This document provides guidance to students on completing clinical firm forms using an iPad app. It explains that students must complete forms for each clinical placement in years 3 and 4 to define learning objectives, collect feedback, and develop an action plan. The forms are accessed via an app and include sections for placement details, learning objectives, feedback synthesis, action planning, and supervisor sign-off. It emphasizes that supervisors must sign the completed form and students should submit it to receive credit for the placement.

1. 1
Clinical Firm Forms
Student Guide
2014-15
V2.0

2. 2
Background
Manchester Medical School requires students to complete a Form
for each Clinical Placement in years 3 and 4.
For main Hospital Placements, a Firm Form must be completed on
your iPad
For the new specialties, a Specialty Firm Form is completed
The Firm forms enable you to define your personal learning
objectives, collect and synthesis feedback and devise an action plan
for future placements. Supervisors are required to sign off the form
at the end of the placement.
The Evaluation part of the form allows you to provide feedback to
the Medical School about the quality of your experience on
placement

3. 3
About the App
To Access and complete the Forms you will need
to get the eForms app from HERE
Once you have downloaded it onto your iPad, log
in using your university username and password
If you cannot log in contact us at
eformsupport@manchester.ac.uk
After logging on, sync the app and your forms
should appear if not, please contact your base
hospital

4. 4
Hospital Firm Form
The form is designed to help you articulate and review your personal
learning objectives for the placement
If possible you should review these with your supervisor at the start of
the placement
You should capture feedback during your placement using your iPad,
paper or other means and then synthesise this at the end of your
placement on the form
This form will make up an important part of your portfolio and your
Academic Advisor will expect to see it at review.
If the form is not completed and in your portfolio, you may
be prevented from progressing.

5. 5
Hospital Firm Form
The form should be
completed for each Hospital
Placement
When you open the form it
should look like this (right)
The First two sections
provide information on how
to complete the form -
please read them carefully
To Use the form touch the
‘Use this form’ button at the
top

6. 6
Hospital Firm Form -
Placement Details
At the start of the
placement enter the
details of the
placement in this
section
Choose the Placement
Code that appears in
your Timetable. This
will identify the correct
Placement in Medlea

7. 7
Hospital Firm Form - Learning
Objectives
At the start of the
placement define your
personal learning
objectives and how you
intend to achieve them
You can enter up to
five learning objectives.
To save the Form,
select ‘Done’ and
‘Save as Draft’. The
forms will be stored in
your draft folder in the
app

8. 8
Hospital Firm Form - Feedback
Synthesis
Now complete your
placement and
collect feedback as
you progress
Towards the end of
the placement reflect
on your feedback,
how they relate to
your objectives and
enter your reflections
under the three
themes on this
section of the form

9. 9
Hospital FirmForm -
Action Plan
Following your
reflection, you should
think about what you
want to achieve on
your next placement
based on your
feedback and how
you intend to do this.
This is your Action
Plan and will form the
basis of your personal
learning objectives for
your next placement
form

10. 10
Hospital Firm Form -
Placement sign-off
At the end of the
placement your
supervisor should
sign off the form
It is your responsibility
to ensure the
supervisor does this
Start off this section
by signing the box
using your finger and
then handing the ipad
to your supervisor

11. 11
Hospital Firm Form -
Placement sign-off
The supervisor should leave
any feedback for you on the
form, sign it and tick the
confirmation at the end of
the section
It is very important that
this box is NOT
TICKED until the whole
form is complete. Once
this is ticked, the form
will be locked so no
further edits (apart
from the Evaluation)
can be made. Please
check the form
BEFORE the box is
ticked

12. 12
Hospital Firm Form -
Placement sign-off
Once the
confirmation box is
ticked, the form
will be locked and
the Evaluation
Section will
appear
You should now
complete the
Evaluation
Section prior to
submitting the
form

13. 13
Evaluation Section
When you open the section it
should look like this (right)
Just answer the questions
and submit the form. You will
not be able to submit the
form without completing this
section
If you are not connected to
the internet when the form is
submitted, it will be stored in
your Outbox until next time
you connect and sync

14. 14
Hospital Firm Form -
Completion
Once Submitted the form will be sent to Medlea where
it will appear in your list of Marksheets and Forms and
Academic Summary
The form will be associated with the placement in
Medlea so you and we know which placements have
been signed off
If the form cannot find the relevant placement e.g. if
you have chosen the wrong placement title, you will be
sent an email. You should then contact your sector
admin team who will be able to correct it.

15. GP Placements
• The Community (GP) Placement form
will be on Medlea for the Supervisors to
complete
• Students Must complete a Community
Evaluation Form which will also be on
Medlea
15

16. The eForm Code
• STOP - Are you are logged in as you!
• LOOK – to see if the placement code is
correct
• LISTEN – to feedback and synthesise
• CHECK – the form is complete before the
supervisor ticks the confirmation box
• SUBMIT – once you have completed the
Evaluation section
16

17. 17
FAQs
QuestionQuestion AnswerAnswer
Do I have to pay for the
app?
No, the app is free
We dont have WiFi. Can I
complete the form offline?
Yes, you can complete the form offline and it will get sent the next time you connect
and sync
Does my supervisor know
about this?
Supervisors have been provided with a presentation similar to this and should know
what to do - However, it is your responsibility to arrange for them to sign off the form
and you may need to help them use the iPad
I’ve submitted the form and
now want to change it. Can I
do that?
Yes. If you need to amend the form because there has been a mistake you should first
contact your base hospital admin team, explaining why you need to change the form –
only sector admin staff can edit the form in Medlea and they will check with your
supervisor before any changes are made
I submitted my form but its
not appeared in Medlea?
There could be a number of reasons, but the most common is that someone else has
borrowed your iPad and logged in as themselves. Contact the eforms support email –
eformsupport@manchester.ac.uk