Completion of Unit of Training (CUT) Guidance 2019

The CUT form provides evidence that a trainee has achieved the learning outcomes for a Unit of Training.

This should be completed by the relevant module lead who will decide whether the learning outcomes have been achieved, and should be based on a range of evidence including;

  • Logbook of cases completed - The logbook review should consider the mix of cases, level of supervision and balance of elective and emergency cases, if relevant, for the unit. 
  • Workplace based assessments – all E -portfolio / LLP assessments for that module must be complete 
  • Peninsula workbooks – These are still in full use in the SW Peninsula School. It is expected that these core competences, set out in the school workbooks, are achieved in line with the curriculum. The majority of the outlined knowledge and skills and should be signed off but it is not essential for 100%. Provided there is agreement with a trainer a proportion of these may be self-signed but it is the responsibility of the module lead to verify this. We would expect that only approximately 30% of the workbook module for ACCS or CT trainees is self-signed, and no more than 60% of the workbook module for intermediate and higher ST training is self-signed. Please remember that only named and trained post-fellowship trainees can sign workplace based assessments for trainees on the eportfolio or LLP and it is expected that at least 60% of the sign offs will be by consultant trainers. 
  • Consultant feedback - Consultant feedback, and feedback from other approved anaesthetist trainers, is an important source of evidence when assessing trainees’ performance. It should be discussed with the trainee during or at the end of a Unit of Training. This means of assessment is valuable in identifying trainees who are performing above and below the standard expected for their level. It is a mandatory part of completing a unit of training, and should assure whoever signs the CUT form that the trainee is considered competent to provide anaesthesia and peri-operative care to the required level in this unit of training. For CUT sign off the module consultant / anaesthetic trainer feedback can be obtained in an informal manner such as email, or by verbal consultation if necessary, but should be based on the usual domains expected for structured feedback which are;
    • Clinical Skills; Pre-op assessment, Record Keeping, Clinical judgement, Practical skills, Knowledge.
    • Attitudes and Workplace Behaviour; Reliability and Punctuality, Initiative, Confidence, Organisational ability, Communication skills, Departmental involvement.
    • Relationships; Patients and Relatives, Staff and Colleagues, Team working.
    • Overall Assessment
    • Honesty and Integrity
    • Concerns 
  • Any other evidence provided by the trainee - such as course attendance certificates  

All hospitals must identify appropriate designated module leads to sign the CUT form for each unit of training.

Each trainer should be familiar with the Core Clinical Learning Outcomes for the unit of training and be able to provide guidance for trainees who have not yet achieved the learning outcomes. These are clearly outlined in the trainee workbooks for the School.

It is possible for a trainee to have all WPBAs signed off but not successfully complete the unit because of, for example, professional attitudes or inappropriate non-technical skills i.e. characteristics which will be captured by consultant feedback. The professional judgement of the supervisor will ultimately determine whether it is appropriate to sign the Completion of Unit of Training form for a trainee.

For ARCP;

In addition to all CUT sign offs trainees need to complete one MSF per year; this is not required for each Unit of Training and can be completed in one or as a total combination of MSF gain in individual modules. MSF seeks feedback from the multidisciplinary team, including consultants, on overall professional behaviour.

All trainees also require an overall formal consultant structured feedback with more than 10 responders.