - 1
ST4-7
WBAs
0
All
All complete
MSF

Oxford (1/2014), BMEC (7/2015)

SIGNIFICANT INCIDENTS AND COMPLAINTS IN THE PAST 6 MONTHS/YEAR

Please list in date order any adverse incidents you have been involved with or
reported or any written complaints against you, with a brief summary on what
you learned from each of them. If none, please enter none.
Each event should have an associated written reflection available on your eportfolio.
Trainees should expect these events to be discussed at the ARCP.
1st Placement

Dates

Significant
incidents

Complaints

0
6/14

Other
1/14

Brief description of Event & Comments

Thank you card from patient in eye casualty

Thank you card from patient in eye casualty Oxford
December 2013

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SUMMARY OF TRAINEE P ROGRESS & E DUCATIONAL SUPERVISOR REPORT

A DAPTED FROM B EST P RACTICE IN REGIONALLY DESIGNED ESRS

12/13

Thank you card from Optometrist

Thank you card from post-op patient
Chocolates from patient

2nd Placement

Dates

Brief description of Event & Comments

Significant
incidents

Complaints

Other

December 2013