CraVnacua eMart
edu.au
Piease assess and mark | _NotYet | Borderline | Competent | Professional | NIA
the following domains | Competent
(1) (2) 3) (4)
Pre-procedure
‘preparation
(Room and equipment setup
‘and ergantzaton, including
atlent comfort).
‘Technical
‘procedure
(Would technical performance
‘veld a useful return)
Adapts procedure to
accommodate patient
aware of own
limitations, seeks help le
when appropriate
‘Overall ability to
perform procedure /
probability of success aa
Total Max (Max possible /36): /
Comments:
Prty geek Ur‘Suggestions for development (assessor comments):
Free UF wm Lie one sroveel, Carel
fh omgego with Kee prtrovt o Lite Mme mitted
ttalkny ot thom fr te wrote interetun, Ae
wy fo by thi might he talking fe trom fitter ab
rear guals a ha Hur asking qoerh us. Syme
Sam diec_ a litte surnplect
Aralanatvy [Anguraw was a little conpicatedt.
Self-refiection (to be completed by the intern) — what did you learn from this experience,
what would you do differently next time. What steps can you implement to ensure the next
time you perform this procedure you will do it more professionally:
| ‘Agreed Action (Intern and Assessor initial):
Page 2 of 2Piease assess and mark
the following domains
Pre: jure
Wot Yet | Borderline
Competent
(1)
(2)
‘Competent
(3)
Professional | N/A
preparation
{Room and equipment set up
‘and organization, Including
Patient comfort)
nal approach
(4)
“Ineluding communication,
‘consent and consi
‘towards the patient)
‘Knowl
(0f indications, an
Suipment end fechas)
‘Technical aspects of
(Would technical performance
ida usetul
ALTA
cS
Max (Max possible /36):
/
qed. ixan apa potints over lec.[ Suggestions for development (assessor comments):
in HUM Crt wasnt cnplorey clea) fare make
Sue teeg get to orl Wouga esp. knee Heim Check
po parte). Noterhiaa lhas fe he clove Witte
Go? keruc Loci fo clot rene hop tata
qe aA\W AATACLIA SCCens You CH Uc A
cover . 1S 4 Grek LU screen -
Quek oxom othvil- -
‘Self-reflection (to be compieted by the intern) — what did you learn from this experience,
what would you do differently next time. What steps can you implement to ensure the next
time you perform this procedure you will do it more professionally:
‘Agreed Action (Intern and Assessor initial):
Page 2 of 2and mark
the following domains
Not Yet | Borderline
‘Competent
a) 2)
‘Competent
(3)
(4)
Professional
NIA
‘Knowledge
(of indications, anatomy,
equipment and technique)
‘Technical aspects of
procedure
(Would technical performance
Yylold @ useful return)
‘Adapts procedure to
accommodate patient
‘andlor events
Post-procedure
management
{including hygiene,
communication and
‘consideration towards the
patient)
ARIA
Overall ability to
perform procedure /
lity of st
Total
Max (Max possible /36):
!
‘Comments:
Goer tem — wy corpuceOH
he pshm yakalvas
o pi.cin put Heir om hand trdir dhe
- Guek We A-NTTS ~ rere oem
i
‘Suggestions for development (assessor comments):
Cam ui KPLLYE as aneurcen Pry He. shade
wer ie 6 WR fee |? gin f Bom meta |
m te