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Mid-Cycle Reviewzoe@align.me2023-11-23T15:44:58+11:00

Mid-Cycle Review

Mid-Cycle Review

Section 1 - Your details

Name of person completing the response:(Required)

What was the date range for your last survey visit?

DD slash MM slash YYYY
DD slash MM slash YYYY

Section 2 - Prevocational Education and Assessment

Please upload the following based on your prevocational program:

• PGY1 and/or PGY2 Education schedule with topics

• PGY1 attendance at Intern training for the current clinical year as a percentage per session

• PGY1 and/or PGY2 record of % of mid and end of term assessments completed for the current clinical year.

Drop files here or
Max. file size: 5 MB.
    Drop files here or
    Max. file size: 5 MB.
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      Max. file size: 5 MB.
        Drop files here or
        Max. file size: 5 MB.
          Drop files here or
          Max. file size: 5 MB.

            Section 3 - Planned Posts

            Is your health service planning to increase or decrease posts prior to your next survey visit?(Required)
            Please list the posts(Required)
            eg Intern, General Surgery, 1 EFT
            Level
            Stream
            EFT
             

            Section 4 - Proposed Initiatives and Identified Issues

            Please provide comment on any new developments and initiatives expected prior to the next survey visit which may impact Intern and/or PGY2 training. *
            Please provide comment on any new issues identified or expected prior to the next survey visit which may have an impact on Intern and/or PGY2 training. *

            Section 5 - Monitoring Action Plan

            Please complete the update column in the provided spreadsheet for all conditions and recommendations prior to uploading and submitting to PMCV for review
            Drop files here or
            Max. file size: 5 MB.

              Section 6 - Supporting Evidence

              Please attach all supporting evidence below.
              Drop files here or
              Max. file size: 100 MB.

                Section 7 - Declaration

                This declaration must be completed by the CMO/DMS or your health service. If you are not the CMO/DMS please save this form using "Save and Continue later" and email the CMO/DMS the link to complete.
                Name(Required)
                DD slash MM slash YYYY

                Declaration

                Declaration(Required)
                • PMCV Clinical Learning for Junior Doctors Guidelines
                • PMCV Clinical Supervision of Junior Doctors Guidelines
                • PMCV Performance Assessment and Feedback Guidelines for Junior Doctors
                Accreditation guidelines can be found here: Accreditation Resources

                Supporting your welfare and career development.

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