The Royal Australian

and New Zealand

SIMG PARTIALLY COMPARABLE – CONSULTANT ASSESSMENT College of
FORM Obstetricians and
Gynaecologists

SIMG Trainee Full Name: _______________________________

Hospital:_____________________________________________  Full time  Part time (as per hospital contract)

Consultant details (please print clearly)

Full Name: ___________________________________________

This assessment is based on personal observation of the SIMG trainee between the dates of

From _____/_____/______ to _____/_____/______

 I have less than 10 contact hours per four-week period, with the Trainee
 I have greater than 10 contact hours per four-week period, with the Trainee*

Instructions to Consultants
 This form must be completed by the Consultant, but feedback from relevant health professionals (e.g. other medical
staff, midwives) can be considered when making your assessment.
 The SIMG Trainee’s performance as a clinician is to be assessed across the three domains of clinical expertise, academic
abilities and professional qualities.
 Within each of the three domains, individual competencies are listed.
 When making your assessment of each competency, please rate the SIMG Trainee’s performance at the level of a
FRANZCOG Advanced trainee. If you have observed any specific issues with the SIMG Trainee’s performance in a
particular area, please make a note of these in the far right-hand column of that competency.
 Return the form to the SIMG Trainee’s Training Supervisor or to the designated member of administrative staff who
distributes and collects these forms. These forms should NOT be distributed to you or collected from you by the SIMG
trainee.
 Before completing this confidential assessment, please refer to the information on p 5 of this document.

Instructions to SIMG Training Supervisors

 After completing the Summative Assessment Report, it is mandatory to send all the Consultant Assessment of trainee
forms to the SIMG Department at College House for confidential storage.

Tick ONE RELEVANT box for each competency and provide comments in the far right-hand column if the SIMG Trainee’s
performance is “Not Demonstrated” for level of training and is below expectation for their level of training.

 Demonstrated for level of training

 Partially Demonstrated for level of training
 Not Demonstrated for level of training
 Not assessed

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 The Royal Australian
and New Zealand
SIMG PARTIALLY COMPARABLE – CONSULTANT ASSESSMENT FORM College of
Obstetricians and
Gynaecologists

1. Clinical Expertise
Partially Not
Competencies Description Demonstrated Demonstrated Demonstrated Not Assessed Specific qualities/ attributes that need further development
Demonstrates Demonstrates an ability to:
responsibility,  prioritise urgent and other tasks
reliability and  deal with allotted duties
initiative in  manage clinics and wards
undertaking  organise appropriate testing and follow up of
clinical and other test results
duties  provides a safe and effective management plan

Manages clinical Demonstrates an ability to:

load effectively  consult effectively with senior staff and other
in consultation health professionals where necessary
with other  manage work load effectively in different
members of the clinical settings
health team  consult with and manage multi-disciplinary
health care services

Demonstrates Demonstrates an ability to:

appropriate  proficiently manage and technically perform
obstetric clinical routine obstetric procedures
procedural and  identify and proficiently manage obstetric
surgical skills complications
 seek assistance from appropriate specialist
colleagues when required

Demonstrates Demonstrates an ability to:

appropriate  organise routine obstetric examinations and
obstetric non- investigations
procedural skills

Demonstrates Demonstrates an ability to:

appropriate  proficiently manage and technically perform
gynaecological routine gynaecological procedures
clinical  identify and proficiently manage complex
procedural and gynaecological problems
surgical skills  seek assistance from appropriate specialist
colleagues when required

Demonstrates Demonstrates an ability to:

appropriate  organise routine obstetric examinations and
gynaecological investigations
non-procedural
skills

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 The Royal Australian
and New Zealand
SIMG PARTIALLY COMPARABLE – CONSULTANT ASSESSMENT FORM College of
Obstetricians and
Gynaecologists

Demonstrates Demonstrates an ability to:

appropriate  take a relevant history
documentation  write legible and clear records
and  organise and prioritise urgent tasks
organisational  give an effective clinical handover
skills

