Cars CEs the following domains Please assess and mark | _ Not Yet ‘Competent (4) Borderline (2) Competent (3) Professional | N/A preparation (Room and equipment set up ‘nd organization, Including font comfort) (4) Professional approach Tnclung communion ccicsns end conelaoaton "owards the pon) Knowledae {Of nications, anatomy, ‘equipment and technique) Total Max (Max possible /36): ‘Comments: yuy Guo Wn dime. .i ‘Suggestions for development (assessor comments): a Guo rover df} ow ONS, Str Char wpe [ Seitvefiection (fo be completed by the infer) what did you Tearn 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: -legurnt the unportan oe a gon &’GOA One so) up tow A. hyihual Ww CorAnie 4o proche. to bute conficlence un what | am Staying ‘Agreed Action (intern and Assessor initial): Page 2 of 2