Trainee UI - Field Validation | Form R (Part B)

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

As Is Form

Assumptions

All fields are mandatory
Specified fields should also be editable, should the Trainee need to make changes to what is held in the system - these are currently captured on the
Appropriate field assistance should be displayed
Photograph from the original form is not needed

Order	Field name	DR field	Reference Table	Example value	Type (free text, drop down, check box) & Interaction (autopopulate etc)	Mandatory (Y/N)	Notes
Form R - Part B
DOCTORS DETAILS
1	Forename	Forenames	DR	vwPerson	Pre-populate Editable
2	GMC-Registered Surname	LegalSurname	DR	vwPerson	Pre-populate
3	GMC Number	GMCNumber	DR	vwPerson	Pre-populate
	Primary Contact Email Address						Strongly advised to give 'NHS.net' address
4	Deanery / HEE Local Team	LocalOfficeName	DR	vwPerson	Pre-populate
	Previous Designated Body for Revalidation					Y - if applicable
5	Current Revalidation Date					Y
6	Date of Previous Revalidation					Y - if applicable
7	Programme / Training Specialty
8	Dual Specialty
WHOLE SCOPE OF PRACTICE (assistance information required)
10	Type of Work				Drop Down: Name+Grade of Specialty Rotation, OOP, Maternity Add multiple
11	Start Date				Calendar Picker Add multiple
12	End Date				Calendar Picker Add multiple
13	Training Post?				Options: Y or N Add multiple
14	Site Name				Smart-search / drop down
15A	Site Location				Smart-search / Drop down Constrain list based on site name chosen
Section 2 - Time Out of Training (assistance information required)
	Short- and Long-term sickness absence				Number counter / entry
	Parental leave (incl Maternity / Paternity leave)				Number counter / entry
	Career breaks within a Programme (OOPC) and non-training placements for experience (OOPE)				Number counter / entry
	Paid / unpaid leave				Number counter / entry
	Other				Number counter / entry		Assistance information required here - see actual form Page 1
	Total				Autopopulated count of above fileds xx- yy
Section 3 - DECLARATIONS RELATING TO GOOD MEDICAL PRACTICE (assistance information required)
	1) I declare that I accept the professional obligations paced on me in Good Medical Practice in relation to honesty and integrity.				Selection box Y / N		Guidance information required here - related to field XX
	2) I declare that I accept the professional obligations placed on me in Good Medical Practice about my personal health				Selection box Y / N
	3a) Do you have any GMC conditions, warnings or undertakings placed on you by the GMC, employing Trust or other organisation?				Selection box Yes - go to Q3b No - go to Q4
	3b) If yes, are you complying with these conditions / undertakings?				Yes - go to Q4 No - TBC
	4) Health Statement				Free text 500 words	N	Guidance text needed here
SECTION 4 - UPDATE TO PREVIOUS FPRM R PART B (guidance/warning info needed)
	1) If you did not declare significant events, complaints, or other investigations on your previous Form R Part B, check this box				Check box Go to Section 5
	2) If any previously declared significant events, complaints, or other investigations have been resolved since your last ARCP/RITA/Appraisal, you are required to have written a reflection on these in your Portfolio				Selection: Y/N Add multiple
	2a) Declaration Type				Smart-search / drop down significant event Complaint Other investigation	Y - If (2) is yes
	2b) Date of entry into Portfolio				Calendar picker	Y - If (2) is yes
	2c) Title / Topic of Reflection/Event				Free text	Y - If (2) is yes
	2d) Location of entry in Portfolio				Free text	Y - If (2) is yes
	3) Unresolved detail				Free text	N	Guidance text required
Section 5: NEW DECLARATION SINCE YOUR PREVIOUS FORM R PART B