Demonstrates Demonstrates an ability to:

continued  access, interpret and apply knowledge to make
improvement in accurate diagnoses
medical  apply effective clinical reasoning
expertise, clinical  provide effective and ethical diagnostic,
reasoning and therapeutic and surgical management
judgment  consider cost-effectiveness in clinical decision-
making
 recognise accepted clinical protocols and
procedures

2. Academic Abilities
Partially Not Not
Competencies Description Demonstrated Demonstrated Demonstrated Assessed Specific qualities/ attributes that need further development
Demonstrates Demonstrates an ability to:
appropriate  actively seek information
theoretical  critically appraise sources
knowledge of  interpret the results of research
specialty and apply evidence-based medicine
principles of
evidence-based
medicine

Demonstrates Demonstrates an ability to:

teaching at both  apply apprenticeship learning principles
undergraduate  provide guidance, advice and feedback to junior
and postgraduate staff, including mentoring, supervision, appraisal
level and workplace-based assessment
 seek opportunities to teach in clinical situations
 tailor learning experiences to address own and
others knowledge deficiencies and learning
needs
 Use varied teaching strategies appropriate to
audience and context (including one-to-one,
small and large groups, formal lectures)

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 The Royal Australian
and New Zealand
SIMG PARTIALLY COMPARABLE – CONSULTANT ASSESSMENT FORM College of
Obstetricians and
Gynaecologists

Demonstrates Demonstrates an ability to:

attendance and  consistently attend and participate at timetabled
participation at education meetings
continuing  attend organised educational activities, scientific
education meetings, workshops and conferences
meetings
Demonstrates Demonstrates an ability to:
research abilities  contribute to educational research, projects or
clinical trials

3. Professional Qualities
Partially Not Not
Competencies Description Demonstrated Demonstrated Demonstrated Assessed Specific qualities/ attributes that need further development
Communicates Demonstrates an ability to:
effectively with  listen attentively and answer questions fully
patients and their  form therapeutic relationships with patients,
families relatives and colleagues
 provide courteous and helpful guidance to
patients
 show empathy and sensitivity to cultural and
linguistic diversity
 respect patients in their care

Communicates Demonstrates an ability to:

effectively with  communicate accurately, clearly and promptly
colleagues with relevant colleagues by means appropriate
to the urgency of a situation (e.g. telephone,
email, letter etc.) especially where responsibility
for a patient’s care is transferred

Works as a Demonstrates an ability to:

member of a  relate appropriately and communicate
team effectively with other members of the health
care team in different clinical settings
 manage workplace differences and conflicts
 foster a supportive and respectful environment
where there is open and transparent
communication between all team members

Accepts Demonstrates an ability to:

constructive  accept feedback from colleagues, allied health
feedback staff, patients and their relatives
 recognise limits of own expertise

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 The Royal Australian
and New Zealand
SIMG PARTIALLY COMPARABLE – CONSULTANT ASSESSMENT FORM College of
Obstetricians and
Gynaecologists

Reviews and Demonstrates an ability to:

updates  practice risk management
professional  evaluate outcomes and re-assess the
practice solutions through research, audit and quality
assurance activities
 self-manage: balance personal and
professional roles and responsibilities

Leadership and Demonstrates an ability to:

management  act as first point of reference in Birth Suite
responsibilities  complete organisational tasks e.g. meetings,
rosters
 prioritise tasks, have realistic expectations of
what can be completed by self and others

Professionalism Demonstrates an ability to:

 prepare for meetings – read agendas,
understand minutes, action points and
undertake background research on agenda items

Health Advocacy Demonstrates an ability to:

 identify opportunities to prevent ill health and
disease in patients and other actions which will
positively improve healthy and/or disease
outcomes
 identify patients’ ideas, concerns and health
beliefs regarding screening and health
promotion programmes and is capable of
responding to these

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 SIMG PARTIALLY COMPARABLE – CONSULTANT ASSESSMENT FORM

Where appropriate, please provide specific comments, examples or suggestions that you feel would benefit the SIMG Trainee
and assist them in reaching the standard expected of a SIMG Trainee. Please use the right column on pages 2 and 3 for this
purpose.
In addition, to enable constructive feedback to be given to the SIMG Trainee by the SIMG Training Supervisor, it is IMPORTANT
that you comment on the SIMG Trainee’s specific strengths and areas for improvement below.

