Assessment Grading

A conditional pass on either of the two placement evaluations (Clinical Competence Goals and Assessment Form and/or Portfolio of Clinical Activity) will be upgraded to a pass on confirmation from the clinical tutor that the issues identified have been attended to through the general placement outline for the next placement period. If the trainee receives a conditional pass at the mid-point of the final year placement, then the issue identified must be addressed in the planning for the next placement period and the trainee will be further evaluated at the end of the third year. One or more significant concerns would normally lead to a Referred grading. Paperwork submitted after the paperwork deadlines have passed will be noted as ‘late’ and will automatically be marked as a conditional pass as this is considered a conditional issue.

Two grades are given with a placement, one for the portfolio and one for the goals but this would make only one overall grade. Also, gaining one Referred in either category of portfolio or goals, would give an overall Referred grading. A Referred for both goals and portfolio would still give one overall Referred on clinical placement, not two.

Placement referral or failure would ensue only after the procedures to address problems on placement had been exhausted without success as above. Any problems or concerns that could mean that the trainee may fail or be referred, should first be discussed by the trainee and supervisor together, and must be brought to the attention of the clinical tutor at the placement review visit (earlier if already identified, and later if they emerge subsequently). If a trainee is referred on clinical placement, the host employer will be informed so that services from HR can be utilized as necessary (e.g., occupational health, employment support).  This will prompt a letter from the employer registering confirmation/receipt of a clinical referral and commenting on any action plan.  Notification will be given by the employer that if a trainee received another referral clinically, the trainee would normally fail the programme.

A trainee may be referred due to unsatisfactory clinical competence and/or unsatisfactory clinical experience. Both supervisors make the judgement, after discussion, which is agreed. All cases where the trainee’s placement performance is evaluated as conditional pass or referred, or where there is disagreement between supervisors, are moderated by the clinical director who liaises with the clinical tutor, appraiser and supervisors as necessary. In any case where, following moderation by the clinical director, there is continuing disagreement between supervisors or between the supervisor and the trainee’s appraiser, all relevant paperwork is sent to the external examiner. The external examiner will always be involved in all cases where the evaluation of the trainee’s placement performance is referred. The external examiner may take advice from the clinical tutor, the clinical director and, if necessary, the head of service in the trust in which the placement was based. The decision of the external examiner, when ratified by the Board of Examiners, is final.

If the trainee is referred on placement evaluations, he or she would be required to address the issues of concern during the next placement period(s). An action plan would be devised with the clinical tutor. In order to successfully complete the programme, normally all subsequent placement evaluations must be passed.  If the trainee is referred again on any subsequent placement, then he or she would normally fail the programme.  If the first referral is at the review point of the final year placement, the action plan would be set up within the remaining placement period to attempt to address the issue of concern within that time if possible. In this case the trainee will be further evaluated at the end of the third year. If at that point they are referred again they would normally fail the programme.  If at that time the trainee is referred for the first time, then they will need to extend training (at their own expense) and be finally evaluated at the end of that period. If at that point they are referred again they would normally fail the programme.

If at any point a trainee is found, following appropriate enquiry and due process, to have engaged in serious professional misconduct, i.e. conduct that seriously infringes the current BPS Code of Ethics and Conduct and/or HCPC (Standards of Conduct, Performance and Ethics) or the DCP Professional Practice Guidelines, then he or she would fail the placement and, normally, the Programme.