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Bedside Teaching Assessment form

Student Name:

University Number: Patient's Name: Diagnosis:


Excelle nt Began with chief complaint and biodata Speech easily understood with proper terminology Followed logical/organized sequence Information focused to appropriate organ system(s) Included pertinent positive/negative data Data provided was accurate to case Proper bedside manners Total Good Satisfac tory Poo r Not done Tot al

Signature of the staff Date

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