Areas of Strength:

Areas for Improvement

General Comments

Signature: _______________________________________________

Date: ________/________/______________

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 SIMG PARTIALLY COMPARABLE – CONSULTANT ASSESSMENT FORM

Information for completing the ‘Consultant Assessment of SIMG Trainee’ form

Your vital role in this RANZCOG Assessment
Your assessment of individual SIMG Trainee’s performance and progress is an integral part of a collated Summative Assessment
after each 6 months of training time in the SIMG Training Program. This form enables the College’s Training Supervisors to
provide feedback to SIMG Trainees and to serve as a College record of each SIMG Trainee’s progress. The SIMG Training
Supervisor or their nominee (e.g. an appropriate member of the administrative staff) is responsible for distributing the
assessment form to you and collecting them. These forms should NOT be distributed to you or collected from you by the SIMG
Trainee.
How do these six-monthly reports work?
The SIMG Training Supervisors collate the feedback ratings provided by you and your consultant colleagues in each of the three
Domains: Clinical Expertise, Academic Abilities and Professional Qualities. The SIMG Training Supervisors add their own
experience and assessment of each SIMG Trainee and contents on Trainee strengths and areas where improvement is needed.
The SIMG Training Supervisor then discusses the assessment with the Trainee.
The SIMG Training Supervisor also determines whether the report is deemed “Satisfactory” or other than satisfactory, in which
case it is “Referred for Review” to the relevant Regional TAC Chair and the SIMG Assessment Chair where the SIMG Trainee’s
performance will be discussed further. SIMG Trainees referred for review are required to develop and submit a Remedial
Development plan in collaboration with their SIMG Training Supervisor which details what actions the Trainee will undertake to
improve any skills, knowledge or practice that have been noted as below expectation for their year level.
A six-month Summative Assessment Report is graded “Referred for Review’ if:
2 or more consultants rate a SIMG trainee as “Not Demonstrated for level of training” for two or more competencies, regardless
of the domain(s) in which the competencies are located.
If the box “Referred for Review to Regional TA Committee SIMG Assessment Chair” is ticked by the SIMG Training Supervisor, a
Remedial Development Plan (RDP) MUST be developed with the SIMG Trainee and submitted with the six-monthly Summative
Assessment & Clinical Training Summary. The RDP Template is located at: www.ranzcog.edu.au
The need for honest and detailed assessment
The Consultant Assessment of SIMG Trainee Form is confidential and is not intended to be viewed by the SIMG Trainee. This is to
encourage you to provide honest and detailed assessment for the SIMG Training Supervisor. Please ensure that you use the
comments section on the form to provide as much information as you can. For example, if you assess a Trainee’s communication
skills to be “Not Demonstrated for level of training”, please provide specific instances and/or areas for improvement. The SIMG
Training Supervisor relies on your assessment to assist them in their role of providing feedback to a SIMG Trainee on their
performance and progress. Guidelines that describe the expected competencies and attributes at the conclusion of FRANZCOG
training are provided for your reference:

