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Scranton, kctiene Department of Nutrition & Dietetics Checklist - Quality Management / Productivity Maintain all entries and records in your electronic binder. Please have your preceptor sign below that satisfactory performance has been shown in the following areas. Enclose all pertinent material The intern has: JL - participated in various committee meetings (During COVID this may be virtual): 1. Manage Machog = 2 Surety Moet, , 3. ShIF moshing 4, Kleber sozehs / _- completed a QM/ PI outline 4 - participated in a PI study and presented results in department mangers (During COVID this may be done virtually and with QM Committee also if possible). jedge ¥__- completed a research project on: Cpe Stadect ae the QM/PI topic) / _- presented data demonstrating ability create charts in MS Excel including formulas Z _- completed productivity studies Uae displayed his / her ability to measure productivity J Preceptor signature

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