BASIC SPECIALIST TRAINING (BST)

POST SUMMARY FORM – GENERAL INTERNAL MEDICINE

In the absence of a Certificate of BST or equivalent please complete a form for each post/appointment
you are submitting as evidence of basic specialist training in support of your application for entry to the
Specialist Division of the Register and ensure it is certified by the Medical Manpower/Administration within
each institution listed.

One form to be completed for each post/appointment held at BST Level.

Definition of Training/Supervised Post: Post that is recognised for training in specialty and occupied by
a trainee prospectively approved by relevant authority/training body and applicant is supervised for
duration of post by recognised trainer.
Definition of Service Post: Post that is not recognised for training in specialty by relevant
authority/training body and applicant is not supervised for duration of post by recognised trainer. (note
where forms are being submitted for Service posts the applicant should indicate if post was held in a
hospital/institution that is recognised for training within specialty applied for.)

Applicant Name: ___________________________________________________________

Details of Post
Hospital:
Duration of post & Dates in
post:
Specialty:
Position/Post Title:
Was this post a Training Post
or Service Post (give detail):
Supervising
Consultant/Recognised
Trainer:
(If applicable)
Clinical Responsibilities
Approx number of rostered
hours per week.

Outline your frequency of:

On Call commitment
Average number of Admissions
on call

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Outpatient Responsibilities
per week:
Number of Outpatient Clinics
Average number of New Cases
Average number of Return
Cases

Inpatient Responsibilities per

week:
Average number of admissions:
Average number of inpatient
consultations:
Level of experience in:
ICU
CCU
Participation in Professional
Competence Activities
Are there consultant-led ward
rounds?
What is their frequency?

Do/Did you attend grand

rounds?
What is their frequency?

How many hours per week of

scheduled
lectures/conferences take
/took place in your working
week?
List your Research
opportunities/activities
during your time in this post:
List your Audit
opportunities/activities
during your time in this post:

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The above post provides satisfactory training/experience in the following areas
(Please tick Yes/No as appropriate):

Emergencies/Complicated Cases (average 40 acute Yes No

assessments and/or admissions) to include 6 of the
following category of patient over training
Acute abdominal emergencies
Acute ear, nose and throat problems
Acute GI Bleed
Acute respiratory emergencies/Non invasive ventilation
Acute rheumatological conditions
Acute stroke/TIAs
Chest pain
Collapse
Diabetic emergencies
DVT
PE
Poisoning and self harm
Psychiatric crises
Traumatic brain injury
Procedures/Practical Skills/Surgical Skills
Abdominal paracentesis
Lumbar puncture
Performance & Interpretation of ECG’s (resting
and exercise)
Pleural aspiration – under ultrasound
Outpatient Clinics (1 clinic per week)

I certify that the above information is a true record of the training/experience gained in post

Signed by Applicant
SIGNATURE:

TITLE:

DATE:

Certified by Clinical Director/Supervisor

SIGNATURE:
This form will not be accepted
TITLE:
without a Hospital Stamp
DATE:

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