Step 4 · After your course

Supervised Clinical Practice Logbook

Turn simulation practice into supervised clinical experience.

After the course, keep building your skills under supervision. Use a log like the one below (or your e-portfolio) to record each block you perform or assist with, and ask your supervisor to review it. The RCEM guideline lists three supervised blocks to a competent standard among the requirements before sign-off.

DateIndication and sideApproach and viewDrug, dose and volumePain score before and at 30 minSupervisor and reflection

Next steps towards competence

  • Supervised clinical blocks
  • Workplace-based assessments, such as DOPS
  • Direct observation and a procedure logbook
  • Regular femoral region ultrasound practice and image review
  • Your trust's competency pathway and sign-off; reassessment if more than six months pass without a block
Practise within your competence
Follow your employer's policies and local sign-off requirements.

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