Page Content:
As_Is Form
Semi-automated form used by HEEOE:
Alistair Pringle (Unlicensed)/ James Harris:
User Journey
Assumptions
- 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 can be saved and come back later to complete and submit.
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), James Harris, Sebastian Kwok (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 amend where necessary. Amendments made to your details on this form will not update other systems that you may have access to. By submitting this document you are confirming that ALL DETAILS (pre-populated or entered/amended 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
This table specifically specifies the fields relevant to Form R, Part A only
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 for Submission (Y/N) ? | Validation / Error Messaging | Notes |
---|---|---|---|---|---|---|---|---|
Form R - Part A - TISNEW-3946Getting issue details... STATUS | ||||||||
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. Should we wish to update TIS with the date in the future, the TIS Person ID can be linked back to. |
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 | Calendar date picker | |
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 | N/A |
| Y | ||||
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 | N/A |
| Y | ||||
Section 2: DECLARATIONS | ||||||||
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):
Note: Curriculumid in ProgrammeMembership linked to Curriculum table to extract the curriculum sub type info
| Y | ||||
17 | Specialty 1 for Award of CCT |
| Conditionally mandatory | |||||
18 | Specialty 2 for Award of CCT |
| 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 |
| Y | ||
20 | Anticipated Completion Date of Current Programme (if known) | James Harris/ Alistair Pringle (Unlicensed)
| Y |
| ||||
SECTION 3: PROGRAMME | ||||||||
21 | Training grade | Y |
| Y | ||||
22 | Start date | Programme Start date | N |
| Y |
| ||
23 | Post type or appointment | Programme membership type | Y |
| Y | |||
24 | Full Time or % of Full Time Training | WTE | N |
| Y | |||
Section 4: SIGNATURE | ||||||||
25 | Trainee Signature | N/A | N/A |
| ||||
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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