This table specifically specifies the fields relevant to Form R, Part A only
As_Is Form
Semi-automated form used by HEEOE:
Alistair Pringle (Unlicensed)/ James Harris:
User Journey
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
Red text to be discussed and agreed James Harris / Alistair Pringle (Unlicensed):
Order | Field name | TIS Field to pre-populate with | Reference Table | Example value | Type (free text, drop down, check box) & Interaction (auto-populate etc) | Mandatory (Y/N) ? | Validation / Error Messaging | Notes |
---|---|---|---|---|---|---|---|---|
Form R - Part A | ||||||||
Section 1: DOCTOR'S DETAILS | ||||||||
1 | Forename | Forename | N | Jayanta |
| Y |
| |
2 | GMC-Registered Surname | Surname | N | Saha | James Harris Alistair Pringle (Unlicensed):
| Y |
| Should be GMC registered surname as per guidance at top of the form |
3 | GMC Number | GMC Number | N | 1234567 UNKNOWN |
| Y |
| There will be trainees with UNKNOWN / N/A pre-populated, but may have a GMC to enter at time of Form R. |
4 | Deanery / HEE Local Office | Person Owner | Y - Local Office | Health Education England Wessex |
| Y | Alistair Pringle (Unlicensed) and Ashley Ransoo Shall we populate this field form PersonOwner table? - Yes but can be overwritten. | |
5 | Date of birth | Date of Birth | N | 20/03/2020 |
| Y |
| |
6 | Gender | Gender | Y - Gender | Male |
| Y | Overwritten with Gender Reference table CURRENT values only | Alistair Pringle (Unlicensed), James Harris option of 'I prefer not to specify' is available, so made mandatory on form. |
7 | Immigration Status | EEA Resident? Permit to Work? Settled? | TBC | Resident/Settled/Work Permit Required |
EEA Resident? Permit to Work? Settled?
| Y | In the form R it asks for the trainee's immigration status which can be 3 options listed. In TIS there is currently 3 fields that this information resides in which are all drop downs. James Harris, Alistair Pringle (Unlicensed) Permit to work list seems to be broken on TIS - not pulling the Reference 'Permit to work Current values' at the moment. EOE form R a seems to have a combined selectable list with ability to enter freetext. Should we make the 3 fields available separately rather than 1? | |
8 | Primary Qualification | Qualification tab > Qualification | Y - Qualification Reference |
| Y |
| If there are multiple qualifications, which one to display? How to extract the Primary Qualification? 24/03: Populate with the most recent one based on Date attained where there are multiples. | |
9 | Date Awarded | Qualification tab > Qualification> Date Attained |
| Y |
| |||
10 | Medical School Awarding Primary Qualification (name and country) | Qualification tab > Qualification> Medical School |
| Y |
| |||
11 | Home address | Address Line 1 Address Line 2 Address Line 3 Address Line 4 Post Code |
| Y |
| 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. | ||
12 | Contact Telephone | Telephone Number |
| Y |
| |||
13 | Contact Mobile | Mobile Number |
| Y |
| |||
14 | Email Address | Email address |
| Y | This allows for multiple at the moment on TIS Admin, 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. Alistair Pringle (Unlicensed) James Harris Which email address do we display to the trainee where there are many concatenated? Or should we display the one we are eventually going to create their account with, whatever that will be? | |||
Section 2: DECLARATIONS Alistair Pringle (Unlicensed)/ James Harris - Are any of these declarations are mandatory for submission? | ||||||||
15A | I confirm I have been appointed to a programme leading to award of CCT | N/A | N/A | Selection Choose one between 15A - 15F | N | |||
15C | I confirm that I will be seeking specialist registration by application for a CESR CP | N/A | N/A | Selection Choose one between 15A - 15F | N | |||
15D | I confirm that I will be seeking specialist registration by application for a CEGPR | N/A | N/A | Selection Choose one between 15A - 15F | N | |||
15E | I confirm that I will be seeking specialist registration by application for a CEGPR CP | N/A | N/A | Selection Choose one between 15A - 15F | N | |||
15F | I confirm that I am a core trainee, not yet eligible for CCT | N/A | N/A | Selection Choose one between 15A - 15F | N | |||
16 | Programme Specialty | Curriculum specialty from Programme membership | James Harris/ Alistair Pringle (Unlicensed):
| Y | There is no Programme specialty field so we could either use 'Programme name' or the main 'Curriculum Specialty' If there are multiple current programme membership, how do we decide which one to choose? Alistair Pringle (Unlicensed) and Ashley Ransoo James Harris/ Alistair Pringle (Unlicensed):
| |||
17 | Specialty 1 for Award of CCT | Curriculum end date of main curriculum of the Programme membership |
| Y | James Harris/ Alistair Pringle (Unlicensed):
| |||
18 | Specialty 2 for Award of CCT | Curriculum end date of secondary curriculum of the programme membership |
| N | ||||
19 | Royal College / Faculty Assessing Training for the Award of CCT | N/A | Y - College Reference table | Joint Royal College of Physicians Training Board |
| ? | ||
20 | Anticipated Completion Date of Current Programme (if known) | Programme End Date from Programme membership Programme end date for the Curriculum displayed in #16, i.e. attached to the Programme Membership. (see screenshot)? | James Harris/ Alistair Pringle (Unlicensed)
| Y |
| |||
SECTION 3: PROGRAMME - Alistair Pringle (Unlicensed) James Harris - Do we need this section, does not seem to be on the Form R Part a? | ||||||||
21 | Training grade | GradeName | Pre-populate Read-only | Only applicable if completed post training start date | ||||
22 | Date Started | StartDate | Pre-populate Read-only | Only applicable if completed post training start date | ||||
23 | Post Type / Appointment | vwProgrammemembership | Pre-populate Read-only Smart Search; FTSTA / LAT / MILITARY / SUBSTANTIVE (default) / VISITOR | |||||
24 | Full Time / % of Full Time Training | WholeTimeEquivalent | Pre-populate Read-only | |||||
Section 4: SIGNATURE | ||||||||
25 | Trainee Signature | N/A | N/A | Populate with Trainee name
| ||||
26 | Date | N/A | N/A | Pre-populate
| Alistair Pringle (Unlicensed) and Ashley Ransoo Which date to be recorded? Do we need to override the submission date or go for new field called modified date? 23/03: Yes | |||
Section 5: HEE ONLY - 24/03: Not to Display on the Form on Trainee UI but available to Admins. | ||||||||
27 | National Training Number / Deanery Reference Number | N/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 | ||||
28 | GMC Programme Approval Number | N/A | N/A | No editing for Trainee No view/editing for Trainee unless submitted Free text for Admin |
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