Supervised Learning Events (SLE)

Specialty Trainees

When you register with the College, you will get access to Kaizen eportfolio. This also manages your assessments or supervised learning events.  The assessment reports will be collated in ePortfolio for review at education supervision and by the annual review panel.

The main types of SLE that you will be expected to complete are:

  • Mini-CEX – (Mini Clinical Evaluation). This is a direct observation of a clinical encounter. It may be a history, examination or communication type encounter. These should be observed by a senior doctor or trained allied health profession. 
  • CBD – (Cased Based Discussion). This should be a discussion about a case something you have been involved with and made an entry in the notes.  This discussion looks at your clinical reasoning and note recording. It is not a discussion of other people’s management. 
  • DOPS – (Direct Observation of Practical Skills). This is a record of practical skills for example, blood taking, lumbar puncture and Intubation.
  • MSF (Multi-source Feedback)  You will be expected to nominate a number of members from the team (consultants, seniors, peers, juniors, nurses and other health professional) to provide feedback on you work performance.
  • DOC - (Discussion of Correspondence) has been developed and validated for use in Paediatrics. The instrument assesses a trainee’s competence in written communications in everyday practice, over time.
  • HAT- (Handover Assessment Tool) This is a formative supervised learning event assessing your ability to safely handover patients.
  • ACAT- (Acute Care Assessment Tool) This assessment is most effective when contemporaneously completed with your assessor. We recommend you select an occasion when you and your assessor will both be present during acute paediatric care

RCPCH recommendations for assessments/SLE to be completed by trainees can be found here. More detailed instructions on how to complete assessments/SLE are available at the website at

Trainees successfully completing their competencies will be issued with an Annual Review of Competency Progression (ARCP) outcome form at the end of each year. ARCPs could be triggered if it is felt necessary or may take place at other times of the training year if training is out of sync (e.g due to maternity leave, sick leave, OOP, etc). Failure to engage in the assessment process would delay progression through training. Please contact the School if there are technical difficulties or problems within your allocated Trust.