1. Learner's details

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14% of survey complete.

This form was designed with Supervisor consultation during Compass 2013 and GPET 2013. It is designed to aid Supervisors / Supervision teams in communicating concerns about a Registrar to NTGPE staff. We invite you to use this tool and also encourage your feedback. Completed forms will be referred to the Registrar's Training Advice Team who will then follow up as appropriate.

* 1. GP Registrar Name

* 2. Training Term (eg. GPT/PRRT 2)

* 3. Supervisor Name

* 4. Training Post name

* 5. This report

* 6. What is the main issue that concerns you about this learner?

* 7. Are there any other specific issues that concern you?
Eg professionalism, clinical knowledge, ethics, personal health and well being, cultural issues...