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OrderField nameDR field

Reference Table

Example valueOther fields available in DRType (free text, drop down, check box) & Interaction (autopopulate etc)Mandatory (Y/N)Validation / Error MessagingFilter (Y/N)Search (Y/N)Sort (Y/N)List (S) / Detail (D)NotesDelete field
Form R - Part A
Section 1: DOCTOR'S DETAILS
1ForenameForenamesDRvwPerson

Pre-populate

Read-only









2GMC-Registered Surname

LegalSurname

Should be GMC surname as per guidance at top of the form

DRvwPerson

Pre-populate

Read-only









3GMC NumberGMCNumberDRvwPerson

Pre-populate

Read-only









4Deanery / HEE Local TeamLocalOfficeNameDRvwPerson

Pre-populate

Read-only









5DOBDateOfBirthDRvwPerson

Pre-populate

Read-only









6GenderGenderDRvwPerson

Pre-populate

Read-only









7Immigration Status

EEA Resident

Permit to Work

Settled

TBCResident/Settled/Work Permit Required

Pre-populate

Read-only







In the form R it asks for the trainee's immigration status which can be 3 options listed. In Intrepid there is currently 3 fields that this information resides in which are all drop downs.
8Primary QualificationQualificationDRvwPerson

Pre-populate

Read-only









9Date AwardedDate AttainedDRvwPerson

Pre-populate

Read-only









10Medical School Awarding Primary Qualification (name and country)Medical SchoolDRvwPerson

Pre-populate

Read-only









11Home address

AddressLine1

AddressLine2

AddressLine3

AddressLine4

AddressPostCode


vwPerson

Pre-populate

Read-only









12Contact TelephoneTelephoneNumber
vwPerson

Pre-populate

Read-only









13Contact MobileMobileNumber
vwPerson

Pre-populate

Read-only









14Email AddressEmailAddress
vwPerson

Pre-populate

Read-only









Section 2: DECLARATIONS
15AI confirm I have been appointed to a programme leading to award of CCTN/A
N/A

Selection

Choose one between 15A - 15F









15BI confirm that I will be seeking specialist registration by application for a CESRN/A
N/A

Selection 

Choose one between 15A - 15F









15CI confirm that I will be seeking specialist registration by application for a CESR CPN/A
N/A

Selection

Choose one between 15A - 15F









15DI confirm that I will be seeking specialist registration by application for a CEGPRN/A
N/A

Selection

Choose one between 15A - 15F









15EI confirm that I will be seeking specialist registration by application for a CEGPR CPN/A
N/A

Selection

Choose one between 15A - 15F









15FI confirm that I am a core trainee, not yet eligible for CCTN/A
N/A

Selection

Choose one between 15A - 15F









16Programme Specialty

Curriculum specialty/Programme name


vwProgrammemembership

Pre-populate 

Read-only







There is no Programme specialty field so we could either use 'Programme name' or the main 'Curriculum Specialty'
17Specialty 1 for Award of CCTCurriculum end date of main curriculum
vwcurriculummembership

Pre-populate if 15A is selected

Read-only









18Specialty 2 for Award of CCTCurriculum end date of secondary curriculum
vwcurriculummembership

Pre-populate if 15A is selected

Read-only









19Royal College / Faculty Assessing Training for the Award of CCTvwCollege
College

Pre-populate

Read-only









20Anticipated Completion Date of Current Programme (if known)vwAssessment

ProgrammeEndDateWithPOG


Pre-populate

Calculation

Read-only









SECTION 3: PROGRAMME
21Training gradevwPlacement
GradeName

Pre-populate

Read-only


Only applicable if completed post training start date





22Date StartedvwPlacement
StartDate

Pre-populate

Read-only


Only applicable if completed post training start date





23Post Type / AppointmentProgramme Membership type 
vwProgrammemembership

Pre-populate

Read-only

Smart Search; FTSTA / LAT / MILITARY / SUBSTANTIVE (default) / VISITOR









24Full Time / % of Full Time TrainingvwPlacement
WholeTimeEquivalent

Pre-populate

Read-only









Section 4: SIGNATURE
25Trainee SignatureN/A
N/A

Populate with Trainee name

  • on submission








26DateN/A
N/A

Pre-populate

  • Today's Date
  • On submission








Section 5: HEE ONLY
27National Training Number / Deanery Reference NumberN/A
N/A

Hidden from trainee until post submission

NTN viewable once created

No view/editing for Trainee unless submitted (in Historical view)

Free Text for Admin







Joanne Watson (Unlicensed)Alistair Pringle (Unlicensed) - further discussion needed; at what point is the NTN created? What is the trigger? (cc Ashley Ransoo)
28GMC Programme Approval NumberN/A
N/A

No editing for Trainee

No view/editing for Trainee unless submitted

Free text for Admin







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