Professional Documents
Culture Documents
Contents:
1. Student Details
2. Pre-Placement Checklist for Supervisors
3. Day 1 Induction Checklist
4. Mandatory Training
5. End of Placement Checklist
6. Appendix 1 – Feedback Form
7. Appendix 2 – End of Placement Certificate
Students Name:
Supervisor:
Department:
Placement Dates
Start:
Finish:
Phone Number:
Email Address:
Name of Contact:
Phone Number:
Other:
Students Name………………………………..Signature………………………………Date………………
Supervisors Name……………………………Signature………………………………Date……………
The mandatory training specified below is specifically required by the Trust as a minimum for all
work experience students. Further training may be requested by the placement supervisor.
The mandatory training specified below may be additionally requested by your placement
supervisor.
Department………Cardiovascular………………………………………………………………………………
□ Yes
□ No
3. Do you feel your placement has given you a better understanding of the work that is
undertaken in our organisation?
□ Yes
□ No, If No please give details:………………………………………………………………
□ Satisfactory
□ Unsatisfactory
□ Satisfactory
□ Too long
□ Too short
Project work
8. Are there any additional sessions, or visits to other departments, which you feel should be
included in the programme?
□ No
9. Do you feel it would have been useful to have been provided with any more information
before your placement?
□ Yes, If yes, please give details: ………Timetable (but due to IT failure this wasn’t possible)
………………………………………………………………………………………………
□ No
10. Has your placement influenced your choice of career in any way?
□ No
11. If anything, what could have been improved about your work experience? Please give
details:
Having a structured timetable that put me with different people/settings in the morning and
afternoon to have a wide variety of exposure within my short time at GSTT.
12. Please add any other comments you feel would be helpful:
Please return to your Supervisor and Chris Eaton chris.eaton@gstt.nhs.uk (Placement Co-
Ordinator).
……………………………………………………….
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Completed on
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