College of Emergency Medicine

Formative Case Based Discussion CbD

Trainee name:
Assessor:

GMC
assessor
No:

Grade of assessor:

Date

Record keeping
Review of investigations
Diagnosis
Treatment
Planning for subsequent
care (in patient or
discharged patients)
Clinical reasoning
Patient safety issues
Overall clinical care

Not
observed

Presentation please see

curriculum for number

Case discussed (brief description)

Please TICK to
indicate the standard
of the trainees
performance in each
area

Further
core
learning
needed

Demonstrates good
practice
Must
address
learning
points
highlighte
d below

Should
address
learning
points
highlighte
d below

Demonstrat
es excellent
practice

Things done particularly well

Learning points

Action points

Assessor Signature:

Trainee Signature: