What is an SLE?

An SLE is an interaction between a foundation doctor and a trainer which leads to immediate feedback and reflective learning. This is recorded in the e-portfolio using dedicated SLE forms. SLEs are designed to help FDs develop and improve their clinical and professional practice and to identify targets for future achievements. 

Are SLEs assessments?

No, SLEs are not assessments. However, the clinical supervisor’s end of placement report, which forms part of the FP assessment, will draw upon evidence of engagement in the SLE process, but not SLE ‘outcomes’. SLEs cannot be passed or failed. 

What are the types of SLE used in FP?

The choice of which SLE is selected will depend on the learning encounter to be recorded: 

Mini-CEX – mini-clinical evaluation exercise: direct observation of the FD undertaking an interaction while at work on the ward or other clinical environment;  

CBD – case-based discussion: the discussion of a case presentation after an (unobserved) encounter in the workplace environment;  

DCT – developing the clinical teacher: used for feedback on an organised teaching session or presentation the FD has delivered;  

DOPS – direct observation of procedural skills: completion of this should, ideally, include observation of the explanation to the patient of why the procedure is being performed, the process of consent including an understanding of complications, and technical capability of the procedure itself;  

LEADER – clinical leadership (work-based review): for recording feedback following an event where the FD has used leadership skills; 

LEARN – learning encounter and reflection note: a generic form for recording any of the encounters above and other activities such as performance in simulation.

Further information on each SLE.