***Insert Trust name and anaesthetic department***
Return to Work after a period of absence
Name:
Grade:
Days working if LTFT:
Date returning to work:
Educational Supervisor:
Mentor:
CPD during leave
Return to Work Plan
Need to have induction from Dr….…..
Undertake at least XX sessions (ie XX days) under direct supervision before working solo. First on-call shift should be a long day not a night. Expectation that Dr XXX will be on on-call rota from XXXX.
XX sessions to include:
1 day (2 sessions) in emergency theatres
1 day (2 sessions) in trauma theatre
½ day (1 sessions) in Obstetrics
½ day in Children’s Theatres
During this time to complete 2 WBPA including 1 ALMAT.
We anticipate that Dr XXX will be ready to commence work independently on XXXX
Confirmation of completion of Back to Work Plan:
Signed………………………………………………
Dr XXXX
Signed……………………………………………….
Dr ………………, Consultant Anaesthetist + RTW Lead
Date……/………../………