Train the Trainer course checklist

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1. This checklist needs to be completed by the Educational supervisor / FTPD at a meeting with the trainee.

Please provide trainees name below as they wish it to appear on the certificate. *

2. Please add the trainee's email address (NHS.net where possible) *

3. The trainee is an EOE foundation school : *

FY1
FY2
Other

4. What date did the trainee complete this course (this should be the date of the sign off )? *

	DD/MM/YYYY
Train the Trainer course

5. Section 1 *

	DD/MM/YYYY
Date attended

6. Section 2 *

	DD/MM/YYYY
Date attended

7. Section 3:
Teaching practical skills
a) Asking Questions
b) Feedback
c) Practicing teaching practical skills ( only one of the following need completing for this course):
i- facilitating VR
ii- Simulation
iii-core procedure

I confirm the trainee has completed the following sessions: *

3a) Asking Questions
3b) Feedback
3c (i) Practicing teaching practical skills - Facilitating VR
3c (ii) Practicing teaching practical skills - Simulation
3c (iii) Practicing teaching practical skills - Core procedure

8. Section 3 *

	DD/MM/YYYY
Date completed

9. Section 2 & 3 : Practical Component (see handbook for full details) - Two reflective pieces need to be written up and evidence uploaded on eporfolio.
(a) Critique of a teaching session attended
(b) Deliver a teaching session based on the principles learnt in section 2 & 3 and be peer reviewed (you can use the 'Developing the Teacher' form if you wish) . Then write a reflection on the you feedback received
*

Description of Teaching critiqued	*
Description of Teaching delivered	*

10. Section 4 *

	DD/MM/YYYY
Date attended

11. Section 5 *

	DD/MM/YYYY
Date completed

12. Section 6 :Final presentation & Q&A session: *

	DD/MM/YYYY
Date attended

13. By filling in my details below I the educational supervisor / FTPD can confirm that this trainee has attended and completed all aspects of the course. I am happy to sign them off. *

Educational supervisor / FTPD name:	*
Name of Trust :	*
Date signed off :	*

14. We thank you immensely for helping us deliver the completion of this course successfully. If there is any comments / feedback you would like to give us please feel free to mention them below or alternatively you can email papworth.fyregionalteaching@nhs.net and we will get back to you.

Please continue with this checklist so that the trainee can print of the completion certificate.

Thanks,

Foundation Training Faculty