Competency Satisfactory Completion of FRANZCOG Training

Clinical Expertise
Management of medical and clinical Manages independently across common and selected scope of practice.
conditions
Proficiently perform surgical and Independently performs common specified advanced skills and those within selected
procedural skills scope of practice and expertise. Recognises limits of practice and seeks assistance
from specialist colleagues when the situation is complex.
Effective clinical communication Recognises and repairs communication errors quickly and adapts style appropriately
and sensitively to ensure effective communication with patients, support groups,
colleagues.
Academic Abilities
An understanding of the Has extensive breadth and depth of knowledge of the majority of conditions
reproductive anatomy, physiology encountered in their chosen scope of practice and can instigate a safe and effective
and pathology relevant to women’s approach to manage problems not previously encountered.
health
Development of cognitive skills Applies advanced level clinical reasoning and judgment; can manage complexity and
particularly in the area of clinical uncertainty and devise options and adapt management plans.
problem solving
Self-learning in obstetrics and Actively seeks information to enhance the breadth and depth of their knowledge;
gynaecology and other relevant identifies own learning needs and resources; recognises and seeks learning
areas of medical practice opportunities.
Research abilities, especially in a Critically appraises a paper, tests ideas gained from the literature with senior
clinical context colleagues, undertakes a clinical review and initiates one’s own research.

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 SIMG PARTIALLY COMPARABLE – CONSULTANT ASSESSMENT FORM

Teaching others Teaches at undergraduate & postgraduate levels; provides guidance, advice and
feedback; and conducts assessments of procedural and surgical skills of junior
registrars.
Principles and practice of evidence- Demonstrates understanding and application of evidence-based medicine including
based medicine the development towards new knowledge and practices.
Professional
Clinical leadership and management Effectively manages resources, clinical teams, resolves conflicts, prepares rosters, sets
responsibilities priorities and appraises work practices within the unit. Develops guidelines, protocols
and checklists where appropriate.
Commitment to practice review and Leads root cause(s) analysis and other methods to review incidents, errors and
clinical audit adverse events. Participates in clinical governance and takes responsibility to
implement change to reduce risk.
An ability to work collaboratively Establishes professional relationships with all healthcare team members, contributes
with effective intra and inter- to interdisciplinary team activities and provides appropriate feedback to others.
professional communication team
skills
Ethical attitudes and conduct Acts as a role model for others in demonstrating ethical attitudes and conduct and
encouraging peers to practice medicine consistent with the obligations involved in a
self-regulating profession.

Health advocacy Acts as a health advocate to improve health outcomes within the broader community,
cognisant of the relevant health, social, cultural and economic needs.
Engagement with professional Engages with RANZCOG committees, events, meetings and activities and other key
bodies relevant to the clinical professional bodies relevant to scope of practice.
practice of O&G

Legal and regulatory obligations Practices independently within professional, legal and regulatory frameworks.

Health and Fitness to Practice Considers the health and safety needs of colleagues and responds when appropriate
to ensure optimal level of performance.

Deadlines
It is essential that you return the completed form/s to the SIMG Training Supervisor as soon as possible. The SIMG Training
Supervisor MUST meet with the SIMG Trainee before they leave the hospital for their next position. SIMG Trainees are then
responsible for submitting their signed Summative Assessment and Clinical Training Summary report to the SIMG Co-ordinator at
College House.
The Summative Assessment (which includes a Clinical Training Summary) must be completed and received at College House
within 6 weeks of the end of the six-month training period or the SIMG training period will NOT be credited to the SIMG Trainee
and will result in a “Not Satisfactory” assessment.
If a SIMG Trainee receives three “Not Satisfactory” assessments throughout their training, this will result in removal from the
training program. Therefore, timing is critical for your feedback to be received by the SIMG Training Supervisor.
Thank you
The College takes this opportunity to sincerely thank you for your help and guidance to the SIMG Trainees and for your continued
support of the FRANZCOG SIMG Training Program.

Further information
For any queries concerning assessment processes or this assessment form, please contact the relevant Training Supervisor who
has sent it to you, or Training Services at College House.

For any queries relating to SIMG Training Please contact:

SIMG Co-ordinator
RANZCOG
254 – 260 Albert Street Phone: +61 3 9412 2970
East Melbourne Fax: +61 3 9412 2956
VIC 3002 AUSTRALIA Email: [email protected]

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