1. Registration Portfolio Why are they returned? Too much detail of A grade Training Too little evidence of B Grade Training No evidence of Training in more than one specialty

2. Too much detail on A grade training It is structured with plenty of evidence Often pages of detail Gaining the PCCC has been by assessment Can be used to provide some evidence in the portfolio but must not be used for all

3. Too little from life after A training - problems seen Frugal – sometimes only a few paragraphs Has been presented only as bullet points Lack of evidence of cases analysed Lack of evidence of CPD Too little breadth of post grade A training

4. What are we looking for? Need 1 or 2 pieces of evidence for each of the competence categories Should reflect trainees own work Evidence can be mix of: Case reports Audits Presentations Experiments Literature searches Journal Club participation

5. What are we looking for? Evidence that training and development did not stop after A Demonstrate that trainee: Has developed a critical approach Can assess and draw conclusions from scientific data Interpret significance of cytogenetic findings and need for further studies Is aware of their boundaries and knows when to ask for advice Be explicit about the actual participation

6. What are we looking for? Numbers of cases analysed and abnormal cases with case reports included from some of these Active presentation in seminars and lab meetings – not just lists of ones attended Hopefully evidence of involvement in R & D Describe service development and new training in main part of portfolio PowerPoint presentations and case reports in appendices Good cross referencing to core competencies

7. Training in only one specialty Should not be a problem but there must be compensatory gain in depth In specialist lab secondment should be considered