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This table specifically specifies the fields relevant to Form R, Part A only

As Is Form

User Journey

Trainee UI - Form R Part A.png

Assumptions

  • All fields are mandatory
  • Prompts should be displayed to the Trainee advising them of how to update particular fields as needed
  • Appropriate field assistance should be displayed
  • Photograph from the original form is not needed


Form R Part A – Guidance Text

  • Displayed at the top of the form
  • All underlined / emboldened text should be displayed

Current Guidance Text

 If this form has been pre-populated by your Deanery/HEE local team, please check all details, cross out errors and write in amendments. By signing this document you are confirming that ALL  details (pre-populated or entered by you) are correct.

 It remains your own responsibility to keep your Designated Body, and the GMC, informed as soon as possible of any changes to your contact details. Your Deanery/HEE local team remains your Designated Body throughout your time in training. You can update your Designated Body on your GMC Online account under “My Revalidation”.


Updated Guidance (to be confirmed) Alistair Pringle (Unlicensed)

 This form has been pre-populated using the information available against your records within the Trainee Information System (TIS). Please check all details and either amend them within the relevant system (see guidance in the form), or speak to your local office to amend them on your behalf. By singing this document you are confirming that ALL DETAILS (pre-populated or entered by you) are correct.

 It remains your own responsibility to keep your Designated Body and the GMC informed as soon as possible of any changes to your contact details. Your HEE Local team remains your Designated Body throughout your time in training. You can update your Designated Body on your GMC Online account under “My Revalidation”.


Fields

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 OfficeLocalOfficeNameDRvwPerson

Pre-populate

Read-only









5Date of birthDateOfBirthDRvwPerson

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







If there are multiple qualifications, which one to display? How to extract the Primary Qualification?
9Date AwardedDate AttainedDRvwPerson

Pre-populate

Read-only







If there are multiple qualifications, which one to display? How to extract the Primary Qualification?
10Medical School Awarding Primary Qualification (name and country)Medical SchoolDRvwPerson

Pre-populate

Read-only







If there are multiple qualifications, which one to display? How to extract the Primary Qualification?
11Home address

AddressLine1

AddressLine2

AddressLine3

AddressLine4

AddressPostCode


vwPerson

Pre-populate

Read-only







Line 4 is a left over from Intrepid, if made editable, then the user should be allowed to update the whole address as an object and without a Line 4. 
12Contact TelephoneTelephoneNumber
vwPerson

Pre-populate

Read-only









13Contact MobileMobileNumber
vwPerson

Pre-populate

Read-only









14Email AddressEmailAddress
vwPerson

Pre-populate

Read-only







This allows for multiple at the moment, again a left over of the merged and migrated emails from Intrepid. Consideration on which one to display and what to allow in an edit scenario.
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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