*ROC* SWAST email address* ROC.Gloucester@SWAST.nhs.uk ROC.BNSSG@SWAST.nhs.uk ROC.Wiltshire@SWAST.nhs.uk ROC.Somerset@SWAST.nhs.uk ROC.Dorset@SWAST.nhs.uk ROC.NEDevon@SWAST.nhs.uk ROC.SWDevon@SWAST.nhs.uk ROC.Cornwall@SWAST.nhs.uk
Please choose the correct ROC office for your area *ROC will only receive notification of completion & your identifying details.
Strengths*
What do you feel are your areas of strength within your current practice?
Limitations*
Is there an area of practice you feel you could improve in? If so, what?
Opportunities*
Now that your 14 shifts have finished, what opportunities are there moving forward into autonomous practice as the lead clinician?
Threats*
Are there any obstacles that you face? For example, time restraints or learning barriers? What ongoing support do you think you might need?
Preceptorship confidence levels Use this section to record three areas of practice you may be feeling under confident in.
For example this may be “Local Urgent care ACPs” or recognition of Bundle Branch Blocks” or “Clinical decision making in the frail population”.
Try to make it as specific as possible. Plot your current confidence levels at the start of your Preceptorship and measure how they improve over time.
Preceptee comments*
Please provide feedback on your 1st 7 shifts
Preceptor comments*
Please provide feedback on your NQP's 1st 14 shifts