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CMD-109-17-01

OUR LADY OF FATIMA UNIVERSITY


COLLEGE OF MEDICINE

CLERK’S LEARNING PLAN

NAME: _________________________________ ROTATION:_________________________ DATES ROTATED:______________

To be accomplished prior to start of rotation To be accomplished at


the end of rotation
During my rotation I will demonstrate knowledge on how to competently manage the following diseases: Performed Assisted Observed

During my rotation I will perform the following skills/tasks confidently: Performed Assisted Observed

CHECKED BY:

_______________________________________________________(TRAINING COORDINATOR)

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