Assessment Forms


Trainees should use forms relating to the placement the assessment is taking place in, not the parent specialty of the trainee.

Acute Internal Medicine

The AIM Assessment forms can be found here.

Emergency Medicine

During the emergency medicine module some of the required assessments are summative (formal assessments that require reassessment if the required standard is not demonstrated) – these summative assessments can be either specific summative mini-CEX or CbDs, and must be signed off by a Consultant. The CEM has produced a list of domain descriptors for the summative assessments to give guidance on what is expected during these assessments, this can be found below. The other assessments are formative (non-judgemental educational assessments) that are not pass/fail. Again, there are specific forms for these within the curriculum.

Specific EM summative forms can be found here.

Summative assessments by a consultant in at least two Major Presentations:

  • CMP1 Anaphylaxis
  • CMP2 Cardio-respiratory arrest (or current ALS certification)
  • CMP3 Major Trauma
  • CMP4 Septic patient
  • CMP5 Shocked patient
  • CMP6 Unconscious patient

Summative assessments by a consultant in each of the following five Acute Presentations:

  • CAP1 Abdominal Pain
  • CAP6 Breathlessness
  • CAP7 Chest Pain
  • CAP18 Head Injury
  • CAP30 Mental Health

Assessment of practical procedures including:

  • Airway management
  • Primary survey
  • Wound care
  • Fracture reduction joint reduction
  • Plus one other from the list using generic DOPs

Anaesthetic Competencies

The 2015 Anaesthetic Workplace Based Assessment forms can be found here

Please note that the examples of assessment forms contained within the 2012 ACCS Curriculum have now been replaced by the above forms.

All ACCS trainees must complete the ‘Introduction to Anaesthesia’ and attain all the identified clinical learning outcomes:

  1. Introduction to anaesthesia’. This comprises:
  1. Initial assessment of competence (IAC): should aim to be completed within the first three months of anaesthesia and must be completed prior to being able to work without direct supervision.
  2. Further anaesthetic Units of Training (listed in the RCoA curriculum under ‘Basis of anaesthetic practice'):
  1. Preoperative assessment:

  • History taking
  • Clinical examination
  • Specific anaesthetic evaluation
  1. Premedication
  2. Induction of general anaesthesia
  3. Intra-operative care
  4. Postoperative and recovery room care
  5. Introduction to anaesthesia for emergency surgery
  6. Management of respiratory and cardiac arrest
  7. Control of infection
  1. There are an additional two units within anaesthetic core training, (listed under Core Anaesthesia) but not part of the ‘Introduction to Anaesthesia’, which are of added interest to ACCS trainees:
  1. Transfer medicine
  2. Sedation

Trainees wishing to complete these additional ‘core training’ units may do so once the ‘Introduction to anaesthesia’ (IAC + basis of anaesthetic practice), has been successfully completed. These additional units are optional for the ACCS trainee.

More detailed information is contained within the Curriculum for a CCT in Anaesthesia (2010) Annex B.

ACCS trainees in Anaesthesia must complete the Anaesthesia Competencies as detailed in the curriculum regardless of parent specialty.

The assessment process contains both formative and summative elements.  The Initial Assessment of Competence (IAC) is comprised of mandatory summative assessments, which must be completed in their entirety. 

The remainder of the ‘Introduction to anaesthesia’, (Basis of anaesthetic practice) requires completion of the Units of Training listed above (1b). To complete a unit of training, trainees should undertake WPBAs that contribute to evidence showing the core clinical learning outcomes have been achieved. These are listed in Appendix 1 of CCT in Anaesthetics, Assessment Guidance, June 2015. The summative element is the appropriate CUT form (Completion of Unit of Training).

Work Place Based Assessments

The work place based assessment (WPBA) blueprints are found in Appendix 2 of CCT in Anaesthetics, Assessment Guidance, June 2015.  Sample forms are provided here

Further information on assessments in anaesthesia can be obtained from CCT in Anaesthetics, Assessment Guidance, June 2015.

Intensive Care Medicine

The paper assessment forms for an ICM placement can be found within Appendix A.3 of the 2012 Curriculum.