Stage 1: Educational Supervisor Evidence Log

Foundation Pharmacist:Educational Supervisor:

Month / Year Foundation Pharmacist Started workplace element:

No / Month / Evidence / No. /Ref / Topic / Comments / Approved
0 / Completion of pre-requisites
Learning Agreement
MRCF
MiniCEX
CBD
FPF self-assessment
1 / Jan / SLE: (circle)
CBD / MiniCEX / MRCF / DOP
Log of contributions to care
Intervention: (circle)
Significant / Extended
CPD
Other
2 / Feb / SLE: (circle)
CBD / MiniCEX / MRCF / DOP
Log of contributions to care
Intervention: (circle)
Significant / Extended
CPD
Other
3 / Mar / SLE: (circle)
CBD / MiniCEX / MRCF / DOP
Log of contributions to care
Intervention: (circle)
Significant / Extended
CPD
FPF Assessment
Other
4 / Apr / RITA
Log of contributions to care
Intervention: (circle)
Significant / Extended
Other
5 / May / MiniTAB
SLE: (circle)
CBD / MiniCEX / MRCF / DOP
Log of contributions to care
Intervention: (circle)
Significant / Extended
Social Care intervention
CPD
Other
NB: Regular checks on progress on the syllabus should be carried out in FP/ES meetings / Useful Resources:
Notes:

No / Month / Evidence / No. /Ref / Topic / Comments / Approved
6 / June / SLE: (circle)
CBD / MiniCEX / MRCF / DOP
Log of contributions to care
Intervention: (circle)
Significant / Extended
CPD
Other
7 / July / SLE: (circle)
CBD / MiniCEX / MRCF / DOP
Log of contributions to care
Intervention: (circle)
Significant / Extended
CPD
Other:
8 / Aug / SLE: (circle)
CBD / MiniCEX / MRCF / DOP
Log of contributions to care
Intervention: (circle)
Significant / Extended
Social Care intervention
CPD
Other:
9 / Sept / SLE: (circle)
CBD / MiniCEX / MRCF / DOP
Log of contributions to care
Intervention: (circle)
Significant / Extended
CPD
Other:
10 / Oct / SLE: (circle)
CBD / MiniCEX / MRCF / DOP
Log of contributions to care
Intervention: (circle)
Significant / Extended
CPD
Other:
11 / Nov / MiniTAB
SLE: (circle)
CBD / MiniCEX / MRCF / DOP
Log of contributions to care
Intervention: (circle)
Significant / Extended
CPD
FPF Assessment
Other:
12 / Dec / RITA
Log of contributions to care
Intervention: (circle)
Significant / Extended
Other:
Notes:
No / Month / Evidence / No. /Ref / Topic / Comments / Approved
13 / Jan / SLE: (circle)
CBD / MiniCEX / MRCF / DOP
Log of contributions to care
Intervention: (circle)
Significant / Extended
CPD
Other:
14 / Feb / SLE: (circle)
CBD / MiniCEX / MRCF / DOP
Log of contributions to care
Intervention: (circle)
Significant / Extended
CPD
Other:
15 / Mar / SLE: (circle)
CBD / MiniCEX / MRCF / DOP
Log of contributions to care
Intervention: (circle)
Significant / Extended
Social Care intervention
CPD
Other:
16 / April / MiniTAB
Log of contributions to care
Intervention: (circle)
Significant / Extended
CPD
FPF Assessment
Other:
17 / May / RITA
Log of contributions to care
Portfolio prepared for completion
18 / JUNE / Portfolio submission

Other topics for review:Mock MCQOSCE Assessment

Notes: