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

As Is Form

  • All fields are mandatory
  • Specified fields should also be editable should the Trainee need to make changes to what is held in the system
  • Appropriate field assistance should be displayed
  • Photograph from the original form is not needed
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)Summary (S) / Detail (D)NotesDelete field
Form R - Part A
1ForenameForenamesDRvwPerson

Pre-populate

Editable









2GMC-Registered SurnameLegalSurnameDRvwPerson
Pre-populate







3GMC NumberGMCNumberDRvwPerson
Pre-populate







4Deanery / HEE Local TeamLocalOfficeNameDRvwPerson
Pre-populate







5DOBDateOfBirthDRvwPerson

Pre-populate

Editable









6GenderGenderDRvwPerson

Pre-populate

Editable









7Immigration StatusTBCTBCTBC
Pre-populate







8Primary QualificationQualificationDRvwPerson

Pre-populate

Editable









9Date AwardedTBCTBCTBC

Pre-populate

Editable









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

Pre-populate

Editable









11Home address

AddressLine1

AddressLine2

AddressLine3

AddressLine4

AddressPostCode


vwPerson

Pre-populate

Editable









12Contact TelephoneTelephoneNumber
vwPerson

Pre-populate

Editable









13Contact MobileMobileNumber
vwPerson

Pre-populate

Editable









14Email AddressEmailAddress
vwPerson

Pre-populate

Editable









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

Selection

Choose one between 155A - 15F









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

Selection 

Choose one between 155A - 15F









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

Selection

Choose one between 155A - 15F









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

Selection

Choose one between 155A - 15F









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

Selection

Choose one between 155A - 15F









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

Selection

Choose one between 155A - 15F









16Programme SpecialtyTBC
TBC
Pre-populate 







17Specialty 1 for Award of CCTTBC
TBC
Pre-populate if 15A is selected







18Specialty 2 for Award of CCTTBC
TBC
Pre-populate if 15A is selected







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







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

ProgrammeEndDateWithPOG


Pre-populate

Calculation









21Training gradevwPlacement
GradeName
Pre-populate
Only applicable if completed post training start date





22Date StartedvwPlacement
StartDate
Pre-populate
Only applicable if completed post training start date





23Post Type / AppointmentTBC
TBC

Pre-populate

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









24Full Time / % of Full Time TrainingvwPlacement
WholeTimeEquivalent
Pre-populate







25Trainee SignatureTBC
TBC
TBC







26DateTBC
TBC

Pre-populate

Today's Date (of submission)









27National Training Number / Deanery Reference NumberTBC
TBC

Autopopulate 

No view/editing for Trainee unless submitted

Free Text for Admin









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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