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Confirmation of Eligibility Recruitment into Sub-specialty Training 2022 This confirmation of eligibility form is for the sole purpose of confirming the candidates’ eligibility for sub-specialty training. The form will be used at the longlisting stage to determine if any candidates are ineligible at that stage, so completeness and accuracy are of vital importance. If there are any specific concerns regarding the trainee’s application, please email ntn.grid@rcpch.ac.uk with further information. The confirmation of eligibility form should be completed by the Head of School (or representative) and sent back completed to the candidate. Please complete one form per applicant and include the sub-specialties they are applying to. If the applicant has gained approval from the CSAC to count level 3 experience towards their training, please complete a separate form for each sub-specialty they are applying to and provide these details. Head of School- please send signed copies of all eligibility forms completed for trainees in your deanery to ntn.grid@rcpch.ac.uk Applicants are required to submit the confirmation of eligibility form along with their completed Oriel application by the application closing date 12 noon on Wednesday 17 November 2021. Any applications submitted without the required confirmation of eligibility form will not be accepted. Applicants therefore need to submit the form to their deanery contact by Monday 8 November 2021 at the latest, so that there is sufficient time for the deanery contact to complete and return the form to the applicant in good time before the closing date. Please note that Shape of Training will not affect the eligibility criteria for sub-specialty applicants starting in post in 2022. Applicants Name: Sub-specialty(s) applying for: Level 2 completion Is it expected that by August / September 2022, the candidate will have completed Yes No core Level 2 ST training? ST 4 5 6 7 8 What is the trainee’s current level of Other (please training? indicate) Full time or LTFT If LTFT please tell us what the WTE is Current assessment progress Yes No What was the most recent ARCP outcome for this applicant? Have you any reason to anticipate the applicant’s ARCP between now and the start of their sub-specialty post will return an unsatisfactory outcome (i.e. not an outcome 1 or outcome 8 if on OOPC/E/P/R)? 1 If so, please explain why you think this applicant may still be eligible for sub- specialty training? Completion of Training What is the trainees expected CCT date? Will the trainee be taking OOP before starting sub-specialty training if successful? Yes No If so when will the trainee be anticipating starting sub-specialty training? Start Date: MM:YY [format] Will the applicant be able to complete the sub-specialty syllabus in the time remaining before their CCT? Yes No N.B. Trainees with a CCT date which does not fall in Aug/Sep are allowed the necessary latitude to complete a sub-specialty programme that commences in September. If the applicant starts the sub-specialty training programme on [5 September 2022], how long (WTE months) have they left in training before their anticipated CCT date? Is this less than the indicative training time, outlined in the relevant subspecialty syllabus? Yes No If the answer above is yes, please indicate why you think the applicant will be able to complete this training by their CCT date. If the remaining time before CCT is less than the indicative sub-specialty training time, has the relevant CSAC opinion been sought on whether the applicant could feasibly complete their sub-specialty programme in the time remaining before CCT? Yes No Completion would be feasible if the CSAC feel the applicant has demonstrated previous capabilities, relevant to the sub-specialty, that would enable them to progress through the sub-specialty programme at a rate quicker than the indicative training time. Please include any relevant CSAC comments below. Concerns Do you have any concerns about the candidate’s clinical experience, knowledge and Yes No skills? Do you have any concerns about the candidate’s personal / communication skills? Yes No Please elaborate on any concerns you have highlighted or please use this space if you have any further comments on the applicant: Disciplinary Record / Fitness to Practise Please give details of any existing disciplinary/fitness to practise record or outstanding disciplinary / fitness to practise matter, together with the relevant details if known. 2 Further Comments If you have any further information regarding the candidate’s eligibility to apply for sub-specialty training please use this space e.g. further detail on CSAC approval for previous sub-specialty training posts, additional ARCP notes etc. Print Name: Signed: Date: Deanery: NB: Scanned Electronic Signatures are accepted. The RCPCH uses the information you have provided in this form as part of the longlisting process for each applicant, therefore its completeness and accuracy are of vital importance. We thank you very much for participating in this process. 3
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