Year 5 Assessment forms and guidance notes

All Assessment Forms are available below.  Students are responsible for printing their own forms for all clinical years.  Students are required to arrange a meeting with their Firm Leader or an alternative individual that has been nominated by their Firm leader in order to complete the form.  All forms should be returned to the Faculty Education Office (CX) within two weeks of the end of your attachment.

Sign-off requirements for Year 5
Each student will require a completed End-of-Firm Sign-off form for each firm they undertake in Year 5.  To progress to the examinations in their relevant year:

  • Each firm must be passed with a ‘Meets Expectations’ grade. 
  • Each of the fields must be completed.
  • A mark must be given for each of the domains: Clinical skills, Practical skills, Clinical Communication, Knowledge and each of the professionalism criteria.
  • The Overall Firm Grade must be circled and the relevant signatures included.
  • If any of these elements is blank on submission, the form will be returned to the student and will need to be resubmitted when completed.

If a number of the ‘Unable to Comment’ boxes are ticked, and an inadequate explanation of why this is the case is given, the form will also be returned to the student with a request that a more appropriate person, who is able to provide detail, is found to complete this form.

We recommend to Consultants that whilst completing the form they note as many comments on this form as possible, for feedback purposes.  We also advise students to keep a scanned copy of this form.  The Faculty Education Office will need to keep the original signed copy for our records.

Borderline performance in the Firm
Borderline categories will be considered by the Head of Year and the following options may be considered:

  • Head of Year approves Sign-off as ‘Meets Expectation’ on review of comments, having undertaken further investigation or met with student.
  • Head of Year approves Sign-off as ‘Meets Expectation’, but the student is closely monitored throughout the rest of the year to ensure they are adequately supported.
  • Head of Year considers the candidate not to have met expectations and remedial action will be required.  Any remedial action will be organised on a case by case basis, but it may delay entry into the end of year examinations.
Assessment forms
Please note that most assessment forms are double-sided when printing. Forms are grouped alphabetically by surname
Psychiatry Rotation 6:
A-F Assessment form (2 pages) [pdf]  
G-L Assessment form (2 pages) [pdf]  
M-R Assessment form (2 pages) [pdf]  
S-Z Assessment form (2 pages) [pdf]  

Psychiatry Rotation 5:
A-F Assessment form (2 pages) [pdf]  
G-L Assessment form (2 pages) [pdf]  
M-R Assessment form (2 pages) [pdf]  
S-Z Assessment form (2 pages) [pdf]  

Psychiatry Rotation 4:
A-F Assessment form (2 pages) [pdf]  
G-L Assessment form (2 pages) [pdf]  
M-R Assessment form (2 pages) [pdf]  
S-Z Assessment form (2 pages) [pdf]  

Psychiatry Rotation 3:
A-F Assessment form (2 pages) [pdf]  
G-L Assessment form (2 pages) [pdf]  
M-R Assessment form (2 pages) [pdf]  
S-Z Assessment form (2 pages) [pdf]  

Psychiatry Rotation 2:
A-F Assessment form (2 pages) [pdf]  
G-L Assessment form (2 pages) [pdf]  
M-R Assessment form (2 pages) [pdf]  
S-Z Assessment form (2 pages) [pdf]  

Psychiatry Rotation 1:
A-F Assessment form (2 pages) [pdf]  
G-L Assessment form (2 pages) [pdf]  
M-R Assessment form (2 pages) [pdf]  
S-Z Assessment form (2 pages) [pdf]  

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This page was last updated: April 25, 2013 11:38 AM