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The Foundation Programme Reference Guide - Academy of Medical ...

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g. <strong>Foundation</strong> Achievement <strong>of</strong> Competence Document(FACD)Personal DetailsName GMC Number <strong>Foundation</strong> School <strong>Medical</strong> SchoolF2 Clinical TrainingSpecialty Educational / Employer UK APS* Date from Date toClinical Supervisor (dd/mm/yy) (dd/mm/yy)1 Yes No2 Yes No3 Yes No4 Yes NoRecommendation by <strong>Foundation</strong> Training <strong>Programme</strong> Director/Tutor (or other authorised signatory)Documentation considered:E-portfolio & assessments Yes NoRecord <strong>of</strong> attendance at formal teaching sessions Yes NoRecord <strong>of</strong> attendance in employment (excluding annual leave) Yes NoOther:I confirm that the above named foundation doctor HAS met the requirements for satisfactorycompletion <strong>of</strong> the <strong>Foundation</strong> <strong>Programme</strong> as laid down by the GMC, the <strong>Foundation</strong><strong>Programme</strong> Curriculum and the <strong>Reference</strong> <strong>Guide</strong>Name Signature Designation DateFTPD/T or OtherAdditiona l comments from FTPD/T or otherSigned by F2 DoctorSignatureDateFinal Decision by Dean <strong>of</strong> the current deanery (or other authorised signatory)I confirm that the above named foundation doctor has ACHIEVED the required standard forsatisfactory completion <strong>of</strong> the <strong>Foundation</strong> <strong>Programme</strong>.Name Signature Designation DateNotes* UK APS = Approved practice setting in the United Kingdom. UK APS is an organisationapproved by the GMC as suitable for doctors new to full registration, or returning to themedical register after prolonged absence from UK practice. See GMC for more details.<strong>The</strong> UK <strong>Foundation</strong> <strong>Programme</strong>: <strong>Reference</strong> <strong>Guide</strong> 77

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