Form B - Supervisor or Training Programme Director support for dyslexia assessment

One of your trainees has approached the PSU's Individual Support Team (IST) and requested funding for a formal diagnostic assessment by an educational psychologist.

As part of the triage process it would be helpful if you could provide us with the following information in your capacity as Supervisor or Training Programme Director :

Name *

Name of Trainee *

Email Address *

Have issues with progression through training been identified? *

Yes

Has the trainee experienced difficulty passing exams? *

Yes

Has the trainee had problems completing the competence assessments required for e-portfolio? *

Yes

In comparison to other doctors at your trainee’s level of training, please could you provide brief comments on any work-related difficulties, where relevant

1. Their note taking *

2. Quality of written work (e.g. letters/discharge summaries) *

3. Accuracy of prescription writing *

4. Ability to process verbal information when a rapid response is required *

5. Ability to meet the organisational demands of the role *

6. Day to day time management *

7. Any other comments/observations *

Confirmation *

By clicking here you will confirm that you have accepted the terms of our privacy statement.

It is the expectation of the PSU's IST that comments included on this form will be shared with the trainee as part of the on-going educational supervision.

The information that you have provided on this form is considered in conjunction with the trainee’s application and result from the British Dyslexia Association adult checklist screen in order to reach a decision as to whether a formal diagnostic assessment with an educational psychologist can be funded by PSU's IST.

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